Health insurance brokerages serve some of the most linguistically diverse client bases in financial services. If you're quoting ACA plans, Medicare Advantage, or group coverage, part of your book almost certainly prefers Spanish, and outreach sent only in English quietly loses those households. 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 roughly 40% won't engage at all with content in another language. The problem is staffing. Bilingual agents are expensive, hard to retain, and impossible to scale across every market you serve, especially with contact center turnover running as high as 60% a year. Multi-language outbound campaigns solve this by letting you run reminders, renewal calls, lead qualification, and reactivation outreach in the languages your clients actually speak. This 2026 guide compares five options, from managed AI calling services to global BPO firms, so you can match the right provider to your consent-sensitive lists, regulated calling windows, and compliance obligations under TCPA, HIPAA, and CMS rules.
#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 common language requested. 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. 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 calls, appointment reminders, lead qualification, win-back campaigns, and open enrollment follow-ups delivered in the client's preferred language, without hiring bilingual staff or running call center software. What sets My AI Call Center apart is list discipline. Campaigns run only against approved, permissioned, or reviewed contact lists, never indiscriminate cold calling. 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. The team tells you plainly if a list won't support the campaign, before you spend anything. For a regulated vertical like health insurance, that matters. AI-generated voices are treated as artificial voices under the TCPA, with prior express consent required. AI disclosure appears on every call, recipients can ask if the call is AI-assisted, request a human, or opt out, and keyword opt-outs (STOP and REVOKE) are logged and honored immediately. DNC requests carry across all campaigns and into your DNC records, state-specific quiet hours are honored, and HIPAA-compliant communication standards apply on clinic pages. Outcomes route back into the CRM and scheduling tools you already run, with disposition codes (confirmed, qualified, renewed, opted out, no answer), per-call notes, and follow-up requests sent to your team. Hot leads transfer live or land in your CRM. Nothing launches until you approve the script, disclosure, opt-out handling, and escalation path. Reporting is honest: no invented metrics, testimonials, or client logos, and you get a completion and coverage report plus opt-out and DNC logs.
Pros
- Fully managed service: no agents to hire, no software to learn, no platform bill
- Consent review and TCPA-aligned compliance built in, including AI disclosure on every call
- Transparent, locked pricing with the full campaign cost known before launch
- Outcomes route directly into existing CRM and scheduling tools with actionable disposition data
- Honest reporting with no invented metrics or testimonials
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 insurance organizations that need compliant, managed multi-language calling campaigns (renewals, reminders, lead qualification, win-backs) without hiring bilingual staff or building a call center.
#2 ganira — Contact for pricing (performance-based model)
ganira is a dedicated outbound telesales partner for insurance carriers, agencies, and brokerages, with 15+ years of experience that includes telemarketing for insurance providers. According to their website, they handle full product sales campaigns, appointment setting, and lead qualification for health insurance (individual, group, and Medicare), life, P&C, and commercial lines. For brokerages, the relevant services are lead qualification and vetting, appointment setting with decision-makers such as HR directors and CFOs for group benefits, and renewal-style policy review outreach. Their agents are trained on policy riders, underwriting guidelines, and regulatory requirements, which shortens onboarding for insurance-specific campaigns. Multi-language outreach is a stated strength: ganira cites native speakers across all your target markets, operating across 10 markets including the US, Canada, Spain, France, Germany, and the UK, with 6 languages supported. Their model is performance-based: no sales, no payment, which aligns their incentives with your results. They also run an AI-driven CRM with real-time quality assurance, call recording, sentiment analysis, and automated compliance checks, and they state 100% compliance with local and national Do Not Call regulations. Pricing is quote-based, so you'll need a scoping conversation for firm numbers.
Pros
- Insurance-specialized agents who understand underwriting and regulatory nuances
- Performance-based pricing aligns cost with results
- Multi-language outreach with native speakers across 10 markets
- Real-time quality assurance and compliance monitoring
Cons
- Quote-based pricing makes upfront budgeting harder
- Human-agent model means staffing constraints that AI-managed services avoid
- Scale figures (500k calls per month) are self-reported on their site
Best for: Insurance brokerages and carriers that want a human-led outbound telesales partner with insurance-specific training and performance-based pricing across multilingual markets.
#3 SupportYourApp — Contact for pricing (quote-based; package structures 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 leans toward tech-driven businesses but lists healthcare among its target industries, which matters for brokerages handling sensitive client health information. Its AI tooling includes SupportVoice, an AI voice agent that handles routine inbound and outbound calls in 30+ languages, and SupportResponse, an autonomous AI agent working across chat, email, and messaging 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. A published case study with airport shuttle service Flibco describes a 24/7 English and French team that scaled with demand, resulting in faster response times and improved CSAT scores. Exact rates are quote-based, though package structures are publicly available.
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: Health insurance brokerages that want very broad language coverage and 24/7 multilingual support across voice, chat, and email with strong security 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 brokerage network or a multi-state insurance group, that scale is the main draw: a single partner can cover nearly any language your clients 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 outreach, renewal reminders, member communications, or enrollment-season 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. 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 brokerage networks and multi-state insurance operators 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 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, which is useful if you're coordinating open enrollment pushes, retention outreach, and win-back programs across multiple markets and languages. Pricing is aimed at mid-market and enterprise clients, which may put it out of reach for smaller brokerages. Brokerages that want a partner to help design and operate a broader multilingual 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 brokerage groups that want a consulting-led partner to design and run a broader multilingual client engagement operation.
