Health insurance brokerages live and die by outreach. Renewal reminders, open enrollment nudges, lead qualification, and win-back calls all depend on reaching people quickly and clearly. But if your book of business includes Spanish-speaking households, and a growing number of brokerages report that it does, English-only calling quietly cuts your reachable market. The numbers back this 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 roughly 40% won't engage at all with content in another language. For a brokerage, that means missed renewals, cold leads that never warm up, and clients who drift to a competitor who called them in the language they prefer. The catch is that hiring bilingual agents for every campaign is expensive, and most brokerages don't want to run a call center. This 2026 guide compares five solutions that can run structured, multi-language outbound campaigns for health insurance brokerages, from managed AI calling services to global outsourcing partners. We looked at language coverage, compliance posture, pricing transparency, and how well each fits the day-to-day reality of broker outreach: permissioned client lists, regulated calling windows, and reporting your team can actually act on.
#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 the 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 reminders, lead qualification calls, open enrollment follow-ups, and win-back outreach delivered in the client's preferred language, without hiring bilingual staff or running call center software. What sets it apart for brokerages is list discipline and compliance-forward design. 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. AI-generated voices are treated as artificial voices under the TCPA with prior express consent required; AI disclosure appears on every call; STOP and REVOKE keyword opt-outs are honored immediately; and DNC requests carry across all campaigns into client DNC records. 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. Hot leads transfer to your team live or land in your CRM. Pricing is transparent: calling starts at 9¢ per connected minute, tiered by volume, with the rate locked for the campaign, plus a one-time setup fee and flat monthly management fee, both quoted before launch. No per-seat charges, no platform bill, and no invented numbers in reporting. The first campaign review is free.
Pros
- Fully managed service: no agents to hire, no software to learn, no platform bill
- Strong compliance framework: AI disclosure, verified consent, state quiet hours, and DNC records carried across campaigns
- Transparent, locked pricing with the full campaign cost known before approving launch
- Outcomes route directly into existing CRM and scheduling tools with actionable disposition data
- Honest reporting with no invented metrics, testimonials, 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 and multi-location organizations that need compliant, managed multi-language calling campaigns for renewals, lead qualification, and reactivation without hiring bilingual agents or buying call center software.
#2 ganira — Performance-based; contact for pricing. You only pay when results happen, per the company's website.
ganira is a specialized outbound telesales partner for insurance carriers, agencies, and brokerages, with 15+ years of experience in the sector according to its website. It runs full product sales campaigns, appointment setting, and lead qualification for life, health, P&C, and commercial insurance products, so it is one of the few providers on this list built specifically around insurance sales workflows rather than general customer support. For a health insurance brokerage, that industry focus matters: agents are trained on policy types, underwriting requirements, and the difference between group benefits and individual plans. Multi-language outreach is a stated strength. ganira operates across 10 global markets (including the US, Canada, UK, Germany, France, Spain, and others) with native speakers across target markets and support in 6 languages, per its website. Its technology stack includes an AI-driven CRM with lead scoring and predictive analytics, real-time quality assurance with call recording and sentiment analysis, and dynamic AI-powered scripts that adapt based on prospect responses. The company states it is 100% compliant with local and national Do Not Call regulations and consumer protection laws for insurance telemarketing, and 100% GDPR compliant. Pricing follows a performance-based model: you only pay when results happen, with no sales meaning no payment. That aligns incentives with a brokerage's outcomes, though exact rates require a scoping conversation. ganira reports 500k calls per month, 150k sales per annum, and 200+ sales experts across its operation.
Pros
- Deep insurance industry specialization, including health insurance products and regulatory nuances
- Performance-based pricing aligns cost with results
- Multi-language native-speaker coverage across 10 markets
- Real-time campaign visibility and AI-driven reporting
Cons
- Exact rates are not published, so budgeting requires a sales conversation
- Sales-led model is geared toward selling campaigns rather than structured reminder or confirmation calls
- Publicly advertised language count (6) is narrower than some global BPO alternatives
Best for: Insurance carriers, agencies, and brokerages that want a sales-focused outbound partner with insurance-specific agent training and multi-market language coverage.
#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 a brokerage that needs 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 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. That integration flexibility matters if your brokerage already runs a CRM and wants call outcomes routed back into it. Security credentials are a genuine strength. SupportYourApp holds ISO 27001 certification and maintains PCI DSS, GDPR, and HIPAA compliance, according to its website, which is meaningful for any organization touching health-related client data. The company describes itself as startup-friendly and offers custom support solutions matched to your organization. Exact rates are quote-based, although package structures and included features are available publicly, so you will need a scoping conversation to get firm numbers. For brokerages, the trade-off is that its core positioning is customer support outsourcing, so structured outbound campaign management is less turnkey than a dedicated managed campaign service.
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 and flexible CRM integrations
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.
#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 use cases, the outbound call center capability is the most relevant piece. Large operators running regionally coordinated outreach, renewal reminders, client 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 sheer size makes it a benchmark in global outsourcing; if your brokerage operates across several states or countries and needs consistent delivery in many languages, TP can consolidate that under one contract. The trade-offs are practical. 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 size of the organization, and service quality may vary between regions given the footprint. Availability may also depend on language, location, channel, or required headcount. For a brokerage running one or two structured campaigns a season, a smaller managed provider will usually be simpler and faster to launch.
