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Health Reimbursement Account (HRA) and Flexible Spending Accounts (HCFSA/DCFSA)

HRA and FSA accounts are not available to employees in Puerto Rico and the American Territories.

Health Reimbursement Account (HRA) is a monthly contribution funded by NSU when you enroll in an ICUBA medical plan. These deposits are loaded into your Ameriflex card every month, and the amount is contingent on your coverage level:

  • Employee-Only coverage receives $50/month
  • Employee + Spouse/Family receive $100/month
  • Dual enrolled employees receive $150/month

The beauty of the HRA is that it rolls over every plan year and it does NOT expire. You will also be eligible to continue to use the funds after separation if you have been enrolled in an ICUBA medical plan for more than 36 months.

Health Care Flexible Spending (HCFSA) and Dependent Care Flexible Spending (DCFSA) accounts are funds that you set aside from your paycheck before taxes are taken out. You can use your pre-tax flexible spending account dollars to pay for eligible expenses throughout the plan year for you, your spouse, and your eligible dependents. The Flexible Spending Account Benefit Plan year begins - April 1, 2022, and ends - March 31, 2023. You can Incur expenses until June 15, 2023, and have until June 30, 2023, to file any unclaimed expenses. 


You make an annual healthcare flex spending election that is deducted from your paycheck through the benefit plan year. Your HCFSA funds are advanced once you make an election and you have access to those funds for immediate use for eligible medical expenses. 


You make an annual dependent care flex spending election that is deducted from your paycheck through the benefit plan year. Your DCFSA funds are made available each pay period when the deduction is taken from your paycheck and can be used for eligible dependent care expenses that you have already incurred. You cannot prepay for services with your available DCFSA funds. 


FSA and HRA Eligible Expenses


Flexible Spending and Health Reimbursement Account balances with ICUBA will be updated on Wednesday following your new hire enrollment or the approval of the life event by the Office of Human Resources.
Example: A life event approved on Friday will be updated by ICUBA before the close of business on the following Wednesday and your benefit election will be active in their system on Thursday morning (actual effective dates of coverage are based on the life event documentation submitted).




Contact the benefits department at


Contact Ameriflex directly

(888) 868-3539

Monday - Friday 7:00am to 8:00pm

or by emailing





Click here for instructions on how to add dependents and requesting additional cards for your FSA, DCA, and HRA account


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