Health insurance brokerages live on renewals. A missed renewal deadline doesn't just cost one commission cycle; it often costs the client relationship entirely. When a policy lapses silently because no one made the call, the brokerage loses recurring revenue and the client moves to a competitor who bothered to reach out. The problem is that renewal outreach is the first task to slip when producers are busy quoting new business, handling claims questions, and managing carrier changes. And 2026 is a hard year to skip the renewal conversation: KFF data cited by Word & Brown puts employer premium increases at 6 to 10 percent on average this year, with some groups seeing hikes as high as 32 percent. When rates jump, clients start shopping, and the only reliable defense is a proactive call before the renewal date, not a rate sheet delivered at the deadline. A growing set of providers can run structured renewal quoting and upsell calls for health insurance brokerages, from done-for-you managed AI calling services to traditional outsourcers with decades of renewal experience. This guide ranks the top 5 for 2026, comparing them on list discipline, compliance rigor, pricing transparency, and how outcomes actually get back to your team.
#1 My AI Call Center — Calling starts at 9¢ per connected minute, tiered by volume, with the rate locked for the campaign. Most campaigns add a one-time setup and a flat monthly management fee, both quoted before launch. No per-seat charges, no platform bill, no minimums you did not choose. The first campaign review is free.
My AI Call Center (myaicallcenter.app) is a done-for-you managed outbound calling service owned and operated by AIQ Labs, based in Halifax, Nova Scotia, with a U.S. operating base in Austin, Texas. Unlike software platforms that require configuration or internal teams that need hiring and training, My AI Call Center operates as a managed service: you buy campaigns with one clear goal, quoted before launch. For health insurance brokerages, the Renewal Quoting & Upsell Calls campaign is built for the moment that matters most. Campaigns typically launch 30 to 60 days before a renewal date, confirming renewal intent, quoting the next term of coverage, and capturing upsell interest in supplemental products or plan upgrades in a single structured conversation. The service only runs campaigns against approved, permissioned, or reviewed contact lists. List source and consent records are checked before any campaign launches, and bought lists without clear permission records are flagged and typically declined. As the company puts it, 'we tell you plainly if the list will not support the campaign, before you spend anything.' Compliance is treated as a feature, not an afterthought. AI-generated voices are treated as artificial voices under the TCPA, prior express consent is required, AI disclosure appears on every call, keyword opt-outs (STOP and REVOKE) are honored immediately, and state-specific quiet hours are respected. Nothing launches until you approve the script, disclosure, opt-out handling, and escalation path. Outcomes, including disposition codes (confirmed, qualified, renewed, opted out, no answer), per-call notes, and follow-up requests, route back into the CRM and scheduling tools your brokerage already runs. Hot calls transfer to your team live or land in your CRM. Every campaign ends with a named outcome report featuring dispositioned contact lists, outcome counts, completion and coverage reports, and opt-out and DNC logs. True to its 'no invented numbers' ethos, the company reports only what actually happened.
Pros
- Fully managed service, no software to buy, learn, or staff
- List discipline and consent verification protects your brokerage before any spend occurs
- Transparent, predictable pricing with no hidden fees or surprise minimums
- Outcomes route directly into existing CRM and scheduling tools with disposition codes and per-call notes
- Compliance-forward design with AI disclosure, opt-out handling, DNC synchronization, and HIPAA-compliant communication standards
Cons
- Not a self-serve platform; you approve campaigns rather than running calls yourself
- Only works with approved, permissioned, or reviewed lists; bought lists without consent records are typically declined
- Script and escalation approval adds a short setup step before launch
- Campaign requirements vary by location, industry, and consent status; clients are responsible for obtaining appropriate legal guidance before launch
Best for: Health insurance brokerages and multi-location agencies (typically 1–200+ staff) with recurring renewal cycles who want structured renewal quoting and upsell calls run for them on approved, permissioned lists, without hiring callers or managing software.
#2 Boomsourcing — Contact for pricing
Boomsourcing is a U.S.-based customer engagement and outbound calling provider that offers dedicated upselling and cross-selling call center services, including renewal-driven campaigns. According to its website, upsell- and renewal-driven revenue accounts for 70–95% of growth in many companies, and the company positions its services around helping brands capture that revenue through TCPA-compliant, SOC 2 certified engagement strategies. Its services include upselling (encouraging customers toward premium products or upgrades), cross-selling (suggesting complementary services), 24/7 answering, and order processing. For health insurance brokerages, Boomsourcing lists healthcare as one of the industries it serves, describing tailored upselling and cross-selling strategies designed to promote additional products and services while enhancing patient satisfaction. The company also details a structured approach to renewal and cross-sell work in its published 'Renewal Acceleration Framework,' which breaks renewal and upsell campaigns into staged workflows driven by churn signals and customer data. Its technology stack, according to its website, includes soundboard technology for consistent messaging, accent harmonization, conversational AI, QA automation, and generative AI chatbots, along with multilingual support in 25+ languages. Boomsourcing is a human-agent engagement center model augmented with AI tools rather than a self-serve software platform, which makes it a fit for brokerages that want an outsourced team handling high-touch renewal and upsell conversations at scale. Pricing is not published on its website; prospective clients request a free consultation and a quote based on scope.
