Health insurance brokerages serve some of the most linguistically diverse client bases in financial services. A significant share of the U.S. population prefers to communicate in Spanish, and research from CSA Research found that 75% of consumers are more likely to engage with a brand that contacts them in their native language. For a brokerage, that gap shows up directly in revenue: renewal calls that go unanswered, open enrollment follow-ups that stall, and leads that quietly drift to a competitor who called in the right language. The problem is that most brokerages can't justify hiring bilingual staff for every market they serve, and building an in-house call center brings per-seat costs, training overhead, and compliance risk under TCPA, state quiet-hour rules, and CMS requirements during Medicare periods. This 2026 guide compares five providers that can run multi-language outbound campaigns for health insurance brokerages, from managed AI calling services to global BPO partners with native-speaking agents. We looked at language coverage, compliance posture, pricing transparency, and how well each fits the regulated realities of insurance outreach.
#1 My AI Call Center — Calling starts at 9¢ per connected minute, tiered by volume; most campaigns add a one-time setup fee and a 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 built around a simple promise: run more useful calls without building a bigger call center. It's a 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. Owned and operated by AIQ Labs and based in Halifax, Nova Scotia with a U.S. operating base in Austin, Texas, the service offers Multi-Language Outbound Campaigns as a core campaign type, with Spanish the most commonly requested language. For health insurance brokerages, that means renewal and retention calls 30 to 60 days before the renewal date, speed-to-lead follow-up on new quote requests within minutes inside approved windows, appointment reminders, lead qualification, win-back calling for clients dormant 12 to 24 months, and renewal quoting and upsell campaigns, all delivered in the language your client prefers.
Pros
- Fully managed service: no agents to hire, no software to learn, no platform bill
- Strict list discipline: only approved, permissioned, or reviewed lists are called, and consent records are checked before launch
- Transparent, locked pricing with the full campaign cost known before you approve launch
- Honest reporting with no invented metrics, testimonials, or client logos
- Compliance built in: TCPA consent verification, AI disclosure, state quiet hours, and DNC requests carried across all campaigns
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 are flagged and, in most cases, declined
Best for: Health insurance brokerages and multi-location insurance organizations that need compliant, managed multi-language calling campaigns for renewals, lead follow-up, reminders, and win-back outreach without hiring bilingual staff or running call center software.
#2 ganira — Contact for pricing (performance-based model; no sales, no payment, per their website)
ganira is a dedicated outbound telesales partner with 15+ years of experience serving insurance carriers, agencies, and brokerages across all lines of business, including individual, group, and Medicare health insurance. According to its website, the company runs full product sales campaigns, appointment setting, and lead qualification for insurance products, and explicitly advertises multi-language outreach with native speakers across its target markets. ganira operates across 10 markets including the United States, Canada, the United Kingdom, Germany, Spain, and Portugal, with 6 languages supported, which makes it a credible option for brokerages with multilingual client populations. Its positioning is performance-based: you only pay when results happen, with no sales meaning no payment, and its agents receive industry-specific training on policy types, underwriting requirements, and group benefits versus individual plans. The company also states it is 100% compliant with local and national Do Not Call regulations and consumer protection laws for insurance telemarketing, and uses an AI-driven CRM with real-time quality assurance and reporting.
Pros
- Insurance-specialized agents trained on policy types, underwriting, and regulatory requirements
- Native-speaker multi-language outreach across 10 markets
- Performance-based pricing aligns cost with results
- Lead generation available if you don't have an existing contact list
Cons
- Pricing is performance-based and requires a scoping conversation rather than published rates
- Operates in 6 languages across 10 markets, so coverage is narrower than global BPO providers
- Human-agent model means capacity scales with staffing rather than instantly
Best for: Health insurance brokerages and carriers that want a human telesales partner with insurance-specific training, native-speaking agents, and a performance-based pricing model.
#3 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 health insurance 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 for brokerages handling sensitive client 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. Exact rates are quote-based, though package structures and included features are publicly available, so brokerages will need a scoping conversation to get firm numbers.
Pros
- Very broad language coverage across voice and messaging channels
- Strong security credentials including HIPAA compliance
- 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: Health insurance brokerages that want very broad language coverage and 24/7 multilingual support across voice, chat, and email with strong security and compliance credentials.
#4 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 health insurance brokerage or multi-state agency network, that scale is the main draw: a single partner can cover nearly any language your clients speak, across inbound and outbound calling, technical support, and live chat, email, and social media channels. The company's infrastructure supports strong scalability for enterprise organizations, and its size makes it a benchmark in global outsourcing. For brokerage use cases, the outbound call center capability is the most relevant piece: large operators running regionally coordinated outreach, renewal campaigns, client communications, or open enrollment follow-ups across diverse language communities can draw on TP's multilingual human agent network. Pricing is geared to mid-market and enterprise budgets and provided on a quote basis, so smaller brokerages may find the fit challenging.
