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Health & Wellness


Cottingham & Butler is a privately held firm headquartered in Dubuque, Iowa with a constantly expanding set of office locations. Our regional offices are located throughout the United States to provide our clients with the best service possible. We provide the high-touch service you would expect from a local midwestern insurance broker combined with the high-end expertise you need in the increasingly complex world of employee benefits and risk management. As an owner of Assurex Global, the world's largest association of privately held insurance brokers, we can help you handle almost any insurance-related problem you may have! We offer a complete set of employee benefits and risk management services including: ● Property & Casualty Insurance ● Casualty Claims Administration (TPA) ● Captive development and management ● Safety and loss control consulting services ● Employee Benefits Brokerage and Consulting ● Benefit Claims Administration (TPA) ● Medical management services ● Wellness and disease management solutions ● Personal Insurance and Retirement ProductsOur business is founded on the principal that we should put our clients' interests first. Our client-centered business model has served us well, as evidenced by some highlights from our rich heritage: ● In business since 1887 ● 51st largest insurance broker in the United States ● Over 2,000 clients ● Business in 47 states ● 15% average organic revenue growth per year over the last 20 years Our plan for the future is simple: we aim to continue providing the very best in insurance solutions and services for our clients through our team of highly motivated and talented insurance professionals.