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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:

Enrollment Information:

  • Eligible employees may enroll in the plan within 60 days of hire or during open enrollment.
  • To enroll, complete the Benefits Worksheet and the DCRA_HCRA form.  Save the completed, initialed, signed and dated DCRA_HCRA form.  Upload it when you submit the Benefits Worksheet.
  • To complete the Benefits Worksheet, you will need to log in to the myCoyote portal. To get started, click the "My Employment" tile within the portal then click the “Benefits Worksheet” tile. Remember to access the portal on or after September 21stFor optimal viewing, access the portal using Chrome or Firefox.
  • For 2021, employees may contribute between $20 to $229.16 each month ($2,750 maximum per year) to their flexible spending account.
  • Beginning 2021, employees enrolled in this account will receive two (2) ASIFLex debit cards at no additional cost.  This card eliminates most out-of-pocket expenses and claims paperwork (exceptions apply). 
  • Contributions are deducted from the employee's pay before federal, state and Social Security (FICA) taxes are calculated.

Reimbursement Information:

  • Employees can file a claim for reimbursement online at my.asiflex.com 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:
      ASI
      P.O. Box 6044
      Columbia, MO 65205-6044
  • In addition to the claims reimbursement processes outlined above, enrolled employees also have the option of requesting an FSA Debit Visa Card, also called the "ASIFlex​ Card." The Card eliminates most out-of-pocket expenses and claims paperwork (exceptions apply). 
  • Expenses eligible to be reimbursed must be:
    • medically necessary,
    • incurred by an employee, employee's spouse, or eligible dependents (including domestic partner)
    • not covered by the employee's own or another insurance plan
  • Please refer to the Health Care Reimbursement Account Brochure for more detailed information.
  • Any money left in employee's account after expenses have been paid for the plan year may be forfeited.
    • If an employee re-enrolls for the next plan year, there will be an extended grace period through March 15 of the following year.
    • If an employee does not re-enroll for the next plan year, they must utilize all their funds by December 31st of their plan year.