Human Resources

Health Care Reimbursement Account (HCRA)

This program allows CSU employees to deduct pre-tax dollars that are placed into an account to cover eligible medical/dental/vision expenses that are not covered by insurance plans.

Eligible employees DO NOT need to be benefits eligible to participate in this plan.

Expenses eligible to be reimbursed from the CSU Health Care Reimbursement Account (HCRA) are expenses incurred by an employee, employee's spouse, and dependents (including domestic partner) for the diagnosis, cure, treatment or prevention of disease, and for treatments affecting any part or function of the body. The expenses must be to alleviate or prevent a physical defect or illness. Expenses solely for cosmetic reasons or expenses that are merely beneficial to a person's general health are not reimbursable. For general information, refer to IRS Publication 502 (Medical and Dental Expenses).

Initial enrollment must be made within 60 days of appointment or the qualifying event. Subsequently, employees must file a new health care authorization document every year during the annual open enrollment period to continue participation in the new plan year.

The plan year is January through December. The first tax year deduction is made from the December pay period warrant with the issue date of January 1. Once the plan begins, no changes can be made in the amount withheld unless there has been a qualified status change, as defined by the IRS. If contributions are stopped, employees may continue to submit eligible expenses for up to 6 months after the end of the plan year or until their account is exhausted, whichever comes first.

Any excess funds left at the end of the plan year will be forfeited. Participants will receive advance warning of this potential action from the claims administrator.


Participants in the HCRA program now have the option to pay for eligible out-of-pocket expenses via a flexible spending account debit card. Additional enrollment is required to participate in this option.

For more information about the FSA Benny Card, including FAQs, and how to enroll, please visit the ASIFlex website, or contact ASIFlex at (800) 659-3035.

How to File a Claim

There are multiple ways to submit a claim: Mobile App, Online, by Fax, or via Mail.

  • Online - To submit your claims online, please register on the ASIFlex website.
  • Fax - To fax your claim form, the toll-free fax number is (877) 879-9038.
  • Mail - If you wish to mail your claim form, please mail it directly to the address on the form:
PO Box 6044
Columbia, MO  65205-6044

Eligible Expenses

For a list of eligible over-the-counter (OTC) expenses, please see the OTC Eligible Expenses document under Related documents and forms. For a comprehensive list of eligible expenses, please visit the ASI Flex Eligible Expenses web page.

Deadline for Filing Claims

As a reminder, the CSU offers a 2 ½ month grace period extension from January 1 through March 15 for the prior HCRA/DCRA Flexible Spending Account plan year.

Participants enrolled in HCRA or DCRA through December 31st, who have any remaining funds in the 2022 plan year HCRA or DCRA account, can be reimbursed for out-of-pocket medical or dependent care expenses incurred from January 1, 2023 through March 15, 2023 If the participant re-enrolled for the current year, any claims incurred during the grace period will be automatically applied to any unused funds from the 2022 plan year (includes FSA Debit Card participants).

Participants can also request that claims incurred between January 1st and March 15th be applied to the current plan year balance rather than the prior plan year balance. Such requests must be made in writing to ASIFlex, the third party administrator.

The deadline to incur expenses during the 2 ½ month grace period is March 15th.

The deadline to submit 2022 claims for reimbursement is June 30, 2023.

After these deadlines have passed, all unused 2022 HCRA/DCRA account balances will be forfeited, per IRS regulations.

Direct Deposit Option for Claim Reimbursement

Want to receive your claim reimbursement even faster? HCRA participants have the option to sign up for direct deposit, which could get your money in your bank account the day after you fax it! (ASIFlex guarantees processing of claims the business day following receipt. Deposits are effective the banking day following processing.)

Submit your completed form to the address or number provided.