Your renewal isn't
the problem.
Your plan is.
Leaders like you don't settle for that.
You just haven't been shown another way. Until now.
Better coverage. Predictable costs.
An independent advisor on your side of the table.
Intake limited to 3 clients per quarter
The renewal number goes up. You don't have an answer.
Your broker says "you're too small to do anything differently."
You've heard it for three years.
You found out it costs less to pay cash for a prescription than run it through the plan.
(And you're not wrong to be frustrated about that.)
You're worried about your legal liability under the new rules.
Your broker hasn't brought it up once.
You don't actually know what your broker earns on your account.
Their disclosure says it "may not reflect all compensation."
As plan sponsor, you are personally liable
for how your health plan is run.
Always has been. That's ERISA.
What changed is that the Consolidated Appropriations Act (2021) gave you the tools to meet that obligation. And you're expected to use them.
Your plan design, your vendor choices, your broker's compensation — all of it is personal exposure. Under ERISA, that liability pierces the corporate veil.
Most employers don't find out until they're facing a DOL audit or an employee lawsuit.
Talk to us before that happens.
Book Your Executive BriefingBefore & After Altiqe
- Renewals that feel random
- "There's nothing we can do"
- Opaque pharmacy pricing
- Vendor excuses
- Employee noise
- Zero visibility
- Q4 chaos
- No long-term plan
- Predictable renewals
- 50% reduction in specialty drug costs
- Full context — good, bad, ugly
- Vendors held accountable
- Fewer employee issues
- Clean, usable data
- Year-round strategy
- 3–5 year roadmap
Core Outcomes
No More Renewal Shock
You'll know what's coming — and why — before it lands on your desk.
A Roadmap, Even If You're Not Moving Yet
You don't have to change everything. You just have to stop flying blind. We build the strategy around where you are.
The Full Picture — Good, Bad, and Uncomfortable
Most employers have never been told the truth about their plan. You'll know exactly what you're buying and what's being done in your name.
Someone Whose Job Is to Watch Out for You
Not the carrier. Not the PBM. You. That distinction changes everything about how decisions get made.
HR Gets Their Life Back
Fewer employee questions. Fewer vendor chases. Fewer fires. Benefits stops eating your week.
You know it's time.
Here's how.
The Executive Briefing
Your no-pressure diagnostic conversation. You don't need to prepare anything. We ask the questions. You just tell us what's going on.
You'll get a calendar link and a few prep questions (nothing scary).
The Alignment Plan
Your customized roadmap before you're ever a client.
We align your goals, culture, tolerance for change, pain points, and outcomes.
Deep Analysis & Blueprinting
Once engaged, we handle everything behind the scenes:
- Data review
- Pharmacy strategy
- Vendor contracts
- Renewal math
- Local clinician / DPC / onsite strategy
- Compliance + employee experience review
Implementation
Done With You, Not To You
We manage vendors, timelines, transition messaging, and employee education.
You stay in control with no surprises.
Stewardship & Continuous Oversight
Quarterly or monthly touchpoints.
Real-time fixes. Sustainable savings. Employee experience safeguards.
What You Get
Intake limited to
3 clients per quarter
Full Context AuditGood, bad, ugly.
Pharmacy Red Flags ReviewWhere the hidden costs live.
Stop-Loss Readiness ReviewYour catastrophic exposure, evaluated.
Fiduciary Compliance ChecklistYour ERISA obligations, mapped.
3–5 Year Strategic RoadmapBuilt around where you are now.
Year-Round Employee CommunicationSo HR stops fielding the same calls.
All of this starts with one conversation. Book your Executive Briefing →
What They Say
As a business in growth mode with multiple acquisitions each year, I knew we needed an enterprising broker. I had my eye on Allison DePaoli at Altiqe for a few months — observing her through interviews, resources on her website, and listening to her podcast — and could tell she had the knowledge and resources to be our dynamic partner.
Allison and her team are top of the line when it comes to providing sound guidance and creative solutions, supporting identified priorities, and spearheading transitions between carriers and TPAs. I look forward to our journey of growth as we partner with Altiqe!
Allyson Boan
HR Director, TopSide Marinas
Allison has worked with us to implement creative features which both improve our cost position and the quality of our offering.
Glenn Kues
CFO, BioBridge Global
I know 12 ways to scale a business... and I NEVER thought of managing healthcare costs as a way to scale. Yet, it is fundamental.
Rachael Treviño
CEO, XStream Elite
Altiqe has taken care of us for 11 years. Allison and her team have always helped us communicate our benefits to our employees in a way that they understand and can make use of. She is the best.
Margaret Garcia
HR Director, Business Professional Service
Allison is an expert at assessing businesses and recommending what insurance we actually need. Highly recommend.
Ed Howie
CEO, BTY Creative
Allison De Paoli is simply an expert in the welfare (medical) insurance industry. Her approaches are strategic in nature with the objective of reducing costs while improving service to the employee/member. She patiently provided in-depth guidance resulting in sustaining successive years of flat cost increases — bucking the industry trend. As an HR professional with four decades of experience, I find her approach thoughtful and refreshing.
John Barnes
HR Leadership
Allison De Paoli
Founder & Principal, Altiqe Consulting
- BenefitsPro Top Woman in Advising
- YouPowered Most Effective Consultant
- Next-Gen Benefits Top Advisor
- Certified Health Rosetta Advisor
- Employee Benefits News Contributor
- Vistage Speaker
- Past Board Chair — NAWBO San Antonio
- Family Service Association — Board Member (past)
- South Texas Blood & Tissue Foundation — Past Board Chair (2022) & Current Board Member
- CTRC Cancer Council — Board Member (past)
- Impact San Antonio — Founding & Current Member; Past Board Member
- Multiple Health Rosetta Rosie Award winners
Ready to see this for your company?
One conversation. Zero prep. Straight answers.
Intake limited to 3 clients per quarter