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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:
- 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.
More Information
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Last Updated:
<%
'Dim strFileName
'Dim dtmLastModified
'Dim dtmLastModifiedDate
'Dim dtmLastModifiedTime
Dim strFileName, strFileNameCalendar, objFile, objFileSystemObject
Dim dtmLastModified, dtmLastModifiedDate, dtmLastModifiedTime
Dim sLastModifiedMonth
strFileName = Request.ServerVariables("SCRIPT_NAME")
strFileName = Replace(strFileName, "/", "\")
strFileName = Server.MapPath(strFileName)
Set objFileSystemObject = Server.CreateObject("Scripting.FileSystemObject")
Set objFile = objFileSystemObject.GetFile(strFileName)
dtmLastModified = objFile.DateLastModified
Set objFile = Nothing
Set objFileSystemObject = Nothing
dtmLastModifiedDate = FormatDateTime(dtmLastModified, 1)
dtmLastModifiedTime = FormatDateTime(dtmLastModified, 3)
Select Case Month(dtmLastModified)
Case 1
sLastModifiedMonth = "January"
Case 2
sLastModifiedMonth = "February"
Case 3
sLastModifiedMonth = "March"
Case 4
sLastModifiedMonth = "April"
Case 5
sLastModifiedMonth = "May"
Case 6
sLastModifiedMonth = "June"
Case 7
sLastModifiedMonth = "July"
Case 8
sLastModifiedMonth = "August"
Case 9
sLastModifiedMonth = "September"
Case 10
sLastModifiedMonth = "October"
Case 11
sLastModifiedMonth = "November"
Case 12
sLastModifiedMonth = "December"
End Select
Response.Write sLastModifiedMonth & " " & Day(dtmLastModified) & ", " & Year(dtmLastModified)
%>
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