Bring Predictability to One of Your Most Unpredictable Expenses
For many employers, healthcare has become one of the fastest-growing and least predictable expenses on the balance sheet. Year after year, renewal increases arrive with little explanation and even fewer options.
Custom Design Benefits (CDB) works with employers to change that dynamic. Through self-funded health plans and proactive cost management strategies, we help organizations take control of spend, improve visibility, and create a more stable path forward—without disrupting members or replacing your broker.
Whether you’re managing 100 members or a workforce in the thousands, our approach is built to scale with your organization and support more informed financial decisions.
Let’s talk about what’s important for your specific role.
Built for the People Responsible for the Decision
Healthcare strategy affects every part of your organization. Our model is designed to support leadership, finance, and HR without creating tradeoffs or administrative burden.
For CEOs:
Control Risk Without Slowing Growth
Healthcare is one of the largest and least predictable expenses on your balance sheet. Left unmanaged, it impacts profitability and long-term planning.
CDB helps you reduce exposure to unpredictable renewal increases, align your health plan with business strategy, and gain visibility into a major operating cost.
The Results:
Healthcare benefits become manageable, not disruptive.
For CFOs:
Replace Guesswork with Financial Clarity
Fully insured plans make it difficult to understand what you’re paying for or why costs increase.
With CDB, you gain transparent claims-level data, predictable cost management, and strategies that reduce waste.
The Results:
You can plan with confidence instead of reacting to renewals.
For HR Leaders:
Reduce Burden While Improving the Employee Experience
You’re balancing rising costs with employee expectations and internal pressure.
Our model is built to support you:
- Guided implementation and employee communication
- In-house advocacy so members can talk to a real person for help
- Plan designs that reduce confusion and frustration
The Results:
Fewer escalations and a plan you can confidently stand behind.
Designed for the People Who Count on You
Our strategy goes beyond the budget because we know as leaders of our own organization, the people matter most.
From our inception to present day, CDB has remained centered in serving people. We value clear communication, dedicated care, and above all, extraordinary service.
That Results In:
Tenure
Our team grows and stays at CDB. With our average tenure of 7 years, their expertise and commitment define your members’ experience.
Alignment
We all share the mission to care for your members and your budget. That simplifies everything.
Positivity
We’ve defined our culture carefully so our team is empowered to help and have fun doing it.
Customer Satisfaction
Customer Retention
Your Broker Stays at the Center
With CDB, your broker stays fully involved, partnering to strengthen what works. Rather than starting over, self-funded gives you and your broker room to define what works for your business. Together, we work with your broker to:
Support plan design and long-term strategy
Provide transparent data and reporting
Strengthen client relationships through better outcomes
This is a collaborative model designed to enhance, not replace, your existing relationships.
Real Employers. Measurable Results.
Employers don’t switch strategies for theory. They do it for results that hold up over time.
A roofing company with 400+ members achieved 47% savings per employee in year one compared to national benchmarks
A building and remodeling firm reduced costs to 50% below the national average
A real estate organization with 700+ members saved more than $100,000 in prescription costs in four months
A municipality avoided a major renewal increase and instead reduced costs by 19%, resulting in $800,000 in annual savings
These outcomes are driven by coordinated strategies, not isolated changes.
Intro to Self-Funding
Interested in exploring a self-funded health plan? Check out these resources below.
Self-Funded vs Fully Insured: What’s the Difference?
Traditional fully insured plans leave employers exposed to rising premiums, limited visibility, and little control over outcomes.
Self-funded health plans work differently. Instead of paying fixed premiums to a carrier, employers pay for actual healthcare claims, paired with strategies that actively manage costs.
With CDB, employers gain:
Greater control over healthcare spend
Full transparency into claims and cost drivers
Plan design flexibility aligned to workforce needs
A strategy designed to stabilize costs and reduce renewal volatility over time
This approach doesn’t just shift costs; it helps reduce them.
Choosing Between Self-Funded and Level-Funded
Both funding models give employers more control than traditional fully insured plans. The right fit depends on your goals, size, and appetite for flexibility.
Transparency
Full access to claims data and cost drivers
Limited visibility depending on carrier and arrangement
Flexibility
Greater control over plan design, vendors, and cost management strategies
More standardized plan structures and premiums
Long-Term Savings Potential
Employers benefit directly when claims perform well
Savings opportunities may be more limited than self-funded but predictability is a key feature
Both models can help employers move away from annual renewal surprises. For organizations seeking greater visibility and control over healthcare spend, self-funding often provides more options to manage costs over time.
What to Expect When You Switch to Self-Funding
Switching funding models can feel like a big step. Our process is structured to reduce disruption and deliver clarity at every stage.
All of our employers are fully implemented on a timeline and path based on our Proven Process for Success.
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Needs Assessment & Discovery
Our assessment is designed to understand your business, pain points, and goals.
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Solution Design & Proposal
We present a tailored solution that meets your needs.
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Onboarding
We complete onboarding documents to seamlessly transition your benefits.
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Employee Education
We craft custom communications to support education and engagement from members and members.
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Go Live!
ID cards and pharmacy access are set up and go live.
If you’re interested in exploring options with CDB, let’s set up a time to talk.
Built for Employers Who Need More Than “Standard”
Many administrators can process claims. Few provide the strategy and oversight needed to manage healthcare costs long term.
CBD supports employers domiciled in Ohio, Kentucky, and Indiana, from mid-sized organizations to large, complex groups.
We deliver:
Advanced cost containment strategies, including reference-based pricing (TrueCost)
Integrated pharmacy and medical management
In-house clinical oversight and member advocacy
Scalable reporting, financial oversight, and governance
Unlike national TPAs, we provide hands-on support, regional expertise, and direct accountability, so your plan performs as intended.
Managing Risk Without Adding Burden
Self-funding is often perceived as risky. With the right structure, it provides more control, not more exposure.
CDB builds protection into every plan through:
- Stop-loss coverage to protect against large claims
- Active large-claim management and clinical oversight
- Data-driven forecasting and renewal planning
- Cost containment strategies that reduce volatility
- Full-service administration that reduces internal workload
- Employee advocacy that minimizes disruption and confusion
The Result:
Greater control without greater exposure or added complexity for your team.
Is Self-Funding Right for Your Organization?
Self-funding is not one-size-fits-all—but it is a strong fit for many employers seeking greater control.
It may be a good fit if you:
- Have 100+ members and are facing rising renewal costs
- Want greater visibility into healthcare spend
- Are looking for long-term cost management, not short-term fixes
- Value ongoing strategy, oversight, and partnership
CDB supports employers domiciled in Ohio, Kentucky, and Indiana with solutions that scale from mid-sized organizations to large, complex groups.
Frequently Asked Questions
Self-funding includes protections like stop-loss insurance and active claims management. Many employers experience greater predictability compared to fully insured plans.
We proactively manage high-cost claims through clinical oversight, negotiation strategies, and stop-loss coverage to limit financial exposure.
Most employers transition in 60–120 days with structured support and clear communication.
Ready to See What’s Possible?
CDB helps employers reduce healthcare costs, improve predictability, and gain control without unnecessary disruption.






