Thank You for Your Interest

To receive a proposal for KGA employee assistance, please complete and submit this form. All proposals are considered draft documents and can be updated following in-depth discussions.

KGA considers any information you share with us confidential. If you are a benefits consultant/broker, we will not contact your client without your consent and involvement. Our proposal and all related information will be shared solely with you and your named designees. If you are an individual seeking support services from KGA please contact us at 800-648-9557 or

Fill out my online form.