Retiree Drug Subsidy Online Renewal Questionnaire

If you have any questions about this questionnaire, please send an email message to rdsdesignee@bcbsm.com.

Plan information (from RDS application)

Frequency

Group number(s)

General contact information (from RDS application)

Has the contact information changed?

Payment Setup

Is BCBSM named as vendor using vendor number A0013?

Is file submission mainframe to mainframe?