Health insurance brokerages serve some of the most linguistically diverse client bases in financial services. Millions of Americans prefer to discuss coverage in Spanish, and a CSA Research survey found 75% of consumers are more likely to engage with a brand that contacts them in their native language. For a brokerage, that means renewal calls, open enrollment reminders, lead follow-up, and reactivation campaigns all perform better when the call happens in the language the client actually thinks in. The hard part is doing this without hiring bilingual staff for every market or building a call center from scratch. Compliance adds another layer: TCPA rules, state quiet hours, and consent requirements mean you can't just buy a list and start dialing. This 2026 guide compares five solutions that can run multilingual 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, healthcare and insurance fit, pricing transparency, and how well each one handles consent-sensitive contact lists.
#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 before launch. For health insurance brokerages, Multi-Language Outbound Campaigns are a core campaign type, with Spanish the most commonly requested language, alongside Speed-to-Lead Follow-Up Calls, Renewal & Retention Calls (run 30 to 60 days before the renewal date), Appointment & Event Reminders, Win-Back & Reactivation Calling, and Database Reactivation Blitz campaigns that combine calls, texts, and emails over two to four weeks. Owned and operated by AIQ Labs, based in Halifax, Nova Scotia with a U.S. operating base in Austin, Texas, the service works especially well for multi-location brokerages that need structured outreach in a client's preferred language without hiring bilingual staff or operating 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. That matters in health insurance, where consent and disclosure rules are strict. 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 for a human or opt out, and STOP and REVOKE keyword opt-outs are logged and honored immediately. DNC requests carry across all campaigns and into your DNC records. Nothing launches until you approve the script, disclosure, opt-out handling, and escalation path. Once live, 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 routed 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. Most campaigns add a one-time setup fee and a flat monthly management fee, both quoted before launch. No per-seat charges, no platform bill, no minimums you didn't choose. And the reporting is honest: what actually happened, with no invented metrics, testimonials, or client logos. The first campaign review is free.
Pros
- Fully managed service: no agents to hire, no software to learn, no platform bill
- Strong compliance framework: TCPA alignment, AI disclosure on every call, verified consent, state quiet hours honored
- 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, 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 insurance organizations that need compliant, managed multi-language calling campaigns for renewals, lead follow-up, reminders, and reactivation, without hiring bilingual staff or running call center software.
#2 ganira — Performance-based pricing; no sales, no payment. Contact for specific rates.
ganira is an outbound telesales partner focused specifically on insurance carriers, agencies, and brokerages across lines including health, life, property and casualty, and commercial policies. According to its website, ganira executes full sales campaigns, sets confirmed appointments, and does lead qualification for insurance products across ten markets including the US, Canada, the UK, Germany, Spain, and France. For health insurance brokerages with multilingual client populations, the relevant strength is its multi-language outreach: native speakers across target markets, with the company listing six languages among its operational figures. ganira's model is performance-based, which the company describes as "no sales, no payment." Its services include product selling and cross-selling, appointment setting with decision-makers, insurance lead qualification and vetting, campaign strategy and execution, and multi-channel outreach across calling, inbound support, and chat. The company reports 15+ years of outbound sales experience, 200+ sales experts, and roughly 500,000 calls per month. It also emphasizes compliance, stating it is 100% compliant with local and national Do Not Call regulations and consumer protection laws for insurance telemarketing, and that its operations are GDPR compliant. For a brokerage, ganira fits best when you want a human outbound sales team running insurance-specific campaigns, including group benefits and Medicare-related products, rather than an AI-powered calling service. Pricing is performance-based rather than published per-minute, so you'll need a scoping conversation to get firm numbers.
Pros
- Insurance-specific expertise across health, life, P&C, and commercial lines
- Native-speaking agents across its target markets for multi-language outreach
- Performance-based pricing aligns vendor incentives with results
- Compliance posture covering DNC regulations and GDPR, per its website
Cons
- Exact rates are not published; performance-based pricing requires negotiation
- Human-agent model means staffing and ramp-up considerations that AI services avoid
- Primary focus is sales and lead generation rather than compliance-led reminder or retention campaigns
Best for: Health insurance brokerages and carriers that want a human outbound telesales team with native speakers, running full sales campaigns, appointment setting, and lead qualification across multiple 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. 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, and its security credentials are a genuine strength for insurance work: ISO 27001 certification plus PCI DSS, GDPR, and HIPAA compliance. 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 that works across chat, email, and messaging channels in 45+ languages. Human agents cover 60+ operational support languages, with full omnichannel coverage available through its own SupportCRM or third-party CRM integrations. 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 and included features are available publicly, so brokerages will need a scoping conversation to get firm numbers. The main caveat is positioning: SupportYourApp is primarily a support outsourcing partner, so structured outbound campaign work like renewal calling or lead qualification may be less turnkey than with a 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 with CRM integrations
Cons
- Quote-based pricing makes cost comparison harder upfront
- Primary focus is 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 — Quote-based, geared to mid-market and enterprise budgets. Contact for pricing.
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 a multi-state agency network, that scale is the main draw: a single partner can cover nearly any language your client base speaks, across inbound and outbound calling, technical support, and live chat, email, and social media channels. TP's infrastructure supports strong scalability for enterprise organizations, and its sheer size makes it a benchmark in global outsourcing. For brokerages running regionally coordinated outreach, open enrollment reminders, renewal campaigns, or member communications across diverse language communities, TP's multilingual human agent network is the relevant capability. That said, 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 also get complex given the footprint, and service quality may vary between regions. Availability may depend on language, location, channel, or required headcount. TP works best when language breadth and geographic reach are the deciding factors and you have the budget and internal resources to manage a large BPO relationship.
