Health Care Reimbursement Account (HCRA)

• Enroll by completing Enrollment Form (.pdf) and returning to HR Services.
• Employee may contribute between $20 to $416.66 each month ($5,000 maximum per year) to personal account.
• Contributions are deducted from pay before federal, state and Social Security (FICA) taxes.
• File claim for reimbursement by completing Claim Form (.pdf), attaching documentation and mailing to:

  ASI
  P.O. Box 6044
  Columbia, MO 65205-6044 or fax to (573) 874-0425.

• Expenses eligible to be reimbursed must be:
  • medically necessary,
  • incurred by an employee, employee's spouse, or eligible dependents (including domestic partner), and
  • not covered by the employee's own or another insurance plan.


• Refer to CSU HCRA Brochure (.pdf) and ASI Summary for a list of reimbursable and non-reimbursable expenses.
• Any money left in employee's account after expenses have been paid for the year is forfeited.
• Employee must re-enroll during the annual open enrollment period each fall to participate during following calendar year. Contribution amount may be changed at that time.

• HCRA Quick Facts (.pdf)
• Put More Out-of-Pocket In Your Pocket (.pdf)
• Enrollment Form (.pdf)
• Access Account Information
• Claim Form (.pdf)
• Completing a Claim Form
• IRS Publication 502 - Medical Expenses (.pdf)
• Contact ASI