Custom Design Benefits

Custom Design Benefits is an independent third-party administrator for self-funded health plans. It partners with brokers and employers to design, implement, and manage plans for organizations based in Ohio, Kentucky, and Indiana. Services include claims administration, financial reporting, and funding models, as well as TrueCost reference-based pricing with in-house member advocacy. Medical and pharmacy risk management addresses specialty drug spending and high-cost claims. The company also administers compliance requirements for ACA, ERISA, COBRA, and FSA, HRA, and HSA plans. Its data and reporting support renewal planning and employer financial decisions. Custom Design Benefits works through brokers and helps employers transition from fully insured coverage to self-funded plans. It has served employers since 1991 and is a WBENC-certified women-owned business.