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If you are receiving automatic monthly insurance premium reimbursements from your Health Care Savings Plan (HCSP), here are a few important reminders:

Changes to Insurance Premiums

Notify us any time there is a change to your premium amount or insurance provider so we can adjust your ongoing monthly reimbursement. Your insurance provider (including Medicare) does not contact us when there are changes to your coverage.

What you need to do:

Premium Increase or Provider Change

If your premium amount increased with the same insurance provider or you changed providers,

Premium Decrease or Stop Reimbursement

If your premium amount decreased with the same insurance provider, you discontinued insurance coverage, or you no longer wish to receive ongoing reimbursements, contact our Service Center at 651.284.7730 or 1.800.657.5757 to notify us of the change (no form or documentation needed).

Timeline

You can submit your request to adjust future reimbursements at any time during the year. 

  • We will apply changes to the next most administratively-possible installment.
  • There may be underpayments or overpayments based on the type of change.
  • View the HCSP Payments Dates page for upcoming payment dates.

Didn’t Report the Change?

Premium Increase

You aren’t required to report a premium increase. However, you will continue to be reimbursed for the lower premium amount until you report the change.

Premium Decrease, Provider Change, or Stop Reimbursement

If your insurance premium has decreased or you no longer have the insurance coverage, reimbursements from the HCSP will continue until you notify MSRS of the change. Any overpayment of premiums will require an adjustment of future reimbursements until the overage is satisfied.

Returning to Work

Re-employment affects your ability to use your HCSP account. You may have limited or no access to your HCSP assets.

This policy affects most rehired HCSP participants, including: 

  • Part-time and seasonal employees (regardless of the number of hours worked)
  • Retirees who return to work under the State of Minnesota’s post-retirement option (PRO) or PERA’s phased retirement option
  • Teachers hired by their former district as a substitute teacher

Contact MSRS before returning to work to discuss how this may impact you.

Other Helpful Tips and Reminders

Below are some additional tips and reminders with HCSP reimbursements:

  • Request One-Time Reimbursements Online
    1. Log in to your Account Online.
    2. Select Reimbursement Request in the HCSP drop down menu (horizontal bar at top of the page.
    3. Enter your eligible expense (one expense per submission).
    4. Upload appropriate documentation for the expense. Refer to Your Guide to HCSP Documentation for One-Time Reimbursement for more information.
  • Update Direct Deposit
  • Maximum Annual Reimbursement Limit
    • The maximum annual reimbursement limit for 2026 is $45,000.
    • This limit does not apply to medical, dental or long-term care insurance premiums.
  • Reimbursements Paid to You
    • We do not send the reimbursement to the medical provider or insurer.
  • Prescription Drug Reimbursement
    • If you are requesting reimbursement for multiple prescription drugs, your pharmacy may be able to provide an itemized list of your prescription drug purchases. This will reduce the amount of documentation to submit with the Reimbursement Request Form.