Sample Compensation Statements

$2 Total Compensation Statement – Health and Wellness

We offer four different color schemes. Choose a color below for a sample PDF Dollar Compensation Statement.

HSA Statements

Includes overview of benefits and highlights wellness programs, HSA and contributions to an employee wellness account. If you do not offer a wellness account, when you are ready to run your preview and upload your populated spreadsheet, choose the option that has no wellness account. Statements with or without wellness accounts use the same spreadsheet. Companies that don't offer wellness accounts should leave that column blank on ths spreadsheet.

HSA Statement - Blues

HSA Statement - Blues

HSA Statement - Metro

HSA Statement - Metro

HSA Statement - Seasons

HSA Statement - Seasons

HSA Statement - Sarafina

HSA Statement - Sarafina