Personal and Professional,

with Unmatched Service.

About Custom Design Benefits

Founded in 1991, Custom Design Benefits is the area’s largest independent, full-service Third Party Administrator of self-funded health benefit plans. Through self-funding, we assist employers to take back control by creating a plan that is uniquely designed for their workforce and obtain cost savings.

We offer a complete range of administration and compliance services to provide cost containment solutions. CDB is the creator of TrueCost, a nationally recognized Reference-Based Pricing plan built on a unique copay-only plan design.

With CDB, employers can offer popular employee benefits like Dental, Vision, FSAs, HRAs and HSAs on a budget that works for them. Our approach is personalized and professional, with unmatched service every time.

Meet Our Leadership Team

Julie D. Mueller
President & CEO

Serving in the healthcare field throughout her career, Julie D. Mueller joined Custom Design Benefits in 2003, after 20 years as senior executive for a national TPA. As President and CEO, Julie leads a dynamic service-oriented organization, ready to administer your custom, self-funded benefits plans and consumer driven accounts.

Amanda Guinan
Vice President, Compliance & Account Management

Backed by 25 years in the benefits industry, Amanda Guinan joined CDB in 2009. Amanda develops innovative cost containment products and services and manages CDB’s complete compliance services. Her Account Management team ensures new customers are onboarded seamlessly with continued support after implementation.

Teri Martin
Vice President, Medical & Risk Management

In 2017, Terri Martin joined the organization to lead the Medical & Risk Management group. Leveraging her extensive experience in medical management and data analytics, Terri and her team monitor utilization to reduce cost and improve health outcomes for CDB clients.

Nancy Hill
Vice President, Operations & Quality Assurance

Nancy Hill, a proven quality assurance and training profession, joined CDB in 2009. Nancy and her team provide personalized, professional customer service, claims processing and enrollment. Through Nancy’s focused approach, CDB continues to exceed industry standards for claims accuracy and customer service.

Community Involvement

CDB is deeply committed to making an impact in our community in ways that support physical and emotional health. We support causes and organizations that promote what we care about most: improving lives. Local community involvement is woven into the fabric of our company culture; we believe that engaging with our community is essential to understanding the ever-changing needs of our clients, employers, and members.

June 2019
On Thursday, June 20th, CDB celebrated National Recess Day at Work. During lunch, employees came out for recess and enjoyed hula hoops, hopscotch, 4 square, bubbles, and more.

May 2019
The team celebrated the Kentucky Derby while raising funds for Alzheimer's Association by having their own Derby Day hat competition!

April 2019
Welcome House

On April 9, CDB attended the annual Welcome House of Northern Kentucky Household Shower. CDB staff donated new household items to help the Welcome House of Northern Kentucky families transition from homeless to home. Nearly 200 people attended the shower. The mission of Welcome House of Northern Kentucky is "to provide a continuum of services that will end homelessness and promote stability for each person we serve."

Welcome House

March 2019
Custom Design Benefits raised $13,545 for the American Heart Association! 71 employees, family members and friends registered for the 2019 Heart Mini-Marathon and Walk in Cincinnati, and many more donated online. Thank you to everyone who helped us surpass our fundraising goals; your donations make healthier, longer lives possible for everyone.

News & Events

CDB is always on the move and working diligently to innovate the self-funding industry. See our latest news and events here.


Custom Design Benefits is delighted to have been selected by the Enquirer for a fourth time as a Top Places to Work in Cincinnati. Our team celebrated with a special breakfast banquet and grill out. We're so pleased to continue the tradition of a work place culture that our employees can take pride in!