Affiliate Cancellation Policy and Application – Harvard University Student Health Program

Policy Statement

You may be eligible to cancel the Harvard University Student Health Program (HUSHP) for yourself and/or your dependent(s) if you meet one of the criteria below:

No services were used for the term in which you are requesting to cancel. This includes prescription overrides which allow you or your dependents to fill multiple months of medication early.
Requests to cancel the Post-Doc affiliate but keep dependents enrolled will not be accepted. Dependents are only eligible to remain enrolled when the Post-Doc is also enrolled.

And one of the following conditions are met:

The cancellation application is received within 5 business days of submitting the enrollment application. Coverage will be canceled retroactively to the plan effective date for the term in which you are enrolled.

The cancellation application is received prior to the start date of coverage (8/1 fall term or 2/1 spring term) for the term in which you enrolled. Coverage will be canceled to the plan effective the start date of the future term in which you are enrolled.

The cancellation application is received within 45 days of a qualifying life event. Coverage will be canceled retroactively to the day of the event. The life-changing event date is the date that your other health insurance coverage begins or the date the divorce is finalized. This effective date will be one of the determining factors in canceling coverage.

Official documentation is needed to process the cancellation and must be submitted with your application.

You cannot re-enroll until the next open enrollment period or within 45 days of losing other health insurance coverage.

If you experienced a qualifying life event, your request will be processed as follows:

Gaining other health coverage within 45 days of the event

You can cancel coverage if you enroll in coverage elsewhere.
You must provide an official document or a coverage letter from the other employer or insurer indicating you or your dependent(s) are enrolled (or eligible) for health insurance coverage.
The letter must include your name or your dependent’s name and the effective date of the medical policy.
The document must be received within 45 days of your effective date of coverage.

Divorce within 45 days of the event

You can remove your former spouse from your coverage.
You must provide supporting documentation that your divorce is finalized; a copy of the divorce notice will be required.
Cancellation will be effective as of the date your divorce is finalized. Your ex-spouse cannot be re-enrolled, not even if required per your divorce agreement.
If your spouse is enrolled in your coverage when you divorce, they can remain enrolled as an ex-spouse until the end of that coverage term but will not be allowed to re-enroll for future terms of coverage.

This application will be processed in accordance with the cancellation policy; all cancellation rules apply.

Eligibility to cancel enrollment	Outcome of your cancellation request:
If your application is received and services were used.	You will not qualify to cancel the coverage for that term for the person who used services.
If your application is prior to the start of the term you are requesting to cancel or within 5 business days of submitting an enrollment application.	The Harvard University Student Health Program will be canceled, and if applicable, a credit will be issued.
If your application is received within 45 days of a qualifying event with proof of enrollment. The qualifying event date is the date that your other health insurance coverage begins or the date the divorce is finalized. This effective date will be one of the determining factors in canceling coverage. Official document/coverage letter with your name/dependent(s) name and the effective date of your medical policy is required.	The Harvard University Student Health Program will be canceled, and if applicable, a credit will be issued.
If your application is received after the start of a term, beyond the 5 business days of submitting an application, beyond 45 days of a qualifying event, or without appropriate documentation to support a qualifying event.	Cancellation requests cannot be processed for the current term; only future term(s) of coverage may be canceled.