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 and document is received within 45-days from the start (effective) date of when you or your dependents obtained new medical insurance, or within 45-days of your divorce being finalized. Note that the 45-day cancellation policy is specific to the effective date of coverage and not when you or your dependents enrolled or signed up for coverage.
Coverage will be canceled retroactively at the end of the month in which you gained other insurance. .

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 or your dependents enroll in coverage elsewhere.
You must provide an official letter (on company letterhead) from the other employer or insurer to demonstrate that you and your dependent(s) are enrolled/approved for other medical coverage.
The letter must include your name and all or your dependent(s) name and the effective date of the medical policy.
The cancellation form and all documents are due within 45-days of the start date (effective date) of medical coverage.

Divorce within 45-days of the divorce being finalized

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 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.

Official document/coverage letter with your name/dependent(s) name and the effective date of your medical policy is required.

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 received 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 from the start (effective date) of when you or your dependents obtained new medical insurance, or within 45-days of your divorce being finalized.	The Harvard University Student Health Program will be canceled, and if applicable, a credit will be issued.
If you do not meet one of the eligibility criteria noted above to cancel coverage.	Cancellation requests cannot be processed for the current term; only future term(s) of coverage may be canceled.