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 or multinational 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 rather than one-off campaigns, 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 a brokerage design outreach programs that go beyond a single renewal push. If you want a partner to help design and operate a broader multilingual client engagement operation, say, coordinated renewal reminders, satisfaction surveys, and retention calls across several language communities, TTEC's consulting-led model is worth exploring. Its analytics and AI tooling also support program measurement over time, which suits brokerages that treat client outreach as an ongoing function rather than a seasonal burst. Pricing is aimed at mid-market and enterprise clients, which may put it out of reach for smaller independent brokerages. Like Teleperformance, it is best viewed as a long-term engagement partner rather than a quick-launch campaign service. If your need is a single structured multi-language campaign quoted and launched within weeks, a managed campaign provider will typically move faster. If your need is a durable, measurable multilingual client engagement program with strategic input, TTEC has the depth to support it.
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 is slower to launch than managed campaign services
- Overkill for brokerages running one or two seasonal campaigns
Best for: Mid-market and enterprise brokerages that want a consulting-led partner to design and operate a broader multilingual client engagement program.
Multi-language outbound campaigns are no longer a nice-to-have for health insurance brokerages. With 75% of consumers more likely to engage when contacted in their native language (CSA Research) and telephone reminders shown to cut missed appointments by as much as 22% (HIMSS), the brokerages that call clients in the language they prefer will keep more renewals, qualify more leads, and reactivate more dormant books than those that don't. The right partner depends on your scale and workflow. If you want structured, compliant campaigns run for you against permissioned lists, with the full cost quoted before launch and outcomes routed straight into your CRM, My AI Call Center is the clear fit. If you want insurance-specific sales campaigns with performance-based pricing, ganira deserves a look. For very broad language coverage with strong security credentials, consider SupportYourApp, Teleperformance, or TTEC. Whichever you choose, ask the same questions upfront: what consent records do you check, what disclosure appears on each call, and what disposition data do I get back? A partner who answers those plainly is a partner you can build on. Start with a free campaign review at My AI Call Center and find out what your list can actually support before you spend anything.
Frequently asked questions
Why do multi-language outbound campaigns matter for health insurance brokerages?
Language determines whether your calls get answered and acted on. CSA Research found 75% of consumers are more likely to engage with a brand contacted in their native language, and about 40% won't engage at all with content in another language. For a brokerage, that gap shows up as ignored renewal reminders, unqualified leads, and clients who quietly move to a competitor. Calling in the client's preferred language is one of the most direct conversion levers you have.
What makes My AI Call Center different from the other providers on this list?
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. Its list discipline is a real differentiator. Campaigns run only against approved, permissioned, or reviewed contact lists, and consent records are checked before launch. Bought lists without clear permission records are flagged and usually declined. Pricing is transparent and locked: calling starts at 9¢ per connected minute, with setup and management fees quoted upfront. Reporting reflects what actually happened, with no invented metrics.
How does TCPA compliance work with AI-generated voices?
AI-generated voices are treated as artificial voices under the TCPA, which means prior express consent is required before calls are placed. My AI Call Center treats this as a baseline: it verifies list source and consent records before any campaign launches, 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, and carries DNC requests across all campaigns into client DNC records. Campaign requirements vary by location and contact type, so clients are responsible for obtaining appropriate legal guidance before launch.
Which languages can these providers cover?
Coverage varies widely. My AI Call Center offers Multi-Language Outbound Campaigns with Spanish as the most commonly requested language. SupportYourApp covers 60+ languages with human agents, plus AI voice support in 30+ languages. Teleperformance supports 400+ languages and dialects across roughly 170 countries, and TTEC covers 50+ languages. ganira supports 6 languages across 10 global markets with native speakers. Match the language list to your actual book of business rather than paying for coverage you won't use.
How much do multi-language outbound campaigns cost?
My AI Call Center publishes its rates: calling starts at 9¢ per connected minute, tiered by volume, with most campaigns adding a one-time setup fee and a flat monthly management fee, both quoted before launch. The first campaign review is free. ganira uses performance-based pricing where you pay only on results, with rates set during scoping. SupportYourApp, Teleperformance, and TTEC are all quote-based, and Teleperformance and TTEC are geared toward mid-market and enterprise budgets.
Can these services call leads my brokerage bought from a lead vendor?
It depends on the consent records behind those leads. My AI Call Center reviews list source and consent documentation 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 will not support the campaign before you spend anything. This matters especially for health insurance outreach, where TCPA consent requirements for prerecorded or AI-generated calls are strict. Providers like ganira and Teleperformance will also work from lists you supply, but you should confirm their consent verification process during scoping.
What campaign types are most useful for a health insurance brokerage?
The highest-value campaigns are renewal and retention calls timed 30-60 days before the renewal date, lead qualification and speed-to-lead follow-up on new inquiries, win-back and reactivation calls for clients dormant 12-24 months, and appointment or open enrollment reminders. My AI Call Center offers all of these as structured campaign types, including multi-language variants, and routes outcomes back to your CRM with disposition codes and follow-up requests so your agents only work the hottest contacts.