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Health Care Reimbursement Account (HCRA) Plan

The CSU Health Care Reimbursement Account is a voluntary benefit for eligible employees that offers significant tax advantages and could increase an employee's take home pay. The plan allows for the reimbursement of out-of-pocket health expenses with pre-tax dollars. Contributions are deducted from pay before federal, state and Social Security (FICA) taxes are deducted. Taxable income on an employee's annual W-2 statement will be reduced by the amount placed in the account.


Eligible employees enroll by completing the enrollment form for the applicable Plan Year and returning it to the HR Benefits Office. Eligible employees must re-enroll during the annual open enrollment period each fall to participate during the following calendar year (January 1 - December 31).

Employees may contribute any amount within the minimum and maximum per month range, and an after-tax administration fee of $1 is deducted for each monthly pay warrant in which a contribution is taken.

2022 Plan Year (Annual Maximum $2,750):
Minimum of $20 per month; Maximum of $229.16 per month

2023 Plan Year (Annual Maximum $2,850):
Minimum of $20 per month; Maximum of $237.50 per month

2022 Plan Year Enrollment Authorization Form - Request at

2023 Plan Year Enrollment Authorization Form - via AdobeSign (Select Form Name from Workflow Selector Drop Down Menu)


Expenses eligible to be reimbursed from the CSU Health Care Reimbursement Account are expenses incurred by an employee, employee's spouse, and dependents (including domestic partner) that are medically necessary. 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).

Claims for reimbursement can be filed by mail, fax, or online:

By Mail/Fax :

  • Complete a Claim Form and include an itemized bill for health care expenses.

Online (Step by Step Instructions):

  • Log on to the ASIFlex's Online Self Service Center at
  • Type in your ASI-assigned user Id and password. The pin number was included in the welcome packet received during the initial sign up for a DCRA and/or HCRA account. You can also obtain this information by contacting ASIFlex at (800) 659-3035.
  • All supporting documentation must be scanned and saved in PDF format.

In addition to the claims reimbursement processes referenced above, enrolled employees will automatically be issued 2 FSA Debit Visa Cards, also called the "FSA Benny Card". The Card eliminates most out-of-pocket expenses and claims paperwork (exceptions apply). 


The CSU provides a 2 1/2 month grace period for employees enrolled in HCRA through December 31st. If an employee is enrolled through December 31st and also has a balance as of December 31st, the grace period allows them to be reimbursed for eligible expenses incurred through March 15th of the following year. FSA Debit Cardholders will have access to the prior year's balance through the grace period (March 15 of each calendar year).

Claims must be submitted no later than June 30th of the following year after the current plan year ends. After this date, any funds remaining in the employee's account will be forfeited.