________
________
Email: ________

Date: ________

________
________
Email: ________

RE: Insurance Policy Number: ________/Owner: ________/Insured: ________

To whom it may concern:

I am writing to make a change to the insurance policy described above. For reference, the policy number is: ________.

There should be a change made to the primary beneficiary. The primary beneficiary will still be the same individual, but their name has legally changed. The prior name was as follows: ________. The new legal name is as follows: ________. This name change is made due to marriage.

If there is a specific form that must be filled out, please send it to the address or email address at the head of this document. Otherwise, please send a confirmation that the changes have been made.

If you have any questions or anything you would like to discuss with me further, please feel free to contact me.

Sincerely,

________