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 health insurance brokerages and multi-state agency networks that need a single 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 health insurance brokerages pursuing larger client 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, though pricing is aimed at mid-market and enterprise clients, which may put it out of reach for smaller agencies. Brokerages that want a partner to help design and operate a broader multilingual client engagement operation, rather than a single structured campaign, will find TTEC's consulting-led model worth exploring.
Pros
- Strong multilingual delivery across 50+ languages
- Comprehensive omnichannel support
- Deep expertise in CX transformation, analytics, and AI
Cons
- Pricing aimed at mid-market and enterprise clients
- Consulting-led model may be heavier than a brokerage needs for a single campaign
- Quote-based pricing with no published rates
Best for: Mid-market and enterprise health insurance brokerages that want a consulting-led partner to design and operate broader multilingual client engagement programs.
Choosing the right multi-language outbound partner comes down to your list, your budget, and how much you want to run yourself. If you're a brokerage with permissioned client lists and a clear goal, whether that's Spanish-language renewal calls ahead of the renewal date or fast follow-up on new quote requests, a managed service like My AI Call Center gives you campaigns that are scoped, quoted, and compliance-checked before anything launches, with calling starting at 9¢ per connected minute and the full cost known before you approve. If you need human agents closing full insurance sales, ganira's performance-based telesales model fits. If language breadth matters more than campaign structure, SupportYourApp and Teleperformance cover 60+ and 400+ languages respectively, and TTEC suits larger engagement programs. Whatever you pick, verify consent records and compliance practices before launch. The first campaign review at My AI Call Center is free, so you can scope a multi-language campaign and know the full number before you spend anything.
Frequently asked questions
What makes My AI Call Center different from other providers?
My AI Call Center is a managed service, not software. You buy campaigns that the team runs for you, each scoped around one clear goal and quoted before launch. It also applies strict list discipline: campaigns run only against approved, permissioned, or reviewed contact lists, and list source and consent records are checked before launch. Bought lists without clear permission records are flagged and, in most cases, declined. The company reports only what actually happened and does not invent client logos, testimonials, metrics, or ratings. Pricing is transparent, with calling starting at 9¢ per connected minute and the rate locked for the campaign.
Can AI calling be used for health insurance outreach under TCPA rules?
Yes, with the right consent framework. AI-generated voices are treated as artificial voices under the TCPA, which means prior express consent is required before placing calls. Reputable providers treat compliance as a design requirement: AI disclosure on every call, keyword opt-outs honored immediately, DNC requests carried across campaigns, and state-specific quiet hours and day restrictions respected. For Medicare-related outreach, CMS has its own documentation requirements for consumer consent, so brokerages should confirm their provider's practices and obtain appropriate legal guidance before launch.
Which languages can these providers cover?
It varies widely. My AI Call Center runs Multi-Language Outbound Campaigns with Spanish the most commonly requested language. ganira supports 6 languages across 10 markets with native speakers. SupportYourApp covers 60+ languages with human agents and 30+ languages with its AI voice agent. Teleperformance supports 400+ languages and dialects, and TTEC covers 50+ languages. If Spanish is your primary need, all five can handle it; if you need broader coverage, the BPO providers have the widest footprints.
How much do multi-language outbound campaigns cost?
My AI Call Center publishes its calling rate: 9¢ per connected minute, tiered by volume, with a one-time setup fee and flat monthly management fee quoted before launch and no per-seat charges. The other providers on this list price on a quote basis. ganira uses a performance-based model where you only pay when results happen. SupportYourApp, Teleperformance, and TTEC all require a scoping conversation, with Teleperformance and TTEC geared toward mid-market and enterprise budgets.
Do I need to hire bilingual staff to run multilingual campaigns?
No. That's the main reason brokerages use these providers. Managed AI calling services like My AI Call Center run Spanish-language campaigns without you hiring anyone, and outsourced providers like ganira, SupportYourApp, Teleperformance, and TTEC supply native-speaking or multilingual agents as part of the service. The trade-off is cost structure and control: managed AI services price per connected minute, while human-agent BPOs typically price per engagement or per result.
What campaign types work best for health insurance brokerages?
The highest-impact campaigns are usually renewal and retention calls placed 30 to 60 days before the renewal date, speed-to-lead follow-up on new quote requests, appointment reminders for enrollment meetings, lead qualification, and win-back calling for clients dormant 12 to 24 months. Multi-language versions of these campaigns matter most where your client base includes Spanish speakers, since contact in a client's preferred language measurably improves engagement and retention.