Health insurance brokerages serve communities where language decides whether a renewal call lands or gets hung up on. The U.S. Census Bureau counts more than 25 million people living with limited English proficiency, and a CSA Research survey of 8,709 consumers across 29 countries found that 75% are more likely to engage with a brand that contacts them in their native language. For brokerages, that shows up in concrete places: renewal confirmations, open enrollment reminders, payment nudges, and win-back calls to members who drifted away. If those calls arrive in English only, a meaningful slice of your book quietly disengages. The problem is that most brokerages don't want to hire bilingual staff for every location or build a call center to solve it. This 2026 guide compares five solutions, from managed AI calling services to multilingual outsourcing firms, so you can match the right partner to your permissioned member lists, regulated calling windows, and reporting needs. Every option here was evaluated on language coverage, compliance posture, pricing transparency, and fit for the specific campaign types brokerages actually run.
#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 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 works especially well for health insurance brokerages that need renewal and retention calls, payment reminders, lead qualification, and win-back outreach delivered in the member's preferred language, without hiring bilingual staff or operating call center software. What sets it apart for brokerages is list discipline and compliance. My AI Call Center 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, in most cases, declined. That matters in an industry governed by TCPA rules, CMS marketing guidelines during enrollment periods, and state-specific quiet hours. AI-generated voices are treated as artificial voices under the TCPA, so prior express consent is required, AI disclosure happens on every call, and recipients can ask for a human or opt out with keyword commands like STOP and REVOKE. DNC requests are honored across all campaigns and carried into client DNC records. The workflow is deliberately simple. You start with the goal, the team reviews your list and consent records, scripts and escalation paths are approved before launch, and calls run in approved windows. Outcomes route back into the CRM and scheduling tools you already use, with disposition codes, per-call notes, and follow-up requests. Reporting is honest by policy: the company states plainly that it never invents client logos, testimonials, metrics, or ratings.
Pros
- Fully managed service with no agents to hire and no platform bill
- Strong compliance framework: AI disclosure, verified consent, state quiet hours, DNC handling
- Transparent, locked pricing with the full campaign cost known before launch
- Honest reporting with no invented metrics or testimonials
- Outcomes integrate directly into existing CRM and scheduling tools
Cons
- Not a self-serve platform; campaigns require provider review and approval before launch
- Language coverage centers on Spanish; very wide multilingual coverage is not advertised
- Bought lists without clear permission records will typically be declined
Best for: Health insurance brokerages and multi-location organizations that need compliant, managed multilingual calling campaigns without hiring bilingual staff or building a call center.
#2 ganira — Contact for pricing (performance-based; no sales, no payment)
ganira is a dedicated outbound telesales partner with over 15 years of experience serving insurance carriers, agencies, and brokerages across all lines of business, including health insurance for individual, group, and Medicare markets. According to its website, the company handles full product sales campaigns, appointment setting with decision-makers such as HR directors and CFOs, and lead qualification that verifies financial readiness and decision-maker intent before prospects reach your sales team. For brokerages needing multi-language outreach, ganira advertises native speakers across its target markets and operates in 10 global markets including the US, UK, Canada, Germany, Spain, France, and Portugal. Its stated model is performance-based: you only pay when results happen, with no sales meaning no payment. The company also cites 500,000 calls per month, 150,000 sales per annum, and a team of 200+ sales experts on its site. On the technology side, ganira describes an AI-driven CRM with automated data enrichment, intelligent lead scoring, dynamic scripts that adapt based on prospect responses, real-time quality assurance with sentiment analysis, and compliance checks against local and national Do Not Call regulations. It claims 100% GDPR compliance with auditable processes. For a brokerage that wants a human-led sales partner rather than a software platform, ganira's insurance-specific training and performance pricing model are the main draws. Pricing is quote-based, so you'll need a scoping conversation to get firm numbers.
Pros
- Deep insurance industry specialization with 15+ years of experience
- Performance-based model aligns cost with results
- Native-speaker outreach across 10 markets
- Full campaign visibility and real-time reporting
Cons
- Quote-based pricing makes upfront cost comparison difficult
- Human-agent model means staffing costs scale with volume
- Sales-led approach may exceed the needs of brokerages wanting simple reminder or confirmation campaigns
Best for: Insurance carriers, agencies, and brokerages that want a human-led outbound telesales partner with performance-based pricing across multiple international markets.
#3 Teleperformance — Contact for pricing (geared to mid-market and enterprise budgets)
Teleperformance (TP) 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 health insurance group, that scale is the main draw: a single partner can cover nearly any language your members speak, across inbound and outbound calling, technical and help desk support, and live chat, email, and social media channels. For health insurance use cases, the outbound call center capability is the most relevant piece. Large operators running regionally coordinated outreach, renewal reminders, member communications, or follow-up campaigns across diverse language communities can draw on TP's multilingual human agent network. The company's infrastructure supports strong scalability for enterprise organizations, and its size makes it a benchmark in global outsourcing. The trade-offs are real, though. Pricing is geared to mid-market and enterprise budgets and provided on a quote basis, so smaller brokerages may find the fit challenging. Onboarding can get complex given the breadth of services, and service quality may vary between regions given the sheer footprint. If your brokerage runs a handful of structured campaigns a year in two or three languages, a provider built for enterprise-scale operations may be more than the job requires. But if you need one partner covering many languages and regions at volume, TP belongs on your shortlist.
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 a single partner covering many languages and regions at scale.
