Enrollment Information for Affiliates and Their Dependents
Before submitting your enrollment form, please take a moment and review the following information:
Insurance Enrollment Form
If you are mailing or faxing in your enrollment form you must include a copy of your Harvard ID, required certification if applicable and payment. If your department is paying for your insurance you must include a copy of the web voucher. If you have any questions on enrollment or benefits please contact Member Services at (617) 495-2008 or email us at mservices@huhs.harvard.edu.
Renewal of coverage is not automatic. A new enrollment form must be submitted to continue coverage.
Mailing Address:
HUHS Member Services
75 Mt. Auburn Street
Cambridge, MA 02138
1st Floor Member Service
Fax: 617-496-6125