This voluntary benefit plan allows eligible employees to use pre-tax dollars for qualifying dependent care expenses that are necessary for them (and their spouse, if married) to work.
Enrollment Information:
- Eligible employees can enroll in the plan within 60 days of their hire date or during the open enrollment period.
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To enroll within 60 days of hire, employees must complete the Benefits Worksheet and the DCRA/HCRA Form. The DCRA/HCRA Form must be filled out (initialed, signed, and dated) and uploaded along with the Benefits Worksheet.
- To enroll during open enrollment, please complete the 2025 DCRA/HCRA Form.
To access the Benefits Worksheet, please follow the steps below:
- Log in to MyCoyote (for optimal viewing, please use Chrome or Firefox)
- Go to My Employment
- Go to Benefits Worksheet
- Click the "Create New Requests" button
- For the year 2025, employees can contribute between $20 and $416.66 each month, with a maximum annual contribution of $5,000 to their account.
- Contributions are deducted from the employee’s pay before federal, state, and Social Security (FICA) taxes are calculated.
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Employees must re-enroll each year during the open enrollment period in order to continue their participation for the following calendar year. To re-enroll, employees need to complete a Benefits Worksheet and the DCRA/HCRA Form.
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
- Once you have filled out the form and attached all required documentation, you can fax it to (573) 874-0425 or mail it to:
- 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.