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Online Enrollment Made Easy for Individuals & Families

  • Please click on ONLINE ENROLLMENT to fill out your enrollment application.

  • ​Please choose one of the eight plans chosen for Individuals & Families.

  • Please complete all sections of your enrollment application.

  • Please submit payment with your application.

As a second option, you may submit your paper enrollment and payment through our secure email or secure fax.

  • 1 - Open your Individuals & Families Paper Enrollment Application by clicking on the Individuals & Families Paper Enrollment Application above.

  • 2 - Fill out your Individuals & Families Paper Enrollment Application. Make sure you fill out all of the required fields.

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

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

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

Five Points Health Benefit Plans, LLC

6006 North Mesa Street - Suite 108

El Paso, Texas   79912​​

We have created a video to help you easily enroll for your mobile phones or tablet.

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). You will also receive a temporary Member ID Card and OptumRx Card which can be used right away.

2) Your ID member card from the First Health Network is a Aetna | Coventry Company   

 

  • 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

  • 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

Office Telephone Number: 915.803.4198

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