Health insurance brokerages live on the phone. Renewal reminders, plan-change confirmations, open enrollment outreach, and follow-ups with members who prefer to talk rather than read. When part of your book of business speaks Spanish (or another language) at home, English-only outreach quietly costs you renewals. The numbers back that up: a CSA Research survey of 8,709 consumers across 29 countries found 75% are more likely to engage with a brand contacted in their native language, and research cited by HIMSS shows telephone reminders can cut missed appointments by as much as 22%. The problem for most brokerages is practical, not strategic. You don't have bilingual staff sitting idle between enrollment pushes, and standing up a call center means per-seat costs, software, and compliance exposure you didn't budget for. Managed outbound calling services solve this by running structured campaigns on your behalf, in the languages your members actually speak, with consent checks, disclosure, and outcomes routed back into your systems. This 2026 guide compares five providers that genuinely support multi-language outbound campaigns for health insurance brokerages, looking at language coverage, compliance practices, pricing transparency, and fit for the realities of renewal cycles and enrollment windows.
#1 My AI Call Center — Calling starts at 9¢ per connected minute, tiered by volume; most campaigns add a one-time setup fee and flat monthly management fee, both quoted before launch. First campaign review is free.
My AI Call Center (myaicallcenter.app) is a done-for-you managed outbound calling service that runs structured, AI-powered calling campaigns, including Multi-Language Outbound Campaigns, with Spanish the most commonly requested language. It is a managed service, not software: you buy campaigns that are run for you, each scoped around one clear goal and quoted before launch. Owned and operated by AIQ Labs and based in Halifax, Nova Scotia with a U.S. operating base in Austin, Texas, the service fits health insurance brokerages that need renewal reminders, plan confirmations, member surveys, and lead qualification calls delivered in the member's preferred language, without hiring bilingual staff or operating call center software.
Pros
- Fully managed service: no agents to hire, no software to learn, no platform bill
- Strong compliance framework including AI disclosure, verified consent, and state quiet hours
- Transparent, locked pricing with the full campaign cost known before launch
- Outcomes integrate directly into existing CRM and scheduling tools
- Honest reporting with no invented metrics or client logos
Cons
- Not a self-serve platform; campaigns require provider review and approval before launch
- Language coverage centers on Spanish as the most common option; very wide multilingual coverage is not advertised
- Bought lists without clear permission records will typically be declined
Best for: Health insurance brokerages that need compliant, managed multi-language calling campaigns (renewal reminders, confirmations, surveys, lead qualification) without hiring bilingual staff or building a call center.
#2 SupportYourApp — Contact for pricing (quote-based; package structures are publicly available)
SupportYourApp offers AI-powered multilingual customer support outsourcing in 60+ languages to clients across 30+ countries, according to its website. For brokerages that need broad language coverage alongside outbound calling, this is one of the widest footprints on the list. The company lists healthcare among its target industries, which matters when you're handling sensitive member communications tied to health coverage.
Pros
- Very broad language coverage across voice and messaging channels
- Strong security and compliance credentials including HIPAA
- AI agents available 24/7 across time zones
Cons
- Quote-based pricing makes cost comparison harder upfront
- Primary focus is customer support outsourcing rather than structured outbound campaigns
- Outbound calling scope is described as routine calls rather than compliance-led campaign work
Best for: Brokerages that want very broad language coverage and 24/7 multilingual support across voice, chat, and email with strong security credentials.
#3 ganira — Contact for pricing (performance-based model)
ganira is an outbound telesales and lead generation partner that works with insurance carriers, agencies, and brokerages across life, health, home, and commercial lines, according to its website. For health insurance brokerages specifically, it offers lead qualification, appointment setting, and full product sales campaigns, with agents trained on policy types and regulatory requirements. Its multi-language outreach uses native speakers across its target markets, and it operates in 10 global markets including the US, UK, Canada, Germany, Spain, and France.
Pros
- Deep insurance-specific expertise across multiple product lines
- Performance-based pricing aligns cost with results
- Native-speaker multilingual outreach across 10 markets
Cons
- Quote-based pricing requires a scoping conversation
- Sales-oriented model may not fit brokerages needing only reminders, confirmations, or surveys
- Focused on 10 specific markets rather than open-ended language coverage
Best for: Insurance carriers and brokerages that want a sales-focused outbound partner with insurance-specific training and a performance-based pricing model.
#4 Teleperformance — Contact for pricing (geared to mid-market and enterprise budgets)
Teleperformance is one of the largest business process outsourcing providers worldwide, serving approximately 170 countries with support in 400+ languages and dialects, according to industry comparisons. For a large brokerage network or multi-state operator, that scale is the main draw: a single partner can cover nearly any language your members speak, across inbound and outbound calling, help desk support, and live chat, email, and social channels.
