Custom Design Benefits

Founded in 1991 and proudly headquartered in Cincinnati, Custom Design Benefits (CDB) is the Tri-State’s largest independent Third Party Administrator of self-funded health benefit plans. For over three decades, we’ve helped employers take control of healthcare by creating plans uniquely designed for their workforce. As a locally rooted, privately held organization—not directed by private equity—our focus stays where it belongs: on people. We deliver innovative, cost-containment solutions and compliance services, including FMLA, all powered by a culture that values care and connection. We’re the creators of TrueCost, a nationally recognized Reference-Based Pricing plan with a unique copay-only design and direct hospital partnerships. From medical and dental to FSAs, HRAs, and HSAs, our plans give employers flexibility and value. At CDB, our culture drives how we care—for our clients, partners, and each other. Take control of your health plan with Custom Design Benefits.