Honest, unbiased reviews of every major PEO, written by advisors who have worked inside the industry. We work for you, not the PEOs.
No PEO is best for everyone: the right answer changes with your headcount, your state, your industry risk class, and whether you value a low admin fee or a rich benefits menu more. A venture-backed tech team in Austin and a 40-person construction firm in Ohio should almost never land at the same PEO, even though the sales decks look identical.
The comparisons below weigh the things the vendor pages gloss over: which providers are CPEO-certified and ESAC-accredited (real financial-assurance signals), which write your specific SIC/NAICS class, how the all-in service fee is actually structured, and how the medical program is priced once your census is run. Use them as a shortlist, then let us price your exact group against the two or three that fit.
This is an actual engagement from 2026: a 39-employee real estate owner-operator and general contractor in Chicago, no incumbent PEO, comparing the market for a November 1 effective date. The client's name and the providers' names are withheld; the figures come straight from our reviewed quote workbooks. Fourteen PEOs were approached, four returned quotes, and the two most complete quotes are shown against the current program, normalized to the same 33 enrolled employees.
| Annual employer cost | Current program (no PEO) | PEO A (recommended) | PEO B |
|---|---|---|---|
| Medical, like-for-like plans, same 33 enrolled | $573,014 | $491,840 | $767,656 |
| Administration fee | inside today's payroll and broker costs | $68,400 flat (stated; not PEPM times headcount) | not provided at quote stage |
| Annual membership and technology fees | n/a | $1,750 | not provided |
| One-time setup | n/a | $1,200 (401(k) setup) | not provided |
| Workers compensation | stays with current carrier | carved out on both sides, excluded from the comparison | not provided |
| State unemployment tax | employer pass-through under every scenario, excluded on all sides | ||
| First-year all-in | $573,014 plus current payroll and HR admin costs | $563,190 | not computable from the quote |
| Versus current | baseline | saves at least $9,824 in year one | $194,641 above current on medical alone |
The winning quote saves at least $9,824, and "at least" is doing real work. That figure is the medical saving minus the PEO's full fee, and the fee replaces payroll and HR administration the client already pays for today. Since that current cost is not in the baseline, the true saving is larger, never smaller. We present savings as a floor, not an estimate.
The spread between quotes on the same census was $275,816 a year on medical. PEO B came in 34% above the current program. Nothing was wrong with the paperwork; that provider's master medical program was simply wrong for this group. A spread like that, on identical employees, is why one direct quote tells you almost nothing.
Quotes arrive incomplete. Of the four quotes, one was complete enough to recommend, one was missing its administration fee, setup fee and workers comp pricing, and two never priced medical at all. Chasing the missing numbers is most of the work of a real comparison.
The details defend the math. The winning quote was priced on 38 employees against a 39-person census, its admin fee was a flat annual figure that must not be multiplied by headcount, and one setup fee appeared twice in the documents under two names. Each of those reconciliations moves the answer by real money.
Renewal and exit terms are part of price. One quote in this comparison expired 60 days after rates were released and reserved the right to re-underwrite the group if enrollment moved more than 10% before the effective date. Terms like these decide what year two costs, so they sit next to the premiums in our comparisons, not in a footnote.
Results are specific to each group, not a promise. A second recent engagement, a 16-employee consulting firm with staff in 11 states, cut medical premiums 27% (about $43,000 a year) on comparable plans through the same process. If you want this table built for your own census, start a free comparison, or send us a quote you already hold and our free 48-hour audit will normalize it for you.
Enterprise-grade HR for growing mid-market companies
The startup-friendly PEO with transparent flat pricing
The all-in-one platform combining HR, IT, and payroll, PEO module included
Dedicated HR business partners with deep compliance expertise
Industry-specific HR for growth-stage and mid-market companies
Payroll powerhouse with nationwide PEO infrastructure (includes Paychex Oasis)
Personalized mid-market HR with strong Sun Belt presence
Regional PEO with strong SMB focus (merged with PrimePay 2025)
Industry-vertical PEO assembled through 100+ acquisitions
Mid-market PEO with on-staff employment law attorneys
Regional PEO under OneDigital's national insurance umbrella
Triple-credentialed PEO with Northeast SMB focus
The PEO for venture-backed tech and life-sciences startups
High-touch Northeast/Mid-Atlantic PEO for professional services and trades
Texas-based mid-market PEO peer to G&A
PE-backed PEO for heavier industries Justworks won't write
Founder-led Oklahoma PEO with CPEO certification and ESAC accreditation since 2004
Family-owned Florida PEO with its own workers' compensation carrier
DC-area PEO built around very small employers and government contractors
St. Petersburg based national PEO for small and mid-sized employers, majority owned by Coalesce Capital since 2025
Family-owned New Jersey PEO with IRS-certified status and a phone-first service model
Chicago-area boutique PEO holding both IRS CPEO and ESAC credentials
Family-owned Intermountain West PEO for small businesses; formerly A Plus Benefits, rebranded in 2017
Founder-owned Utah PEO serving small and mid-size employers in all 50 states
Wisconsin small-business PEO, wholly owned by M3 Insurance since 2023
Oklahoma City founder-led PEO, ESAC accredited, built around named service teams instead of a call center
Colorado-based PEO and ASO for small employers in child care, construction, cannabis, hospitality and retail
Ohio-based CPEO built around workers' comp and blue-collar small business employers
California-focused PEO for small and midsized employers; acquired by Vensure Employer Solutions in 2024
Hawaii-only PEO built around state-specific compliance, with offices on four islands
Family-owned Pensacola PEO, ESAC accredited since 1995 and IRS certified since 2017
Publicly traded, branch-based PEO built around workers' compensation and local business consulting, heavily weighted to California and the West
Montana-founded business services firm bundling PEO co-employment with accounting, recruiting, marketing and managed IT
Maryland-based national PEO built around franchise and hospitality employers
Workers' comp-led PEO for high-hazard trades, writing coverage through its affiliated carrier Lion Insurance Company
US co-employment bolted onto a global payroll and EOR platform, with published entry pricing and no CPEO or ESAC credential
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