If you run a health insurance brokerage, you already know that your book of business doesn't speak one language. Spanish is the most obvious gap, but depending on your market you may have members and prospects who prefer Mandarin, Vietnamese, Tagalog, Portuguese, or Arabic. Research from CSA Research found that 75% of consumers are more likely to engage with a brand that contacts them in their native language, and 40% won't engage at all with content in another language. For a brokerage, that gap shows up in three places: renewal calls that don't connect, appointment reminders that get ignored, and leads that go cold because the first follow-up call landed in the wrong language. The good news in 2026 is that you don't have to hire bilingual staff for every market you serve. This 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 day-to-day 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 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. That sits alongside Speed-to-Lead Follow-Up Calls (new leads called within minutes inside approved windows), Renewal and Retention Calls (run 30 to 60 days before the renewal date), Appointment and Event Reminders, Surveys and Feedback, and Database Reactivation Blitz campaigns that combine calls, texts, and emails over two to four weeks. Owned and operated by AIQ Labs, the company is based in Halifax, Nova Scotia with a U.S. operating base in Austin, Texas. What sets My AI Call Center apart 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. For brokerages handling sensitive member data, the compliance framework 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 for a human or opt out, keyword opt-outs (STOP and REVOKE) are honored immediately, and DNC requests carry across all campaigns. HIPAA-compliant communication standards apply for health settings. 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 cents 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 no invented numbers in reporting. The first campaign review is free, and the full cost is known before you approve launch.
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: 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 database reactivation, without hiring bilingual staff or running call center software.
#2 ganira — Performance-based pricing model; no sales, no payment. Exact rates are quote-based, so contact ganira for specifics.
ganira is an outbound telesales partner focused specifically on insurance, with 15+ years of experience in telemarketing for insurance providers. According to its website, the company runs full sales campaigns, appointment setting, and lead qualification for insurance carriers, agencies, and brokerages across life, health, property and casualty, and commercial lines, including individual, group, and Medicare health products. For brokerages that need multilingual outreach, ganira lists multi-language outreach with native speakers across target markets as one of its stated differentiators, and reports operating in 10 global markets including the United States, Canada, the United Kingdom, Germany, Spain, France, and Portugal, with support across six languages. The model is performance-based: according to ganira, you only pay when results happen, described as "no sales, no payment." Its agents handle the full sales cycle from initial pitch to application submission, qualify prospects before they reach your sales team, and set confirmed appointments with decision-makers such as HR directors and CFOs for group benefits discussions. The company also emphasizes compliance readiness, stating 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, call recording, sentiment analysis, and automated compliance checks. For brokerages that want a human telesales team with insurance-specific training rather than AI-driven calling, ganira is worth a look. Pricing follows the performance-based model, though exact rates are quote-based.
Pros
- Insurance-specific expertise: agents trained on policy types, underwriting requirements, and regulatory compliance
- Performance-based pricing aligns vendor incentives with your results
- Native-speaking agents across target markets
- Compliance-ready with Do Not Call regulations, per its website
Cons
- Quote-based pricing makes upfront cost comparison difficult
- Human telesales teams carry staffing and ramp-up constraints that AI-driven services don't
- Published figures like call volumes and sales counts come from the company's own marketing and aren't independently verified
Best for: Insurance brokerages and carriers that want a human outbound telesales team with insurance-specific training and native-speaking agents, and prefer to pay based on results rather than hourly rates.
#3 SupportYourApp — Contact for pricing. Exact rates are quote-based, though package structures and included features are publicly available.
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 with a diverse book of business, that language footprint is one of the widest on this list, and the company lists healthcare among its target industries alongside SaaS, fintech, eCommerce, and travel. Its security credentials are notable for insurance-adjacent outreach: SupportYourApp holds ISO 27001 certification and maintains PCI DSS, GDPR, and HIPAA compliance, according to its website, which matters when your calling lists contain member health information. Beyond voice, SupportResponse is an autonomous AI support agent that works across chat, email, and messaging channels in 45+ languages, and full omnichannel coverage is available via its own SupportCRM or third-party CRM integrations. AI agents are available 24/7 across time zones. The main caveat for brokerages is positioning: SupportYourApp is primarily a support outsourcing partner, so outbound campaign management is less turnkey than a dedicated managed campaign service. Exact rates are quote-based, though package structures and included features are available publicly.