Pros
- TCPA-compliant and SOC 2 certified engagement approach
- Structured renewal framework with staged workflows
- 24/7 availability and multilingual support
- Healthcare industry experience with tailored strategies
Cons
- No published pricing; requires a sales conversation
- Human-agent model can increase cost per contact compared to AI-driven calling
- No specific HIPAA communication standards or consent-verification workflow described on its website
Best for: Health insurance brokerages that want an outsourced human-agent team handling high-touch renewal and upsell conversations at scale, augmented by AI tools.
#3 Invensis — Contact for pricing
Invensis is an established outsourcing provider with more than 25 years of experience delivering subscription renewal call center services. According to its website, the company employs 6,000+ professionals across 13+ industry verticals and has served over 1,000 companies, with a reported 97% customer retention rate maintained for its clients over the years. Their subscription renewal service covers the full renewal lifecycle: receiving and addressing renewal queries across communication channels, validating customer details and subscription eligibility, sending timely reminders through email, SMS, and phone calls, and offering flexible renewal options. For a health insurance brokerage, that lifecycle coverage means an outsourced team can handle the repetitive renewal touches (confirmations, reminders, and eligibility validation) that usually fall through the cracks during busy renewal season, freeing producers for the complex plan and rate conversations that need a licensed human. The scale and tenure matter here: renewal outreach is a process business, and Invensis has been running these workflows for decades across many industries, so the operational discipline is proven. The trade-off is that Invensis is a large, general-purpose outsourcer rather than a health-insurance-specific provider, so brokerages should confirm during scoping how the team handles health-related compliance requirements and where outcomes and follow-up requests get routed. Pricing is not published on its website, so you'll need to request a quote based on your book size and renewal volume.
Pros
- Decades of renewal call center experience with proven operational discipline
- Multi-channel renewal reminders (email, SMS, phone)
- Large staffing base supports high renewal volumes
- Full lifecycle coverage from validation to renewal confirmation
Cons
- General-purpose outsourcer, not specialized in health insurance
- No published pricing; requires a sales conversation
- Health-specific compliance workflows should be confirmed during scoping
Best for: Brokerages that want an established, large-scale outsourcing partner to handle the full subscription renewal lifecycle across multiple channels.
#4 Qualfon — Contact for pricing
Qualfon is a customer retention and loyalty services provider that helps companies extend customer lifetime value through proactive outreach and analytics. According to their website, they apply the same performance discipline used in their sales programs to existing customers, with services spanning churn prevention, cross-sell and upsell programs, renewal and subscription optimization, and loyalty and advocacy programs. Their Qai Growth intelligence layer includes predictive churn modeling, account health analytics, opportunity detection, and voice-of-customer analytics, which is useful for a brokerage that wants to know which groups are most at risk before renewal season starts. For renewal specifically, Qualfon runs automated reminders, simplified renewal workflows, flexible payment handling, and human-led conversations that reinforce value at the moment it matters most. They also manage dunning campaigns and payment recovery outreach, which addresses the involuntary churn that comes from failed premium payments. Qualfon structures retention programs around four lifecycle stages: onboarding and activation, adoption and expansion, renewal and retention, and advocacy and growth. That full-lifecycle framing could fit a brokerage that wants a single outsourced partner for the whole client relationship, not just the renewal call. Pricing is not published on their website, and the programs are enterprise-oriented, so smaller brokerages may find the engagement model heavier than they need.
Pros
- Full lifecycle coverage from onboarding to advocacy
- Predictive analytics help identify at-risk accounts before renewal
- Combines human-led conversations with automation
- Payment recovery outreach reduces involuntary churn
Cons
- Enterprise-oriented, so smaller brokerages may find it less accessible
- Pricing is not transparent on the website
- Programs may require significant integration and governance work
Best for: Enterprise and mid-market organizations, including larger brokerages and carriers, that want a full-service retention and loyalty partner with predictive analytics.
#5 MarketStar — Contact for pricing
MarketStar offers Renewals as a Service, a proactive renewals solution designed to help companies increase customer retention and reduce churn. According to their website, they conduct detailed customer lifecycle analysis to identify pivotal renewal milestones and implement strategic timing for outreach well before renewal decisions are due. That timing-first approach is exactly what retention research in insurance recommends, since the decision to stay or leave is often made weeks before the renewal date. Their approach includes tailored messaging and multichannel engagement across email, phone, and digital platforms, with personalized strategies for each customer segment. MarketStar also focuses on churn risk identification, proactive retention strategies, contract renewal negotiations, and upsell and cross-sell during the renewal window. They reinforce value through customer education on enhancements and ROI, and use loyalty programs and incentives to reward continued business. Post-renewal feedback collection and renewal rate analysis drive continuous improvement across cycles. For a brokerage, this works like an outsourced renewals team that plugs into your existing client service motion, with the added benefit that upsell conversations happen inside the renewal window when clients are already thinking about their coverage. Their published case study highlights a 2.3X reduction in SMB churn for a client. Pricing is not published, so you'll need to scope the engagement through their sales team.