#4 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, customer acquisition, retention, and support programs. The company's deep expertise in CX transformation and analytics can help brokerage groups design outreach programs that go beyond one-off campaigns. If you want a partner to help design and operate a broader multilingual member engagement operation, including renewal outreach, retention programs, and acquisition support, rather than a single structured campaign, TTEC's consulting-led model is worth exploring. That consulting orientation cuts both ways. Pricing is aimed at mid-market and enterprise clients, which may put it out of reach for smaller independent brokerages. Engagements also tend to be broader in scope, so a brokerage that just needs Spanish renewal reminder calls may end up paying for a program design it didn't ask for. For larger groups consolidating multilingual member communications under one partner, though, TTEC's mix of human agents, AI tooling, and analytics is a legitimate option.
Pros
- Multilingual coverage across 50+ languages
- Comprehensive omnichannel support
- Deep CX and analytics expertise for program design
Cons
- Pricing aimed at mid-market and enterprise clients
- Consulting-led model may be heavier than brokerages needing single campaigns need
- Quote-based pricing makes cost comparison difficult upfront
Best for: Mid-market and enterprise brokerage groups that want a consulting-led partner to design and operate a broader multilingual member engagement program.
#5 SupportYourApp — Contact for pricing (quote-based)
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 leans toward tech-driven businesses but lists healthcare among its target industries, which is relevant for organizations handling sensitive member communications. Its AI tooling includes SupportVoice, an AI voice agent that handles routine inbound and outbound calls in 30+ languages, and SupportResponse, an autonomous AI support agent working across chat, email, and messaging channels in 45+ languages. Human agents cover 60+ operational support languages, with omnichannel coverage via its own SupportCRM or third-party CRM integrations. Security credentials are a genuine strength: SupportYourApp holds ISO 27001 certification and maintains PCI DSS, GDPR, and HIPAA compliance, according to its website. For brokerages whose compliance teams scrutinize vendor handling of protected health information, that certification stack shortens the vendor review conversation. The main limitation is focus. SupportYourApp is primarily a customer support outsourcing firm, and its outbound calling scope is described as routine calls rather than compliance-led campaign work with consent verification and disposition reporting. Exact rates are quote-based, so you'll need a scoping conversation to get firm numbers.
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
- Custom support solutions matched to your organization
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.
Choosing a multilingual outbound partner comes down to matching the tool to the job. If your brokerage needs structured, compliance-led campaigns like renewal confirmations, payment reminders, and win-back calls against permissioned member lists, My AI Call Center's managed model is built for exactly that, with pricing locked before launch and honest reporting on what actually happened. If you need human telesales that closes policies across international markets, ganira's performance-based model deserves a look. Large multi-state groups consolidating member communications under one partner should evaluate Teleperformance and TTEC, and organizations prioritizing certified security credentials across very wide language coverage should consider SupportYourApp. Whatever you choose, ask the same three questions: how is consent verified, what happens to DNC requests, and what exactly will you pay before launch. The first campaign review with My AI Call Center is free, and calling starts at 9¢ per connected minute with the full campaign cost quoted before you approve anything. Plan your campaign at myaicallcenter.app and find out plainly whether your list will support the calls you have in mind, before you spend anything.
Frequently asked questions
What makes My AI Call Center different from other multilingual calling providers?
It's a managed service, not software. You buy campaigns that are run for you, each scoped around one clear goal and quoted before launch. The company also enforces strict list discipline: only approved, permissioned, or reviewed lists are used, and bought lists without clear permission records are flagged and typically declined. Reporting is honest by policy, with no invented metrics, testimonials, or ratings.
Which languages does My AI Call Center support for outbound campaigns?
My AI Call Center runs Multi-Language Outbound Campaigns, with Spanish the most commonly requested language. Very wide multilingual coverage beyond that is not advertised, so brokerages needing dozens of languages should confirm availability during the free campaign review.
How does My AI Call Center handle TCPA and consent compliance?
AI-generated voices are treated as artificial voices under the TCPA, so prior express consent is required before calls. State-specific quiet hours, day restrictions, and registration rules are honored, AI disclosure happens on every call, and recipients can ask if the call is AI-assisted, request a human, or opt out with keyword commands like STOP and REVOKE. DNC requests are respected across all campaigns and carried into client DNC records. Clients are responsible for obtaining appropriate legal guidance before launch.
What does multilingual outbound calling cost for a health insurance brokerage?
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. There are no per-seat charges and no platform bill. The first campaign review is free. Competitors like ganira, Teleperformance, TTEC, and SupportYourApp use quote-based pricing, so you'll need a scoping conversation to compare.
Which campaign types matter most for health insurance brokerages?
Renewal and retention calls timed 30-60 days before the renewal date, payment and invoice reminder calls, lead qualification, speed-to-lead follow-up on new inquiries, and win-back calls to 12-24 month dormant contacts are the most common fits. My AI Call Center runs all of these, including as multi-language campaigns, and routes outcomes back into your CRM with disposition codes.
Can I use a purchased lead list for multilingual outbound campaigns?
With My AI Call Center, probably not. The company reviews list source and consent records before any campaign launches, and bought lists without clear permission records are flagged and, in most cases, declined. It will tell you plainly if the list will not support the campaign, before you spend anything. This protects you from TCPA exposure on AI-generated calls, which require prior express consent.
What results and reporting will I receive from a campaign?
My AI Call Center delivers a dispositioned contact list, outcome counts with disposition codes (confirmed, qualified, renewed, opted out, no answer), per-call notes, routed follow-up requests, a completion and coverage report, and opt-out and DNC logs. Hot leads can transfer to your team live or land in your CRM. Calls run only in approved windows, with outcomes monitored in real time.