If you run a health insurance brokerage, you already know your market doesn't live in one language. A large share of the households you serve, especially in Medicare, ACA, and individual plan markets, prefer Spanish or another language, and an English-only renewal call or appointment reminder often ends in silence you can't interpret. A CSA Research survey of 8,709 consumers across 29 countries found 75% are more likely to engage with a brand that contacts them in their native language, and 40% won't engage with content in another language at all. The problem is that hiring bilingual callers for every language and every open enrollment season is expensive, and offshore call centers come with per-seat pricing and compliance questions you didn't sign up for. This 2026 guide compares five providers that can genuinely run multi-language outbound campaigns for health insurance brokerages: managed AI calling services, insurance-focused telesales partners, and large multilingual outsourcing firms. We evaluated each on language coverage, compliance posture, insurance industry fit, pricing transparency, and how well they handle the things that actually matter to a brokerage: renewal retention, speed-to-lead follow-up, and appointment confirmations across a diverse book of business.
#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 fee and a flat monthly management fee, both quoted before launch. The 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 not software you operate. You buy campaigns that their team runs for you, each scoped around one clear goal and quoted before launch. For health insurance brokerages, Multi-Language Outbound Campaigns are a core campaign type, with Spanish the most commonly requested language, and they sit alongside Speed-to-Lead Follow-Up Calls, Renewal & Retention Calls (run 30 to 60 days before the renewal date), Appointment & Event Reminders, Renewal Quoting & Upsell Calls, Win-Back & Reactivation Calling, and Database Reactivation Blitz campaigns. That's most of the outbound work a brokerage does between AEP seasons, handled without hiring bilingual staff or running call center software. Owned and operated by AIQ Labs, the company is based in Halifax, Nova Scotia with a U.S. operating base in Austin, Texas, and it typically serves multi-location organizations with 1 to 200+ staff.
Pros
- Fully managed service: no agents to hire, no software to learn, no platform bill
- List discipline as a selling point: consent records are checked before launch, and bought lists without clear permission records are flagged or declined
- Transparent, locked pricing with the full campaign cost known before launch, and no per-seat charges or minimums you didn't choose
- Strong compliance framework: TCPA alignment for AI voices, AI disclosure on every call, state quiet hours honored, DNC requests respected across campaigns
- Honest reporting: they report what actually happened and never invent client logos, testimonials, metrics, or ratings
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
- Depends on client-provided lists that must meet permissioned and reviewed criteria
Best for: Health insurance brokerages and multi-location agencies that need compliant, managed multi-language calling campaigns for renewals, lead follow-up, reminders, and win-backs, without hiring bilingual staff or operating call center software.
#2 ganira — Performance-based model, no sales, no payment, per their website. Contact for exact rates.
ganira is an outbound telesales partner with 15+ years of experience serving insurance carriers, agencies, and brokerages across all lines of business, including health insurance (individual, group, and Medicare). According to their website, ganira runs full sales campaigns, sets confirmed appointments, and handles lead qualification so your agents can focus on underwriting and policy management. The multi-language piece is a stated strength: ganira advertises native speakers across your target markets, with coverage across 10 global markets including the United States, Canada, Spain, France, Germany, Switzerland, Austria, Ireland, Portugal, and the United Kingdom, and lists 6 languages among its published figures. Their services span product selling and cross-selling, appointment setting with decision-makers like HR directors and CFOs, insurance lead qualification and vetting, multi-channel outreach across calling, inbound support, and chat, and lead generation through performance marketing. ganira also emphasizes compliance, stating it is 100% compliant with local and national Do Not Call regulations and consumer protection laws for insurance telemarketing. Their pricing model is performance-based: no sales, no payment.
Pros
- Insurance-specialized: agents are trained on policy types, underwriting requirements, and regulatory compliance
- Performance-based pricing aligns the vendor's interests with yours
- Native speakers across target markets, with a presence in 10 global markets
- AI-driven CRM with real-time quality assurance and campaign visibility
Cons
- Exact rates are not published; the performance model needs a scoping conversation to price
- Human telesales teams mean staffing and ramp time that a managed AI calling service doesn't carry
- Published language count (6) is narrower than the largest global BPOs
Best for: Insurance carriers, agencies, and brokerages that want a human telesales partner with performance-based pricing and native-speaking agents across U.S. and European markets.
#3 SupportYourApp — Quote-based; package structures and included features are available publicly. Contact for pricing.
