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Students Cancellation Form

  • 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 



(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.

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