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 CRM integrations
Cons
- Quote-based pricing makes cost comparison harder upfront
- Primarily positioned as a support outsourcing partner, so outbound campaign management is less turnkey
- Outbound calling scope is described as routine calls rather than structured, goal-scoped campaigns
Best for: Health insurance brokerages and insurtech platforms that need very broad language coverage (60+ languages) with HIPAA-compliant operations and a blend of human agents and AI voice support.
#4 EHVA — Contact for pricing.
EHVA is a conversational voice AI platform built specifically for insurance operations. Its founders spent years designing insurance call flows, intake scripts, and quoting conversations before layering in conversational AI, and that background shows in the depth of insurance-specific use cases the platform supports: intake and application flows across auto, home, life, and health lines, quoting with live API connections to rating systems, agency answering, and outbound work. According to its website, EHVA handles outbound prospecting at high volume for lead qualification and appointment setting, working purchased lead lists, aged leads, and web inquiries, with personalized voicemail and SMS follow-up when a prospect doesn't answer. For brokerages focused on retention, EHVA also runs scheduled outbound campaigns to an existing book of business: payment reminders, renewal notices, policy review outreach, and lapse prevention calls, with calls made at the days and times you configure and escalation to an agent when a customer wants to make a coverage change. The company reports handling 12,000 inbound calls per day for State Farm agents across the US and an average go-live time of 5 days, which speaks to real insurance deployment experience. The platform is insurance-first rather than healthcare-first, so if your brokerage needs CMS-specific Medicare compliance handling, you'll want to verify those capabilities directly. EHVA doesn't publish pricing, so contact the company for a quote.
Pros
- Built specifically for insurance, with deep experience in intake, quoting, and renewal call flows
- Handles both outbound prospecting and book-of-business retention campaigns
- Proven deployment scale, including daily call handling for State Farm agents, per its website
- Live transfer of qualified prospects to licensed agents
Cons
- It's a platform you configure and operate, not a fully managed campaign service
- Pricing isn't published
- Multilingual capabilities aren't detailed in its insurance materials, so language coverage needs verification
Best for: Insurance agencies and brokerages that want an insurance-specific voice AI platform for outbound prospecting, renewals, and payment reminders, with the technical team to configure and operate it.
#5 Teleperformance — Contact for pricing. Pricing is 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 a multi-state insurance group, that scale is the main draw: a single partner can cover nearly any language your members and prospects speak, across inbound and outbound calling, technical and help desk support, and live chat, email, and social media channels. If your book of business includes communities that speak languages well beyond Spanish, TP's language breadth is hard to match. The trade-off is fit and cost. Teleperformance's pricing is geared to mid-market and enterprise budgets and provided on a quote basis, so smaller brokerages may find the model out of reach. Onboarding can get complex, and service quality may vary between regions given the footprint, with availability sometimes depending on language, location, channel, or required headcount. For a large brokerage running coordinated multilingual renewal, retention, or outreach programs across many markets at once, those trade-offs are manageable. For a brokerage that just needs a structured Spanish-language renewal campaign against a permissioned list, a managed campaign service will usually be simpler and cheaper.
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 brokerages, carriers, and multi-state insurance groups that need a single outsourcing partner covering many languages and regions at once.
Choosing the right multi-language outbound partner comes down to three questions. What languages does your book of business actually need? What consent records back your contact lists? And do you want to run software or buy campaigns? If your brokerage serves a diverse membership and your lists are permissioned, a managed service like My AI Call Center gives you the cleanest path: one clear goal per campaign, the full cost quoted before launch, calling from 9 cents per connected minute with the rate locked, and outcomes routed back into the CRM you already run. If you need very wide language coverage, SupportYourApp or Teleperformance can cover dozens of languages, at the cost of a more traditional outsourcing engagement. If you want insurance-specific voice AI you operate yourself, EHVA fits, and if you want a human telesales team paid on performance, ganira is worth a call. Ready to plan your first multi-language campaign? Start with a free campaign review at myaicallcenter.app and find out whether your list will support the campaign before you spend anything.
