Quick Quote

Fill out the information below to receive a quote. The quote will be sent to the email you provide, or call toll-freeĀ 1.866.365.0180 to speak to a representative. A Staff Brokers Consultant will contact you within 24 business hours to review the status of your quote and help you create a customized PEO solution that meets your company’s specific needs.

Company Info

Detailed Description of Operations (Required)

Workers' Comp Information (Required): Total Gross Annual Payroll must be greater than $26,000

State Code Number of Employees Gross Annual Payroll

Loss Information

Please submit available losses or complete the chart below.
Check if loss history is unknown.

Policy Year Number of Claims Total Incurred

Upload a Document (Optional)