PEO Pricing Submission Form
Vendor
*
What is your Name?
*
First Name
Last Name
Name of Company quoted?
*
Email
*
example@example.com
Is there an enrollment fee?
*
Please Select
Yes
No
What is the enrollment fee?
What is your Administration Fee?
*
What is just the cost of your EPLI?
Did you quote Benefits
*
Please Select
Yes
No
Who's your Benefit provider?
When is your renewal?
*
Did you quote Workers' Comp?
*
Please Select
Yes
No
What is the total Workers' Comp cost?
What's your case for winning this group?
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