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Students Cancellation Form

STEP 1
  • 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:

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

El Paso, Texas 79912 

Email:

alejandra@fivepointsmecplan.com

Fax:

(915) 519-0261 

 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.

California TPA License #0M72911
Arizona TPA License #505361387
Mississippi TPA License #15039939

Texas

915-803-4198

California

915-803-4198

Arizona

915-803-4198

Mississippi

915-803-4198

New Mexico

915-803-4198

Five Points Health Benefit Plans, LLC Reserves the Right to the following:

Information on this site pertains to Self-funded Employer Group Plans, Individual & Family Plans, Self-Employed and Student Plans.

 

© 2017-2025 by Five Points Health Benefits Plans, LLC

*Five Points Health Benefits Plans, LLC reserves the right to increase plan pricing to remain competitive in the market place. On your SBC and SOB plan documents, we reserve the right to amend, modify, terminate, or partially terminate benefits at any time without notification.

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