Notice to Insured

No cancellation or refusal to renew by an insurer of a policy of automobile insurance shall be effective unless the insurer shall deliver or mail, to the named insured at the address shown in the policy, a written notice of the cancellation or refusal to renew. Such notice shall:

(a)Be approved as to form by the Commissioner of Banking and Insurance prior to use;

(b)State the date, not less than thirty

(30)days after the date of such mailing or delivering on which such cancellation or refusal to renew shall become effective, except that such effective date may be fifteen

(15)days from the date of mailing or delivery when it is being cancelled or not renewed for the reason set forth in § 21104;

(c)State the specific reason or reasons of the insurer for cancellation or refusal to renew or be accompanied by a statement that upon written request of the named insured, mailed or delivered to the insurer not less than twenty

(20)days prior to the effective date of cancellation or refusal to renew, the insurer will specify the reason or reasons for such cancellation, or refusal to renew, the insurer to supply such information within five

(5)days of receipt by it of such request; and

(d)Advise the insured of his right to request in writing, within ten

(10)days of the receipt of the notice of cancellation or intention not to renew, or of the receipt of the reason or reasons for the cancellation or refusal to renew, if they were not stated in the notice of cancellation or of intention not to renew, that the Commissioner of Banking and Insurance review the action of the insurer.