• 1 - Open your NMIADA Enrollment Form by clicking on the NMIADA Member Enrollment Form above.

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• 2 - Fill out your NMIADA Member Enrollment form. Make sure you fill out all of the required fields.​

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• 3 - Please save your completed enrollment form as a new file with your first and last name. (Example, NMIADA Enrollment Form John Smith).

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• 3a - Once completed, please attach your enrollment form and email it to the following POC: Alejandra@fivepointsmecplan.com

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• 4 - Alternatively, you may fax your completed enrollment form to the following fax number: 915.519.0261

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• 5 - You may mail your completed enrollment form to the following address:

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Five Points Health Benefit Plans, LLC

6006 North Mesa Street - Suite 108

El Paso, Texas   79912​​