Request an EAP Quote for your Business

Complete this short form and we will contact you within 3 to 5 business days to discuss your Employee Assistance Program inquiry.

Asterisk* indicates a required field

First Name*

Last Name*

Phone*

Email*

Business Name*

Business State*

Business City*

Business Zip*

Number of Employees*

Desired Effective Month*

Does your company have an Employee Assistance Plan(EAP)?*

Does your company have a group health insurance plan with Optima Health?*

Does your company have a health insurance broker?*

Would you like to receive an Optima EAP information packet by mail?*

Business Contact