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Cancellation Form - Individual & Families

  • Download cancellation form, fill out entirely

  • You must provide at least five (5) days notice prior to the end of the month, otherwise your monthly premium fee will be applied to the following month.

  • Once completed email, fax or drop off in person to:



(915) 519-0261

Drop off in Person:

Five Points Benefit Plans, LLC
6006 N. Mesa St. Suite 108

El Paso, Texas 79912 

 You can cancel at any time, and within your first 30 days of enrollment, if you decide to cancel you will receive a full refund immediately.

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