Flexible Spending Plans

Health Care Reimbursement Account (HCRA)

This voluntary benefit plan offers eligible employees the ability to pay for eligible out-of-pocket health care expenses with pre-tax dollars:

Enrollment Information

  • Enroll by completing Enrollment Form and returning to Human Resources within 60 days of hire or eligibility. The Effective date will be determined by the date the form is submitted to Human Resources within the 60 day period. 
  • Employee may contribute between $20 to $208.33 each month ($2,500 maximum per year) to personal account.
  • Contributions are deducted from pay before federal, state and Social Security (FICA) taxes.
  • Employee must re-enroll during the annual open enrollment period during the month of September to participate during following calendar year. Contribution amount may be changed at that time.
  • Once the plan year has begun, you cannot make changes (increase, decrease, or stop deduction) in your authorization unless there has been a change in your status as defined by the Internal Revenue Services (IRS).  Refer to HCRA Brochure.

Submitting a Claim Form

  • File claim for reimbursement by completing Claim Form, 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 HCRA Brochure 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.

Dependent care Reimbursement Account (DCRA)

This voluntary benefit plan offers eligible employees the ability to pay for eligible out-of-pocket expenses for dependent care with pre-tax dollars if the care is required in order for the employee (and spouse, if married) to work.

Enrollment Information

  • Complete Enrollment Form and return to Human Resources within 60 days of hire or eligibility. The Effective date will be determined by the date the form is submitted to Human Resources within the 60 day period. 
  • Employee may contribute between $20 to $416.66 each month ($5,000 maximum per year) to personal account.
  • Deducted from pay before federal, state and Social Security (FICA) taxes.
  • Employee must re-enroll during the annual open enrollment period during the month of September to participate during following calendar year. Contribution amount may be changed at that time.
  • Once the plan year has begun, you cannot make changes (increase, decrease, or stop deduction) in your authorization unless there has been a change in your status as defined by the Internal Revenue Services (IRS).  Refer to DCRA Brochure.

Submitting a Claim Form

  • File claim for reimbursement by completing Claim Form, attaching documentation and mailing to ASI, P.O. Box 6044, Columbia, MO 65205-6044 or fax to (573) 874-0425.
  • For expenses to be eligible:
    • Dependent must be child under 13 for whom employee or spouse is entitled to claim dependent status on income tax return, or spouse who is unable to care for him/herself, or a financially dependent member of employee’s household; and
    • Care must be required in order for employee to be gainfully employed and, if married, spouse also must be employed or actively looking for work.
  • Refer to DCRA Brochure for additional eligibility rules.
  • Any money left in employee’s account after expenses have been paid for the year is forfeited.