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Human Resources

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. This Flexible Spending Account (FSA) 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.

2026 HCRA Brochure

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  • PLAN YEAR ENROLLMENT
    • Employee may enroll within 60 days of their initial enrollment period (new hire/newly eligible) or a permitted mid-year status change.
    • Employee must re-enroll during the annual Open Enrollment Period each Fall to participate during the following calendar year. Re-Enrollment is not automatic even if the employee participated the previous year.
    • 2026 Plan Year - Employee may contribut $20 to $275 each month ($3,300 annual maximum)
    • Contributions are deducted from pay before Federal, State and Social Security (FICA) taxes.
    • If a Participant does not use the money in their account for expenses incurred during the Plan 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 carried over into the next Plan Year. 
  • GRACE PERIOD
    • The CSU provides a 2 1/2 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 in the employee's account will be forfeited.
  • ELIGIBLE EXPENSES

    Expenses eligible to be reimbursed must be:

    • Medically necessary (expenses solely for cosmetic reasons or merely beneficial to a person's general health are not reimbursable),
    • 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
    • Effective January 1, 2020, medications will no longer require proof of documentation 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.


    For more details refer to the:

  • REIMBURSEMENT PROCESS

    FILING A CLAIM:

    Online Process -   Log into your assigned ASIFlex Account at to complete the claim process

    Mail/Fax Process -  Complete a , and attach an itemized bill for health care expenses. (Claim Instructions included with the form).

  • DEBIT CARD

    In addition to the claims reimbursement process outlined above, all enrolled employees receive a FSA Debit Visa Card (ASIFlex Card).  Using the debit card for eligible expenses eliminates most out-of-pocket expenses and claims paperwork (exceptions apply). 

    For more details about the card:

  • FSA STORE

    The FSA Store carries over 2500+ guaranteed FSA eligible products, health essentials and more.  This is a great way to spend your money last minute to avoid having it forfeited at the end of the plan year/grace period.

    ASI鈥檚 partnership with FSA Store makes spending FSA money simple and quick. Here鈥檚 what participants need to know:

    • Participants need to sign in to their ASI account first and then click through to the FSA Store. If participants go to FSAstore.com directly they will have to submit claims the normal way. By signing in through their ASI account first, participants skip the claim submission requirement. Everything happens automatically.
    • Cardless Pay transactions process on the same day! For those true last minute shoppers, they can take comfort knowing transactions are processed on the same day. If you buy December 31st, it will process December 31st.
    • Everything on FSAStore.com is eligible.
    • No receipts required when purchased through Cardless Pay. When participants log in to their ASI account and click through to FSAStore.com to make purchases, participants do not have to submit claims. It is processed and approved automatically.


    For more details:

  • ENROLLMENT via Employee Self-Service Center

    For new hires/newly eligible employees or those with a permitting Life Event:

    • Log in to
    • Go to My HR Resources and select Employee Self-Service Center on the left hand drop down, if not already reflected.
    • Select the applicable New Hire/Newly Eligible or Life Event tile and complete the enrollment.
    • Effective date for mid-year enrollments varies on submission date.  Elections must be received by the 5th of the month for the account to be effective the 1st of the following month, otherwise the effective date will be the 1st of the second month.

    The HR Benefits Office will provide an enrollment confirmation email once the enrollment has been completed.

    If you are needing to change or cancel a current account due to a "Change in Status", as described in theHCRA program brochure, please contact hrbenefits@csusm.edu for further assistance.


ADDITIONAL INFORMATION

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ASIFlex Carrier Contact List