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Mutual of Omaha Insurance Company United of Omaha Life Insurance Company Sponsored Group/Association Marketing Program Membership Verification Instructions: This form must be completed in order to
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X X - HBI stands for XYZ Health Benefit Identifier.
Employers who provide health benefits to their employees are required to file X X - HBI.
X X - HBI can be filled out electronically through the designated health benefit portal.
The purpose of X X - HBI is to track and report health benefits provided by employers.
Information such as employee details, health benefit coverage, and contribution amounts must be reported on X X - HBI.
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