How To Complete
Enrollment Form Process
College Students
There are 4 ways to Enroll/Apply for
Five Points Health Benefits Student Coverage
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1 - Apply online. Visit this page and select your state to get started.
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2 - Apply by phone. Call 915.803.4198 to apply for a health benefit plan and enroll over the phone.
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3 - Apply in person. Visit a trained enrollment specialist at our office to get information, apply, and enroll in person.
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4 - Apply by mail, email or fax. Complete your PDF printable application and mail it in, email it or fax it.
1 ONLINE STUDENT APPLICATION
2, 3 & 4 - PRINTABLE PDF STUDENT APPLICATION
STEP 3 - PRINT PDF STUDENT APPLICATION AND SUBMIT IN PERSON AT OUR OFFICE
Attention Student Enrollment Services
Five Points Health Benefit Plans, LLC
6006 North Mesa Street - Suite 108
El Paso, Texas 79912
STEP 4 - PRINT PDF STUDENT APPLICATION AND FAX, EMAIL OR MAIL
1. Print and send fax to (915) 519-0261 [SECURE LINE]
2. Upload file and email to: Alejandra@fivepointsmecplan.com
*Please be advised to keep a copy of these documents for your own records*
Once your application is completed and received, we will then mail out to you your welcome packet which will include the following:
Once enrolled and your payment is processed, you will receive your Enrollment Packet in the US mail within 5 Business days:
1) Welcome Packet which includes your welcome letter with your Summary of Benefits (SOB)
2) Your ID member card from the First Health Network is a Aetna | Coventry Company
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First Health Network is a Aetna | Coventry Company, You will need to take your ID Network Card to your doctor appointments as proof of coverage.
3) Optum Rx ID Card
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You will need your Optum Rx ID Card when you pick up your prescriptions from any of the major pharmacies.
Customer Service Center hours: M-F 7am - 5pm
Telephone Number: 915.803.4198
Example
Example
