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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Supporting Statement A |
Supplementary Document |
Supplementary Document |
Federal Enterprise Architecture: Health - Health Care Services
Form CMS-10156 | RDS Application | Fillable Printable | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.