Peak Payroll - Request a 125 Plan Quote

To provide you with the most accurate estimate for payroll services that we can, we request that you complete as much of the information below as possible.

Requests for proposal are normally responded to within one business day.

YOUR INFORMATION

Title
First Name
Last Name
Email Address
Phone Number
Company Name
Street Address
City
State
Zip

Payroll DETAILS

Payroll Frequency
Number of Employees
Number of State Tax Filings
Preferred Product

125 Plan Details

New Plan

Existing Plan

Average Compensation
Average taxes paid (percent)
Available Benefits	Number of Participants
Premium Only Plan
Health Savings Accounts
Dependent Care Reimbursement Accounts
Medical Reimbursement Accounts

For the most accurate quote, please indicate how many employees you believe will take advantage of each of the available benefits. If you do not know, leave the field blank and we will use industry averages to complete your quote.