SupportYourApp offers AI-powered multilingual customer support outsourcing in 60+ languages to clients across 30+ countries, according to its website. While it's best known for inbound support, the company also handles outbound calling through SupportVoice, its AI voice agent, which handles routine inbound and outbound calls in 30+ languages. For a health insurance brokerage serving a multilingual book of business, that breadth is the main draw: one partner can cover Spanish, Mandarin, Vietnamese, and dozens of other languages without you staffing each one. Its security credentials matter for insurance work too: SupportYourApp holds ISO 27001 certification and maintains PCI DSS, GDPR, and HIPAA compliance. SupportResponse, its autonomous AI agent, works across chat, email, and messaging in 45+ languages, and full omnichannel coverage is available via its own SupportCRM or third-party CRM integrations, which is useful for routing call outcomes back into your existing systems. The company positions itself as a strong pick for SaaS, fintech, eCommerce, healthcare, and travel, and is described as genuinely startup-friendly. Exact rates are quote-based, though package structures and included features are publicly available.
Pros
- One of the widest language footprints available: 60+ languages with human agents, 30+ with AI voice
- Strong security and compliance credentials including HIPAA
- Custom AI solutions built to match your brand's tone
- 24/7 coverage across time zones
Cons
- Exact rates are quote-based, which makes cost comparison harder upfront
- Primarily positioned as a support outsourcing partner, so structured outbound campaign management may be less turnkey than a managed campaign service
- Healthcare is one vertical among many; insurance-specific campaign design is not the core focus
Best for: Health insurance brokerages and insurtech platforms that need very broad language coverage with HIPAA-compliant operations and a blend of human agents and AI voice support.
#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 brokerage or multi-state insurance agency, 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 brokerages, the outbound call center capability is the most relevant piece: large operators running regionally coordinated renewal outreach, appointment reminders, member communications, or open enrollment 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 sheer size makes it a benchmark in global outsourcing. 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 across 170+ countries
- Strong scalability for enterprise organizations with high volumes
Cons
- Pricing geared to mid-market and enterprise budgets
- Onboarding can get complex
- Service quality may vary between regions given the footprint, and availability may depend on language, location, channel, or required headcount
Best for: Large insurance enterprises and multi-state brokerage networks that need a single partner covering many languages and regions.
#5 EHVA — Contact for pricing
EHVA is a conversational voice AI platform built specifically for insurance operations. According to its website, EHVA's leadership spent years designing insurance call flows, intake scripts, quoting conversations, and objection handling before layering in conversational AI, and that background shows in its insurance-specific use cases. For health insurance brokerages, the most relevant capabilities are outbound: EHVA runs high-volume outbound calling campaigns for lead qualification and appointment setting, working purchased lead lists, aged leads, or web inquiries, and when a prospect doesn't answer, it can leave a personalized voicemail and follow up automatically with SMS or email. It also handles scheduled outbound campaigns to your existing book of business for payment reminders, renewal notices, policy review outreach, and lapse prevention, escalating to an agent when a customer has a concern or wants a coverage change. EHVA reports handling 12,000 inbound calls per day for State Farm agents across the U.S. and cites a 5-day average time to go live. Note that it's a platform you operate and configure rather than a managed campaign service, so you'll need staff to own scripts, campaigns, and compliance monitoring.
Pros
- Built specifically for insurance: intake, quoting, renewals, and outbound prospecting are core use cases
- Handles both outbound campaigns and inbound answering in one platform
- Fast deployment, with a reported 5-day average time to go live
- Escalation paths to licensed closers and callback scheduling built in
Cons
- A platform you run yourself, not a managed campaign service, so it requires internal ownership of scripts and compliance
- Pricing is not published
- Multi-language outbound is not the platform's advertised focus; insurance call flows in English are its documented strength
Best for: Insurance agencies and brokerages that want a self-operated insurance-specialized voice AI platform for high-volume outbound prospecting, reminders, and renewal outreach.
The right multi-language outbound partner for your brokerage depends on what you're actually trying to accomplish. If you want campaigns run for you, with consent checks before a single call goes out, AI disclosure on every call, and disposition data routed back into your CRM, My AI Call Center is the clearest fit: managed multi-language campaigns (Spanish most common) for renewals, speed-to-lead follow-up, reminders, and win-backs, starting at 9¢ per connected minute with the rate locked for the campaign. If you want human native-speaking agents and performance-based pricing, ganira is worth a conversation. If you need 60+ or even 400+ languages, SupportYourApp and Teleperformance cover the widest ground. And if you'd rather operate the technology yourself, EHVA's insurance-specialized voice AI handles outbound prospecting and renewal outreach. Whichever you choose, ask two questions before signing: who verifies consent on the list, and what exactly gets reported when the campaign ends. Ready to scope a multi-language campaign for your book of business? The first campaign review at My AI Call Center is free, and you'll know the full cost before approving launch. Reach the team at [email protected] or explore campaign types at myaicallcenter.app/campaigns.