Frequently asked questions
Why do health insurance brokerages need multi-language outbound campaigns?
Because your members and prospects don't all prefer English. A CSA Research survey of 8,709 consumers across 29 countries found that 75% are more likely to repurchase from a brand when outreach comes in their native language, and 40% won't engage at all with content in another language. For a brokerage, that gap shows up directly in renewal retention, appointment attendance, and lead conversion. Spanish is the most common need in most U.S. markets, but depending on your region, other languages matter too. Running renewal calls, reminders, and follow-ups in the recipient's preferred language is one of the cheapest ways to move those numbers.
What makes My AI Call Center different from other 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. The two biggest differentiators are list discipline and pricing transparency. Campaigns run only against approved, permissioned, or reviewed lists, and the team tells you plainly if a list won't support the campaign before you spend anything. Pricing starts at 9 cents 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. There are no per-seat charges, no platform bill, and no invented numbers in reporting. The first campaign review is free.
How much do multi-language outbound campaigns cost?
It varies widely by provider and model. My AI Call Center charges from 9 cents per connected minute, tiered by volume, with the rate locked for the campaign, plus a quoted setup and management fee. ganira uses a performance-based model where you pay when results happen. SupportYourApp, EHVA, and Teleperformance all price on a quote basis, with Teleperformance geared to mid-market and enterprise budgets. In every case, ask for the full campaign cost in writing before launch, including any minimums, and confirm what happens to the rate if your volume changes.
Are AI-generated voices compliant for outbound calls in insurance?
Under the TCPA, AI-generated voices are treated as artificial voices, which means prior express consent is required before calling. Beyond that, requirements vary by state, including quiet hours, day restrictions, and registration rules. My AI Call Center treats this seriously: consent records are checked before any campaign launches, AI disclosure appears on every call, recipients can ask for a human or opt out, keyword opt-outs (STOP and REVOKE) are honored immediately, and DNC requests carry across all campaigns. Regardless of which provider you choose, the practical rule is the same: only call lists with clear permission records, and get appropriate legal guidance for your specific situation before launch.
Can I use a purchased lead list for these campaigns?
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. That protects you from TCPA exposure, but it means you need lists you can document. EHVA, according to its website, works purchased lead lists, aged leads, and web inquiries for outbound prospecting. If you're buying lists, ask any provider exactly what consent documentation they require and who's responsible if a contact files a complaint. That question alone will tell you a lot about how they run campaigns.
How do I know which languages my brokerage actually needs?
Start with your own data, not assumptions. Look at the language preference fields in your CRM, the languages your member service team already handles informally, and the demographics of your service area. Spanish is the most commonly requested language for My AI Call Center's campaigns, which reflects where most U.S. brokerages see the gap. If your book includes communities speaking Mandarin, Vietnamese, Tagalog, Portuguese, or Arabic, a provider with broader coverage like SupportYourApp (60+ languages with human agents) or Teleperformance (400+ languages and dialects) may fit. If your need is concentrated in one or two languages, a managed campaign service will usually be simpler and cheaper.
What results should I expect from a multi-language renewal campaign?
Be wary of any provider that promises specific numbers before reviewing your list and consent records. A legitimate provider scopes the campaign first, quotes the full cost, and reports what actually happened. My AI Call Center's reporting model is a good benchmark: disposition-coded outcome reports (confirmed, qualified, renewed, opted out, no answer), per-call notes, routed follow-up requests, completion and coverage reports, and opt-out and DNC logs. That's the level of detail you should expect from anyone. If a vendor leads with big performance claims before they've seen your list, that's a signal to keep shopping.