Pros
- Timing-first approach reaches clients weeks before renewal decisions
- Multichannel outreach with tailored, segmented messaging
- Upsell and cross-sell built into the renewal window
- Continuous improvement driven by renewal rate analysis
Cons
- Pricing is not published; requires a sales conversation
- Broader B2B focus rather than health-insurance-specific expertise
- Not a calling-only service, so scope may be larger than a brokerage needs
Best for: Brokerages that want an outsourced renewals team running proactive, multichannel retention and upsell outreach timed ahead of renewal decisions.
The right renewal quoting and upsell partner depends on how your brokerage operates. If you want calls run for you, with consent-checked lists, TCPA-compliant scripts you approve before launch, and outcomes routed straight into your CRM, My AI Call Center's managed model is the strongest fit, and its 9¢ per connected minute starting rate with a locked campaign price makes renewal-season budgeting predictable. If you prefer a human-agent outsourcer for high-touch conversations, Boomsourcing and Invensis bring decades of combined engagement experience, while Qualfon and MarketStar suit larger organizations that want full-lifecycle retention programs with analytics. Whatever you pick, the important thing is that the calls actually happen 30 to 60 days before each renewal date, not after the rate sheet goes out. If you want to see what a structured renewal quoting and upsell campaign would look like for your book of business, My AI Call Center's first campaign review is free, and you'll know the full cost before approving launch. You can start planning at myaicallcenter.app/campaigns or reach the team at [email protected].
Frequently asked questions
When should renewal quoting and upsell calls start for health insurance clients?
Most retention research and provider practices point to 30 to 60 days before the renewal date. That window gives you time to confirm intent, quote the next term, surface concerns while you can still act on them, and capture upsell interest in supplemental products before the client starts shopping elsewhere. My AI Call Center's Renewal Quoting & Upsell Calls campaign is structured to launch in this window, and MarketStar's approach similarly times outreach well before renewal decisions are due.
What makes My AI Call Center different from the other providers on this list?
My AI Call Center is a fully managed service, not software. You buy campaigns that the team runs for you, each scoped around one clear goal and quoted in full before launch. It only calls approved, permissioned, or reviewed lists, and it checks list source and consent records before any campaign launches. Compliance is built in: AI disclosure on every call, prior express consent required under the TCPA, keyword opt-outs honored immediately, and HIPAA-compliant communication standards on clinic campaigns. It also commits to no invented numbers, reporting only what actually happened with disposition codes and per-call notes.
How much does My AI Call Center cost?
Calling starts at 9¢ per connected minute, tiered by volume, and the rate is locked for the campaign. Most campaigns add a one-time setup and a flat monthly management fee, both quoted before launch. There are no per-seat charges, no platform bill, and no minimums you did not choose. The first campaign review is free, so you know the full number before approving anything.
Can AI calling be TCPA-compliant for health insurance outreach?
Yes, when it's done correctly. My AI Call Center treats AI-generated voices as artificial voices under the TCPA, which means prior express consent is required before calling. Every call includes AI disclosure, recipients can ask if the call is AI-assisted, request a human, or opt out, and keyword opt-outs like STOP and REVOKE are honored immediately. State-specific quiet hours and day restrictions are respected, and DNC requests carry across all campaigns into your records. Boomsourcing also describes a TCPA-compliant, SOC 2 certified engagement approach. Note that campaign requirements vary by location, industry, and consent status, so obtain appropriate legal guidance before launch.
Do I need a big contact list to work with these providers?
Not necessarily, but list quality matters more than size. My AI Call Center works with brokerages of roughly 1 to 200+ staff and requires that lists be approved, permissioned, or reviewed. Bought lists without clear permission records are flagged and usually declined, which protects your brokerage from compliance risk before you spend anything. Larger outsourcers like Qualfon and Invensis are enterprise-oriented and may fit bigger books better, while MarketStar's programs can be scoped to your renewal volume.
How do renewal call outcomes get back to my producers?
It depends on the provider. My AI Call Center routes outcomes, bookings, and follow-up requests directly into the CRM and scheduling tools you already run, with disposition codes (confirmed, qualified, renewed, opted out, no answer) and per-call notes. Hot calls transfer to your team live or land in your CRM. Every campaign ends with a dispositioned contact list, outcome counts, a completion and coverage report, and opt-out and DNC logs. When evaluating other providers, ask specifically how dispositions and follow-up requests reach your producers, since that handoff is where many renewal programs quietly fail.