UC Student Health Insurance (QLE) Enrollment
To enroll in the Student Health Insurance due to a qualifying life event, you must:
- Complete the Coverage Status Change Form - Coverage Status Change Form for QLE (PDF)
- Provide a document from your insurance company which shows proof of loss of coverage
These two documents will need to be attached in an email and sent to firstname.lastname@example.org or dropped off at the Student Health Insurance office for processing.