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Members Health Insurance Company P.O. Box 266380 Weston, FL 33326 Plan Name: Farm Bureau Essential Rx or Farm Bureau Select Rx Contract ID: S2688 Formulary ID: Insert Formulary ID Plan ID: Insert

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What is box 266380?

Box 266380 is a section on a specific form used for reporting certain financial information.

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Individuals or entities meeting specific criteria set by regulatory authorities are required to file box 266380.

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Box 266380 must be filled out according to the instructions provided on the form, ensuring accurate and complete reporting of the required financial information.

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Box 266380 requires the reporting of specific financial data as outlined in the instructions provided.

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