Frequently asked questions
What makes My AI Call Center different from other outbound calling providers?
It's a managed service, not software. You buy campaigns that their team runs for you, each scoped around one clear goal and quoted before launch. Two things set it apart for health insurance brokerages. First, list discipline: campaigns run only against approved, permissioned, or reviewed contact lists, and list source and consent records are checked before any campaign launches. Bought lists without clear permission records are flagged and, in most cases, declined, and they tell you plainly if a list won't support the campaign before you spend anything. Second, honest reporting: they report what actually happened and never invent client logos, testimonials, metrics, or ratings. Pricing is transparent too, starting at 9¢ per connected minute with the rate locked for the campaign, and no per-seat charges or minimums you didn't choose.
Which languages can these providers cover for outbound campaigns?
It varies a lot by provider. My AI Call Center runs Multi-Language Outbound Campaigns with Spanish as the most commonly requested language. ganira offers native speakers across 10 global markets and lists 6 languages. SupportYourApp covers 60+ languages with human agents and 30+ languages with its AI voice agent. Teleperformance supports 400+ languages and dialects across 170+ countries. If your brokerage mainly serves English and Spanish speakers, most providers on this list will work; if you need coverage in a dozen or more languages, the larger multilingual outsourcing firms are the stronger fit.
How much do multi-language outbound campaigns cost?
My AI Call Center publishes its rate card: calling starts at 9¢ per connected minute, tiered by volume, with the rate agreed before launch and 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. ganira uses a performance-based model where you only pay when results happen, per their website. SupportYourApp, Teleperformance, and EHVA are all quote-based, so you'll need a scoping conversation for firm numbers. In every case, get the full campaign cost in writing before approving launch.
Are AI-generated voices compliant for outbound calls to insurance clients?
They can be, when handled correctly. My AI Call Center treats AI-generated voices as artificial voices under the TCPA, which means prior express consent is required before calling. The service also includes AI disclosure on every call (recipients can ask if the call is AI-assisted, request a human, or opt out), honors STOP and REVOKE keyword opt-outs immediately, respects DNC requests across all campaigns, and follows state-specific quiet hours and day restrictions. If you're evaluating other providers, ask specifically how they handle consent verification, AI disclosure, and DNC list management. Note that campaign requirements vary by location, industry, contact type, consent status, and technology, and clients are responsible for obtaining appropriate legal guidance before launch.
Which campaign types work best for health insurance brokerages?
The highest-ROI campaigns for brokerages are usually renewal and retention calls, run 30 to 60 days before the renewal date, since retention is cheaper than acquisition. Speed-to-lead follow-up is a close second: new leads called within minutes inside approved windows convert far better than leads called hours later. Appointment and event reminders, renewal quoting and upsell calls, win-back and reactivation calling for 12 to 24 month dormants, and database reactivation blitz campaigns (structured multi-touch across calls, texts, and emails over two to four weeks) round out the list. My AI Call Center offers all of these as structured campaign types, and running them in Spanish or another preferred language typically lifts response rates in multilingual markets.
Do I need bilingual staff to run multi-language outbound campaigns?
No, not if you work with a managed service or an AI-enabled provider. My AI Call Center runs the campaigns for you, so there's no bilingual hiring, no software to learn, and no platform bill. ganira provides native-speaking agents as part of its telesales teams. SupportYourApp pairs human agents in 60+ languages with an AI voice agent covering 30+ languages. The one caveat: if you choose a self-serve platform like EHVA, your internal team will own script configuration and campaign monitoring, though the AI itself handles the conversations.
How do outcomes from outbound campaigns get back into my CRM?
It depends on the provider, but the best ones route outcomes automatically. My AI Call Center connects to the CRM and scheduling tools you already run, with hot leads transferring to your team live or landing in your CRM. Every campaign ends with a named outcome report: disposition codes (confirmed, qualified, renewed, opted out, no answer), per-call notes, routed follow-up requests, a dispositioned contact list, outcome counts, a completion and coverage report, and opt-out and DNC logs. SupportYourApp offers omnichannel coverage via its own SupportCRM or third-party CRM integrations, and ganira uses an AI-driven CRM with real-time campaign visibility. Before signing with anyone, confirm the exact fields and dispositions that flow back into your system.