Retiree Drug Subsidy (RDS) Application and Instructions (CMS-10156)

OMB 0938-0957

OMB 0938-0957

Under the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 and implementing regulations at 42 CFR ?423 Subpart R, Plan Sponsors e.g., employers or unions) that offer prescription drug coverage to their qualifying covered retirees are eligible to receive a 28% tax-free subsidy for allowable drug costs. In order to qualify, a Plan Sponsor must submit a complete application to CMS with a list of retirees for whom it intends to collect the subsidy

The latest form for Retiree Drug Subsidy (RDS) Application and Instructions (CMS-10156) expires 2020-06-30 and can be found here.

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Private Sector - Retiree Drug Subsidy (RDS) Application and Instructions

Federal Enterprise Architecture: Health - Health Care Services

Form CMS-10156RDS ApplicationFillable PrintableForm

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