Get Employee Benefits Statement

Filling out your Employee Benefits Statement online is an essential step in understanding your total compensation package. This guide will provide you with clear, step-by-step instructions to help you complete the form accurately and confidently.

Follow the steps to successfully complete your benefits statement

1. Press the ‘Get Form’ button to access the Employee Benefits Statement, ensuring you have the latest version of the document open for completion.
2. Begin by entering your name in the designated field, ensuring it matches the name on your employment records.
3. Fill in the year for which you are completing the benefits statement. This will be the year you want to document your total compensation.
4. Review the section titled ‘Employee Cost/Contribution’. Here, you will input any personal contributions to health and welfare benefits. This section includes various benefits like medical, dental, short-term and long-term disability, life insurance, and more.
5. Next, assess the ‘Paid Leave Benefits’ section. Input the amounts for vacation, sick leave, personal days, and any other applicable leave. If you have not taken any leave, you may leave these fields blank.
6. Then move to the ‘Federal and State-Mandated Benefits’ section. Note whether any contributions are deducted for Social Security, Medicare, or unemployment insurance. Ensure this information is accurate according to your pay statements.
7. In the ‘Other Benefits’ section, include any annual bonuses or flexible spending account contributions. If any benefits are not applicable, you can leave those fields blank.
8. Once all fields have been completed, review the ‘Total Value of Employer-Provided Benefits’ to ensure it reflects accurate totals based on your inputs.
9. Finally, save your changes, download the document, and choose whether to print or share your completed Employee Benefits Statement as needed.

Complete your Employee Benefits Statement online today for a comprehensive overview of your compensation!