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DO YOUR EMPLOYEES KNOW HOW MUCH
THEY REALLY MAKE?

When determining how much you pay them, most employees probably do not look beyond their paycheck. However, when they do that they are disregarding all the benefits you provide. It is a good idea to remind them once a year all the benefits they get from working at your company. It may surprise them - - and you. Below is a form you can use to do this for your employees.

ANNUAL COMPENSATION & BENEFITS STATEMENT
1. TOTAL ANNUAL EARNINGS (as recorded on W- 2)
______
BENEFITS INCLUDED IN EARNINGS (paid for but not worked)   % of Earnings
2. Vacation
______
3. Paid Sick Time
______
4. Holidays
______
5. Total Benefits Included In Wages
______
___
 

LEGISLATED BENEFITS REQUIRED BY GOVERNMENT

AND PAID BY (store name)

6. Social Security (FICA) (Total Wages x .0765)
______
7. State Unemployment Ins. (Total Wages x rate)
______
8. Federal Unemployment Ins. (Total Wages x rate)
______
9. Worker’s Compensation Ins. (Total Wages x factor)
______
10. Total Legislated Benefits
______
___
 
DISCRETIONARY BENEFITS
11. Company’s Contribution to Medical Insurance
______
12. Company’s Contribution to Group Life
______
13. Employee Discounts
______
14. Clothing Allowance
______
15. Training (Seminars, materials)
______
16. Tuition Payment
______
17. Total Company-Paid Discretionary Benefits
______
___
 
18. Total Benefits (line 10 + line17)
______
___
 
19. TOTAL COMPENSATION AND BENEFITS
______
___
     (line 1 + line 18)

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