Employee Benefits Consultant · Houston, TX
Most employers pay a 20% carrier markup every year — and never see it. I help CFOs and HR leaders at mid-size companies understand exactly what they're paying for, and build a strategy that gives that money back.
The Problem
Premium costs have outpaced wages for a decade. Yet most employers still renew the same fully-insured plan, year after year, with no claims data and no leverage. There is a better way.
10-Year Premium Growth vs. Wages
Source: KFF Employer Health Benefits Survey 2023
"The system wasn't built for employers. I help you build one that was."
— Tess McCoy
About Tess
My career started on the inside — and I mean the part of the system most employers never see. I spent nearly seven years at a national brokerage, where I learned how plans are really sold: by firms that present themselves as the employer's advocate while quietly collecting from the carriers on the other side of the table. Then I went to Kelsey-Seybold Clinic, one of Texas' most respected multi-specialty health systems, as Director of Strategic Employer Engagement — where I watched, from the provider side, exactly how healthcare dollars move. Where they go. Who keeps them. I was there when Optum acquired the system firsthand — a front-row view of how the largest players consolidate providers, pharmacy, and data under one roof, and what that vertical integration does to the cost and choice employers are left with. I saw the company change overnight.
From there I moved to ParetoHealth, the country's most established group captive — the carrier side of the table. And that's where it crystallized: I saw how many employers were placed in the wrong structures, sold the wrong story, and left paying for it. So, I decided to come back to consulting, with a private firm that I have incredible respect for, and on the only side that answers to the employer.
Most advisors have stood on one side of that table. I've stood on four: the brokerage that sells the plan, the health system that bills it, the captive that underwrites it, and now the chair next to you, reading the contract line by line.
That cross-sector view is the foundation of everything I do at Hotchkiss Insurance. I hold the CEBS® — the gold standard in benefits — and the CSFS® designation for self-funding expertise. I work with employers of 40 to 10,000 employees who are tired of being told what their plan costs and never told why.
I specialize in self-funded arrangements, group captives, and cost-containment strategies, with deep expertise in alternative funding structures, and completely tailored contracts. I partner with the best people in the industry, and love helping employers take back control and learn the system.
What I Do
I don't sell products. Every engagement starts with understanding your business before a single plan design is considered.
Savings Estimator
Takes 60 seconds. Enter your current situation and see a realistic savings range — based on actual industry benchmarks.
Estimates are illustrative, based on industry averages. Actual savings vary by claims experience, plan design, and stop-loss structure. Contact Tess for a personalized analysis.
Schedule a No-Cost Benefits AuditClient Outcomes
"Tess completely changed how we think about our benefits spend. We moved to a self-funded plan and saved over $400,000 in year one. Our employees barely noticed a difference — except that their premiums went down."
"We're a physician group competing with large health systems for talent. Tess built us a benefits package that we can actually lead with in recruiting conversations. Our offer acceptance rate went up noticeably."
"What I appreciate most about Tess is her honesty. She told us things about our previous broker relationship that others had never flagged. She's clearly working for us — not for a carrier override."
Insights & Analysis
Weekly briefs that pull back the curtain on U.S. healthcare — what it means for the plans you sponsor and the people covered by them. No carrier talking points. No fluff.
Hospital pricing. Spread pricing. Rebate retention. OON repricing. Direct contracting. The mechanics of why your costs keep rising — and the structural fixes that actually work.
Read the Blog →