[Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Employer's Name] [Employer's Address] [City, State, ZIP] Subject: Disagreement About Benefits Dear [Employer's Name], I hope this letter finds you well. I am writing to address a disagreement I have regarding the benefits that have been provided to me as an employee of [Company Name]. I have carefully reviewed my benefits package, and after much consideration, I believe there has been a misunderstanding or an error in the benefits' enrollment process. As an active employee of [Company Name], I should be entitled to all the benefits as outlined in the employee handbook and the official benefits summary provided to me upon hire. However, based on my recent interactions with the HR department and a thorough review of my benefits statement, I believe there are discrepancies in the benefits I have received. The areas of concern that I would like to address are as follows: 1. Health Insurance: According to the employee handbook, full-time employees are eligible for comprehensive health insurance coverage. However, my recent health insurance statement shows limited coverage and higher deductibles than initially outlined. I would appreciate clarification on this matter, as I believe I should be receiving the benefits that were promised. 2. Retirement Plan: The benefits summary clearly indicates that [Company Name] offers a matching contribution to the 401(k) plan. However, upon checking my retirement account statements, I have noticed that the matching contributions from the company are missing. I kindly request an explanation for this discrepancy and a prompt resolution to rectify the situation. 3. Vacation and Sick Leave: The employee handbook specifies the accrual rates and the maximum allowed balances for both vacation and sick leave. Nevertheless, I have noticed discrepancies in the hours accrued and the limitations imposed on taking time off. I kindly request a review and adjustment of my accruals to bring them in line with the stated policy. I am writing this letter in the hope that we can resolve this matter amicably without the need for further escalation. Furthermore, I strongly believe that this disagreement stems from a misunderstanding or an administrative error. Furthermore, I value my employment with [Company Name] and wish to continue contributing to its success in a positive work environment. Therefore, I kindly request a meeting to discuss and clarify the discrepancies in my benefits. I would like to be guided through the process and understand any necessary steps to ensure my benefits are appropriately aligned with the policies and expectations outlined by [Company Name]. Please let me know of your earliest availability to schedule this meeting. I am eager to address this issue promptly and maintain a mutually beneficial relationship between myself and [Company Name]. Thank you for your attention to this matter. I look forward to your prompt response and the opportunity to discuss this issue further. Sincerely, [Your Name]
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.