request a quote

Thank you for taking the time to request a quote


All quote requests will be answered promptly. We appreciate the opportunity to provide you with information and pricing on our FMLA, COBRA, Retiree, and Absence Management services.

We will keep your information confidential. All information submitted through email or the contact form will only be used by Leavex and will not be released to another entity at any time for any reason.

your information

Name:
Company:
E-mail:
Phone:

requested services

company information

# of Eligibile Employees:
# of Locations
Message: