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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.


  • Enroll by completing the 2024 Plan Year Enrollment Authorization Form - via AdobeSign (Select Form Name from Workflow Selector Drop Down Menu); if you need a 2023 Enrollment form, please send a request to
  • Employee may contribute $20 to $254.16 each month ($3,050 annual maximum)
  • Contributions are deducted from pay before federal, state and Social Security (FICA) taxes.
  • Must re-enroll during the annual Open Enrollment Period each fall to participate during the following calendar year. Enrollment is not automatic even if the employee participated the previous year.
  • If a Participant does not use the money in their account for expenses incurred during the Play Year (including the 2 1/2 month grace period), the funds will be forfeited. Excess contributions may not be refunded to the individual or be carriered over into the next Plan Year. 


  • Enrolled employees can file a claim for reimbursement online ( with the ASI-assigned User ID and password, or by completing a Claim Form, and attaching an itemized bill for health care expenses. Claims can either be mailed or faxed.
  • In addition to the claims reimbursement process outlined above, all enrolled employees receive a FSA Debit Visa Card or ASIFlex Card.  Using the debit card for eligible expenses eliminates most out-of-pocket expenses and claims paperwork (exceptions apply).  For more details see ASIFlex Card Things to Know.
  • Expenses eligilbe to be reimbursed must be:
      • medically necessary (expenses solely for cosmetic reasons or merely beneficial to a person's general health are not reimburseable),
      • incurred by an employee, employee's sposue, or eligible dependents (including domestic partner), and
      • not covered by the employee's own or another insurance plan
      • Refer to the HCRA Brochure for additional plan information


  • The CSU provides a 2 month grace period for employees enrolled in the HCRA plan.  The grace period allows reimbursement of eligible expenses incurred through March 15th of the following year.
  • Employees must submit claims no later than June 30th of the following year after the current plan year ends.  After this date, any funds remaining inthe employee's account will be forfeited.
  • Effective January 1, 2020, Over-the-Counter medications will no longer require proof of documenation and/or receipt for reimbursement.
  • Effective January 1, 2021 initial requests for reimbursement for Orthodontia treatments no longer need to include a contract or statement. Employees will receive full reimbursement for full payments, down payments, monthly payments and/or banding fees. Participants who expect treatment to extend beyond the plan year that they are currently enrolled in, are encouraged to re-enroll for the following plan year for reimbursement of pending expenses.