Skip to main content

HCSP CONFIRMATION UPDATE: Please read this important notice regarding a HCSP confirmation notice you may have received. Read More

Top Links

  • MSRS
  • For Employers
  • Login

    • Account Online Login

      Username and password required

      Show password when typing
      • New User/Need Help
      • Login FAQs
      • Forgot Username or Password?
Home
  • Pension Plans
    • MSRS Pension Plans
      • General Plan
      • Correctional Plan
      • State Patrol Plan
      • Judges Plan
      • Unclassified Plan
      • Legislators Plan
      • Other MSRS Pension Plans
    • Plan for Retirement
      • Estimate of Benefit
      • Retirement Checklist/Timetable (pdf)
      • Apply for Retirement
      • Benefit Options
      • Retirement Brochure (pdf)
    • After Retirement
      • Benefit Payments
      • Benefit Increases
      • Tax Withholding/1099s
      • Re-Employment
      • Insurance Premium W/H
    • Leaving Employment
      • Refund/Rollover
      • Defer Your Benefit
      • Withdrawal Options
    • Life Events
      • Name or Address Change
      • Marital Status Change
      • Death Notification
      • Disability
  • MNDCP
    • MNDCP At-A-Glance
      • Plan Overview
      • About Contributions
      • Plan Fees
      • FAQs
    • Get Enrolled
      • How to Enroll
    • Investments
      • Investment Options
      • How to Change
      • Performance Report (pdf)
      • Brokerage Account Option
      • Advisory Services
    • Request a Withdrawal
      • I Am Still Working
      • I Am Retired/Terminated
      • Tax Withholding/1099s
    • Life Events
      • Name or Address Change
      • Beneficiaries
      • Marital Status Change
      • Death Notification
      • Adding Banking Information
  • HCSP
    • HCSP At-A-Glance
      • Plan Overview
      • Eligibility to Participate
      • Waive Participation
      • Contributions
      • Fees
      • FAQs
    • Investing
      • Default Investment Option
      • Investment Options
      • How to Choose
      • How to Change
      • Performance Report (pdf)
    • Reimbursements
      • Eligibility to Request
      • Eligible Expenses
      • How to Request
      • Documentation
      • Payments
      • HCSP/HSA Compatibility (pdf)
    • Life Events
      • Name or Address Change
      • Marital Status Change
      • Beneficiaries
      • Returning to Work
      • Death Notification
      • Adding Banking Information
  • Forms & Documents
  • Toolbox
  • Contact Us

Forms & Documents

  1. Home
  2. Forms & Documents > HCSP

CHOOSE PLAN / OPTION:   Pension Plans   |   MNDCP   |   HCSP   |   Divorce   |   Disability

HCSP

Forms

 

HCSP

  Beneficiary Designation (pdf)

  Direct Deposit Agreement (pdf)

  Personal Information Change - coming soon 

  Reimbursement Request Form (pdf)

  Letter of Medical Necessity (pdf)

  Reimbursement Suspension Election 2025 (pdf)

Documents

 

HCSP

  HCSP At-a-Glance Brochure (pdf)

  Eligible Medical Expenses (pdf)

  Guide to Acceptable Documentation (pdf)

  HCSP Compatibility with an HSA (pdf)

  HCSP Plan Document (pdf)

  Investment Performance (pdf)

Minnesota State Retirement System

Contact Us

Contact Us Form Request an Appointment

Phone

651-284-7730 or 800-657-5757
8:00 a.m.- 4:30 p.m., Mon - Fri

Mailing Address

60 Empire Drive, Suite 300
St. Paul, MN 55103-3000

Locations

  • St. Paul
  • Detroit Lakes
  • Duluth
  • Mankato
  • St. Cloud

About

  • About MSRS
  • Data Practices
  • Board of Directors
  • Annual Reports
  • Legislative Information
  • Employment Opportunities
  • News & Announcements
  • Newsletters
  • For Employers

Sign up for Updates!

Follow us on Social Media

We empower Minnesota public employees to build a strong foundation for retirement.
 

2025 Minnesota State Retirement System  |  Sitemap  |  An Equal Opportunity Employer (PDF)  |  Accessibility Policy  |  Browser Requirements  |  Get Adobe Acrobat Reader