Choosing the right multi-language outbound campaign partner comes down to the shape of your brokerage. If you want campaigns run for you, with consent checks before anything launches, AI disclosure on every call, and the full cost quoted up front, My AI Call Center is the strongest fit. Calling starts at 9¢ per connected minute, tiered by volume, with the rate locked for the campaign. There's no per-seat charge and no platform bill, and the first campaign review is free. If you want human-led insurance telesales with performance-based pricing, ganira deserves a look. If you need maximum language breadth, Teleperformance and SupportYourApp cover far more languages, at enterprise and mid-market budgets respectively. Whatever you pick, ask three questions before signing: how does the provider verify consent on your lists, how are opt-outs and DNC requests handled, and what exactly gets reported when the campaign ends. A provider that answers those plainly is one you can trust with your client relationships. Ready to plan your first multi-language campaign? Start with a free campaign review at myaicallcenter.app and see what a structured, consent-checked outbound campaign can do for your book of business.
Frequently asked questions
What makes My AI Call Center different from other outbound calling providers?
My AI Call Center is a managed service, not software. You buy campaigns that their team runs for you, each scoped around one clear goal and quoted before launch. The biggest differentiator is list discipline: campaigns run only against approved, permissioned, or reviewed contact lists, and bought lists without clear permission records are usually declined outright. You're told plainly if a list won't support the campaign before you spend anything. Compliance is built in (TCPA treatment of AI voices, AI disclosure on every call, state quiet hours, immediate opt-out handling), and reporting contains no invented metrics or testimonials. Pricing is transparent too: calling starts at 9¢ per connected minute, tiered by volume, with the rate locked for the campaign.
Which languages can health insurance brokerages run outbound campaigns in?
Spanish is by far the most common request for U.S. health insurance brokerages, and it's the most common language for My AI Call Center's Multi-Language Outbound Campaigns. Brokers serving broader markets have options: SupportYourApp covers 60+ languages with human agents and 30+ with its AI voice agent, Teleperformance supports 400+ languages and dialects across 170+ countries, TTEC covers 50+ languages, and ganira offers native speakers across 10 markets. If your book is primarily Spanish-speaking households, you don't need the widest language list; you need consistent, compliant delivery in the one or two languages your clients actually use.
What compliance issues should brokerages worry about with outbound calling?
Three layers matter. First, the TCPA: AI-generated voices are treated as artificial voices, so prior express consent is required, and state-specific quiet hours and calling-day restrictions must be honored. Second, health-specific rules: HIPAA applies when you're handling protected health information, and CMS rules govern Medicare-related marketing, including documented consent before using a consumer's information to quote Marketplace coverage. Third, DNC hygiene: opt-outs need to be logged, honored immediately, and carried across all your campaigns. A 2026 guide from InsureLeads notes that under FCC TCPA rules, a telemarketing call to a cell phone with an autodialer or prerecorded voice needs prior express written consent, which a website form can capture. Ask any provider how they document consent per lead before you sign.
How much do multi-language outbound campaigns cost?
It depends on the model. My AI Call Center publishes its rate: calling starts at 9¢ per connected minute, tiered by volume, with a one-time campaign setup and a flat monthly management fee both quoted before launch, and no per-seat charges. Human-led agencies typically run higher: Belkins starts engagements around $5,500 per month, and CIENCE publishes managed SDR from $5,600 per month, though those are B2B generalists rather than multi-language insurance specialists. The big BPOs (Teleperformance, TTEC) and outsourcers like SupportYourApp price on quote, geared to mid-market and enterprise budgets. ganira uses a performance-based model where you only pay when results happen. Always get the full campaign cost in writing before launch.
Should a brokerage use AI calling or human bilingual agents?
It depends on the call. For structured, repeatable outreach (renewal reminders, appointment confirmations, lead qualification, win-back campaigns), managed AI calling is far cheaper per contact and scales without hiring. For complex consultative sales where a prospect is deciding between plans, humans still close better, which is why ganira's human-led insurance telesales model exists. Many brokerages use both: AI-managed campaigns handle the high-volume confirmation and qualification work, and licensed human agents take the transferred hot leads. My AI Call Center supports this hybrid directly, with hot leads transferring to your team live or landing in your CRM with disposition codes and per-call notes.
Can I run outbound campaigns on purchased lead lists?
It depends on the consent records attached to the list. My AI Call Center checks list source and consent records before any campaign launches, and bought lists without clear permission records are flagged and, in most cases, declined. That's a feature, not an obstacle: TCPA fines run from $500 per violation up to $1,500 for willful violations, and calling a list you can't document consent for puts your brokerage at risk. Some lead vendors do capture proper consent at the source; InsureLeads, for example, notes that a website form can capture the prior express written consent the FCC requires. The safe rule: if a provider can't show you where consent was captured for each contact, don't call that list.
What results can brokerages expect from multi-language outreach?
The engagement case is well documented. 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 about 40% won't engage at all with content in another language. On the operational side, HIMSS reports telephone reminders reduced missed appointments by as much as 22%. For brokerages specifically, the gains show up in renewal retention, appointment show rates, and enrollment-season conversion among households that English-only outreach was quietly losing. Be skeptical of any provider promising specific close rates before seeing your lists and scripts; honest providers quote the campaign, run it, and report what actually happened.