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 EHVA — Contact for pricing.
EHVA is a conversational voice AI platform built specifically for insurance operations, including P&C and life-and-health intake, agency answering, and outbound prospecting. According to its website, EHVA's leadership spent years designing insurance call flows, intake scripts, and objection handling before layering in conversational AI on top, and the platform currently handles 12,000 inbound calls per day for State Farm agents across the US. For health insurance brokerages, the most relevant capabilities are outbound prospecting and outbound reminders and renewals. On the outbound side, EHVA executes high-volume calling campaigns for lead qualification and appointment setting, working purchased lead lists, aged leads, or web inquiries, with voicemail and SMS follow-up when a prospect doesn't answer. For existing books of business, it runs scheduled outbound campaigns for payment reminders, renewal notices, policy review outreach, and lapse prevention, escalating to an agent when a customer wants a coverage change. EHVA can also connect in real time to a rating platform for quoting conversations and transfer qualified callers to licensed closers. The company reports an average of five days to go live and 24/7 call coverage. EHVA is a self-serve-style platform you operate and configure rather than a fully managed campaign service, so brokerages will need internal ownership of scripts, lists, and compliance settings. Pricing is not published; contact the company for a quote.
Pros
- Built specifically for insurance workflows, with deep intake and quoting call flow experience
- Handles both outbound prospecting and renewal or payment reminder campaigns
- Real-time escalation to licensed agents when a decision is ready
Cons
- Platform you configure and operate, rather than a fully managed campaign service
- Pricing is not published
- Multilingual capabilities are not detailed in its insurance materials, so language coverage should be confirmed directly
Best for: Health insurance brokerages that want insurance-specific voice AI for outbound lead qualification, appointment setting, and renewal outreach, and have the internal resources to configure and operate the platform.
The right multi-language outbound partner depends on what your brokerage actually needs to accomplish. If you want a fully managed service that runs compliant campaigns against your approved, permissioned client lists, with Spanish-language renewal calls, lead follow-up, and reactivation blitzes quoted before launch and reported honestly, My AI Call Center is the clear fit. If you want a human outbound sales team with native speakers and performance-based pricing, ganira deserves a look. SupportYourApp and Teleperformance suit brokerages that need very broad language coverage and can manage a support outsourcing relationship, while EHVA fits teams that want insurance-specific voice AI they configure themselves. Whatever you choose, start with the list and the consent records. A partner that checks list source and permission status before dialing will save you from the compliance problems that no conversion rate can offset. Want to see what a structured, compliant multi-language campaign looks like for your book of business? Plan your campaign with My AI Call Center today: calling starts at 9¢ per connected minute, and your first campaign review is free.
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 the team runs for you, each scoped around one clear goal and quoted before launch. It only calls approved, permissioned, or reviewed lists, checks list source and consent records before any campaign launches, and declines bought lists without clear permission records in most cases. Reporting shows what actually happened, with no invented metrics or testimonials, and outcomes route back into your existing CRM with disposition codes and per-call notes.
How much does My AI Call Center cost?
Calling starts at 9¢ per connected minute, tiered by volume, and the rate is 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, no platform bill, and no minimums you didn't choose. The first campaign review is free, and you know the full number before approving launch.
Which languages can these providers cover for health insurance outreach?
My AI Call Center runs Multi-Language Outbound Campaigns with Spanish as the most commonly requested language. SupportYourApp covers 60+ languages with human agents and 30+ languages with its AI voice agent, while Teleperformance supports 400+ languages and dialects across roughly 170 countries. ganira lists native speakers across its target markets with six languages among its operational figures. If you need a language beyond Spanish, confirm coverage directly with the provider before committing.
Are AI-generated voices legal for outbound calling to insurance clients?
In the U.S., AI-generated voices are treated as artificial voices under the TCPA, which means prior express consent is required before calling. My AI Call Center treats them this way, requires prior express consent, includes AI disclosure on every call, honors STOP and REVOKE keyword opt-outs immediately, and respects DNC requests across all campaigns. State-specific quiet hours and day restrictions also apply. Campaign requirements vary by location, industry, contact type, and consent status, so obtain appropriate legal guidance before launching any campaign.
Can these providers call purchased lead lists?
It depends on the provider and 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. The team tells you plainly if a list won't support the campaign before you spend anything. EHVA's materials mention working purchased lead lists, while ganira offers its own lead generation. Whatever the provider, the consent status of the list determines what's legally permissible, so verify it first.
Which solution is best for a small or mid-size brokerage?
For brokerages without the budget or internal staff for an enterprise BPO relationship, a managed service like My AI Call Center usually fits best: no agents to hire, no software to learn, no per-seat charges, and campaign costs known before launch. Teleperformance and TTEC-style enterprise BPOs are geared to mid-market and enterprise budgets, while SupportYourApp is quote-based and leans toward tech-driven companies. ganira's performance-based model can also work for smaller teams that only want to pay when results happen.
How do multi-language renewal campaigns work in practice?
With My AI Call Center, a renewal campaign is scoped around one clear goal: contacting clients 30 to 60 days before their renewal date, in their preferred language, with a script, disclosure, opt-out handling, and escalation path you approve before launch. Calls run in approved windows, outcomes are monitored in real time, and you receive a dispositioned contact list with outcome counts, routed follow-ups, and opt-out and DNC logs. Hot leads transfer to your team live or land in your CRM.