Get a Personalized Quote
Submit the group census form below to get a quote. Easily navigate this form by selecting an item from the side menu. You can also download the form here.

Disclaimer: We will NOT provide your personal information to any third party.  Privacy Policy

Tell us about your business to get started.
Select the type of coverage you're looking for:
Are you interested in Benefit Accounts?
Are you interested in Compliance?
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OR, upload your current renewal here
Now, let us know whom we should contact with the quotes.
Lastly, we need a few details about your employees.

More than 50 employees? Please email us at sales@lebinsurancegroup.com or call (920) 243-4005.

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Please fill out the following information for each employee:
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