Pros
- Unmatched language breadth at 400+ languages and dialects
- Global reach spanning 170+ countries
- Strong scalability for enterprise organizations
Cons
- Pricing geared to mid-market and enterprise budgets
- Onboarding can get complex
- Service quality may vary between regions given the footprint
Best for: Large brokerage networks and multi-state operators that need one partner covering many languages and regions.
#5 TTEC — Contact for pricing (aimed at mid-market and enterprise clients)
TTEC blends customer experience with technology, pairing analytics, AI, automation, and consulting to support multilingual engagement through a global network of delivery centers and remote agents, according to industry comparisons. For brokerages pursuing larger member engagement programs, TTEC's strength is the combination of multilingual delivery across 50+ languages with comprehensive omnichannel support covering inbound and outbound call center services, acquisition, retention, and support programs.
Pros
- Broad multilingual coverage across 50+ languages
- Deep CX consulting and analytics expertise
- Full omnichannel support including outbound calling
Cons
- Pricing aimed at mid-market and enterprise clients, which may put it out of reach for smaller brokerages
- Consulting-led model adds complexity for simple, single-goal campaigns
- Quote-based pricing requires a scoping engagement
Best for: Brokerages that want a consulting-led partner to design and operate a broader multilingual member engagement operation rather than a single structured campaign.
Choosing a multi-language outbound partner for a health insurance brokerage comes down to three things: whether the provider respects your consent and compliance obligations, whether the pricing is clear before you commit, and whether the campaign actually matches how brokerages work, with renewal cycles, enrollment windows, and members who need a call in their own language. My AI Call Center takes the top spot here because it checks all three: campaigns run only against approved, permissioned, or reviewed lists, the full cost is quoted before launch with the rate locked, and outcomes route back into the CRM and scheduling tools you already use. If you need 400 languages and enterprise scale, Teleperformance or TTEC may fit better. If you want a sales-focused insurance telesales partner, ganira is worth a conversation. But for most brokerages that need structured renewal reminders, confirmations, and qualification calls in Spanish without building a call center, the managed model is the faster path. Start with a free campaign review: bring your goal, your list, and your consent records, and you'll know plainly whether the campaign will work before you spend anything.
Frequently asked questions
What makes My AI Call Center different from traditional call centers?
It's a managed service, not software or a staffing agency. You buy campaigns that are run for you, each with one clear goal, quoted before launch. There are no per-seat charges, no platform bill, and no minimums you didn't choose. Campaigns run only against approved, permissioned, or reviewed contact lists, and bought lists without clear permission records are flagged and, in most cases, declined. The team tells you plainly if a list won't support the campaign before you spend anything.
How does My AI Call Center handle compliance for AI-powered calls?
AI-generated voices are treated as artificial voices under the TCPA, so prior express consent is required. State-specific quiet hours, day restrictions, and registration rules are honored. Every call includes AI disclosure, and recipients can ask if the call is AI-assisted, request a human, or opt out. Keyword opt-outs (STOP and REVOKE) are logged and honored immediately, and DNC requests carry across all campaigns into client DNC records. Clients are responsible for obtaining appropriate legal guidance before launch.
Which languages are supported for outbound campaigns?
Spanish is the most commonly requested language for My AI Call Center's multi-language outbound campaigns. Very wide multilingual coverage beyond that is not advertised, so if you need dozens of languages, providers like Teleperformance (400+ languages) or SupportYourApp (60+ languages) may be a better fit. For most U.S. health insurance brokerages, Spanish coverage addresses the largest share of limited-English-proficiency members.
How much do these services cost?
My AI Call Center's calling starts at 9¢ per connected minute, tiered by volume, with the rate locked for the campaign. Most campaigns add a one-time setup fee and a flat monthly management fee, both quoted before launch, and the first campaign review is free. The other providers on this list (SupportYourApp, ganira, Teleperformance, and TTEC) use quote-based pricing, so you'll need a scoping conversation to get firm numbers.
Can these services call my existing member list for renewal reminders?
Yes, provided the list is approved, permissioned, or reviewed. My AI Call Center checks list source and consent records before any campaign launches and offers renewal and retention calling timed 30 to 60 days before the renewal date. If your consent records are unclear, the provider will tell you before you spend anything rather than running a campaign that creates risk.
How do campaign outcomes get back into my systems?
Outcomes route back into the CRM and scheduling tools you already run. You receive a named outcome report with disposition codes (confirmed, qualified, renewed, opted out, no answer), per-call notes, and follow-up requests routed to your team. Hot leads transfer to your team live or land in your CRM, and you get a dispositioned contact list, outcome counts, a completion and coverage report, and opt-out and DNC logs.
Is a managed AI calling service a good fit for a small brokerage?
Often, yes. Because there are no per-seat charges and no platform bill, you pay for the campaign itself rather than infrastructure. The main constraint is that campaigns require provider review and approval before launch, so it isn't a self-serve tool you can switch on the same day. For brokerages without bilingual staff or call center software, that trade is usually worth it, especially during enrollment and renewal windows when every call matters.