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Dependent Care Reimbursement Account (DCRA)

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

Enrollment Information:

  • Eligible employees may enroll in the plan within 60 days of hire or during open enrollment. 
  • To enroll within 60 days of hire, employees must complete the Benefits Worksheet and DCRA/HCRA FormThe DCRA/HCRA Form must be completed (initialed, signed, dated) and uploaded to the Benefits Worksheet.
  • To enroll during open enrollment, please complete the 2023 DCRA/HCRA Form.

To access the Benefits Worksheet, please follow the steps below:

  1. Log in to MyCoyote (for optimal viewing, please use Chrome or Firefox)
  2. Go to My Employment
  3. Go to Benefits Worksheet
  4. Click the "Create New Requests" button
  • For 2022 and 2023, employees may contribute between $20 to $416.66 each month ($5,000 maximum per year) to their account.
  • Contributions are deducted from the employee’s pay before federal, state and Social Security (FICA) taxes are calculated.
  • Employees must re-enroll every year during open enrollment to continue participation for the following calendar year. To re-enroll, employees must complete a Benefits Worksheet and DCRA/HCRA Form.

Reimbursement Information:

  • Employees can file a claim for reimbursement online at with the ASI- assigned user ID and password, or by completing a HCRA/DCRA Claim Form and attaching an itemized bill for health care expenses.
    • Once you have filled out the form and attached all required documentation, you can fax it to (573) 874-0425 or mail it to:
      P.O. Box 6044
      Columbia, MO 65205-6044
  • Dependent must be a child under age 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.
  • Any money left in employee's account after expenses have been paid for the plan year will be forfeited.
  • Please refer to the Dependent Care Reimbursement Account Brochure for more detailed information.