Student Dependent Cancellation Policy and Application – Harvard University Student Health Program

Policy Statement

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

No medical services were used for the term in which you are requesting to cancel. This includes prescription overrides which allow your dependents to fill multiple months of medication early.

And one of the following conditions are met:

The cancellation application is received within 5 business days of submitting the online enrollment application. Coverage will be canceled retroactively to the plan effective date for the term in which your dependents were enrolled. The cost of the plan will be credited in full to the student’s account.

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 are enrolled. Coverage will be canceled to the plan retroactively to the start date of the future term (i.e., 8/1 for fall or 2/1 for spring) in which your dependents were enrolled. The cost of the plan will be credited in full to the student’s account.

The cancellation application and document is received within 45-days from the effective date of when your dependents obtain new medical insurance or within 45-days of divorce being finalized. Note that the 45-day cancellation policy is specific to the effective date of the coverage and not when your dependents enrolled or signed up for coverage.
This means that you must submit your dependents cancellation request with an official coverage letter within 45-days from the effective/start date of the new insurance effective date. Or within 45-days of the date your divorce is finalized.
For example: if your dependents new medical insurance effective/start date is October 1, the deadline to submit your dependents cancellation form with proof of another enrollment is November 15.
Coverage will be cancelled retroactively to the effective/start date of the other coverage or the date the divorce is finalized. The cost of the plan will be prorated to the date HUSHP is cancelled ; the applicable credit will be posted to the student’s account.

Appeals to this policy will not be considered.

Required Documentation

You must provide an official letter (on company letterhead) from the other employer or insurer to demonstrate that your dependents are enrolled/approved for other medical insurance. The document must have the name(s) of all your dependents enrolled and their effective date of the coverage. The cancellation form and all documents are due within 45-days of the start date (effective date) of their other medical coverage or the date your divorce is finalized.

You cannot re-enroll your dependent(s) until the next open enrollment period or within 45-days of losing other health insurance coverage.
Divorce: You must provide supporting documentation that your divorce is finalized (a copy of the divorce notice). 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.

If Approved:

Both parts of the insurance, the Student Health Fee and the Student Health Insurance Plan, will be canceled.
The applicable credit will be applied to your student bill within 10-20 business days.
This cancellation request is for dependents only; it will not cancel medical coverage for the student.
Re-enrollment will be available during the next open enrollment period in which you are eligible to enroll dependent(s) or within 45-days of your dependent(s) losing other medical insurance coverage or getting divorced (documentation must be submitted with the cancellation application).

Fill out the Cancellation application