Our Solutions

Self-Funded Health Plans

At Custom Design Benefits, we keep businesses competitive by managing risks associated with their benefit plans and reducing costs through self-funding. Simply put, we help our clients put their money back into their business. We do this by providing high quality, attractive benefit plans for employees that won’t break the bank. CDB offers complete administration of self-funded plans including:

• Medical with Pharmacy Benefit Manager (PBM) Integration
• Dental
• Vision

We partner with TPAC Underwriters to administer level-funded plans. These plans are designed for employers with 50-200 enrollees who would like a blend of a fully insured plan with stop-loss underwriting.

HIPs are employer-funded accounts used to supplement the primary carrier’s plan. HIP plans pay a portion of expenses directly to the health care provider. Each HIP plan is unique to the employer who offers it. HIP plans allow employers to offer an additional benefit to employees by making their health care costs more manageable.

Custom Flex Services

We believe the key to attracting and retaining top employee talent is offering highly coveted value-added services to enhance an employer’s existing benefits package. CDB works with employers to complement their health plans with these consumer-driven services:

• Flexible Spending Accounts
  • Medical
  • Dependent Child Care
  • Adoption
  • Transportation
• Health Savings Accounts
• Health Reimbursement Arrangements
• Lifestyle Spending Accounts

Cost Containment Solutions

CDB is dedicated to delivering innovative cost containment solutions like TrueCost and TrueCost Rx to our clients. The unique copay-only plan design removes the complexity from the payment process by eliminating coinsurance and deductibles, while simultaneously controlling costs. TrueCost Rx, a prescription benefit management solution, provides savings over traditional PBM models through member education, medical management, and specialty drug prior authorizations.

• TrueCost Reference-Based Pricing
• Bundled payments and Centers of Excellence
• Telemedicine with Behavioral Health & Employee Assistance Programs
• Innovate 360 - Integrated Patient Advocacy
• Direct Primary Care

Compliance Administration & Support

Remaining compliant is a challenge for employers and continues to frustrate even the most experienced HR professionals. CDB takes the guesswork out of compliance with our team of dedicated experts leading compliance administration and support:

• COBRA Administration
• FMLA and Leave Management
• Short-term Disability
• Compliance Support

Medical and Pharmacy Risk Management Services

Well-designed plans that focus on population health, prescription drug costs and other cost control strategies can have a positive impact on employers and their employees. Find out how our customized plans can provide the flexibility needed to address your specific financial and health care concerns.

• TrueCost Rx - Reference-Based Pricing on Pharmacy
• Independent Specialty Drug Prior Authorizations
• Specialty Drug Copay Assistance and Alternative Funding Solutions
• Custom Care Population Health Management
• In-House Utilization & Case Management

Advanced Data Analytics

Access user-friendly analytics and reporting tools to see how well your plan is performing for your member population and visualize savings strategies for decision-making.

• Executive Dashboard
• Integrated Medical Prescription Data
• Monthly and On-Demand Reporting