If you run a health insurance brokerage, you already know your book of business doesn't speak one language. The U.S. Census Bureau counts roughly 25.7 million people with limited English proficiency, and a CSA Research survey of 8,709 consumers across 29 countries found 75% are more likely to buy again from a brand that contacts them in their native language. For a brokerage, that gap shows up in very specific places: renewal calls that go unanswered, open enrollment follow-ups that stall, and Spanish-speaking members who quietly lapse because the reminder arrived in the wrong language. Meanwhile, any outreach you run has to survive TCPA consent rules, state quiet hours, and CMS scrutiny during Annual Enrollment Periods. So the question isn't whether to run multi-language outbound campaigns. It's who should run them for you. This 2026 guide compares five options, from managed AI calling services to multilingual BPO firms and insurance-specific voice AI, so you can match a provider to your consent records, your calling windows, and your budget.
#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 that runs structured, AI-powered calling campaigns, including Multi-Language Outbound Campaigns, with Spanish the most commonly requested language. 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 and retention calls, speed-to-lead follow-ups, appointment reminders, and win-back campaigns delivered in a member's preferred language, without hiring bilingual staff or operating dialer software. What sets it 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. They tell you plainly if a list won't support the campaign, before you spend anything. That matters in health insurance, where consent documentation is everything. AI-generated voices are treated as artificial voices under the TCPA, with prior express consent required, AI disclosure on every call, STOP and REVOKE keyword opt-outs honored immediately, and DNC requests carried across all campaigns. HIPAA-compliant communication standards apply for healthcare 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¢ 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 reporting is honest: they report what actually happened, with no invented metrics, testimonials, or ratings.
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 retention, without hiring bilingual staff or running call center software.
#2 ganira — Performance-based; no sales, no payment. Contact for pricing.
ganira is an outbound telesales partner focused specifically on insurance carriers, agencies, and brokerages, with 15+ years of experience in telemarketing for insurance providers. According to its website, the company runs full product sales campaigns, appointment setting, and lead qualification for health insurance products including individual, group, and Medicare lines, across ten markets including the United States, Canada, the United Kingdom, Spain, and Portugal. For brokerages with multilingual member populations, its multi-language outreach with native speakers is the relevant capability. The model is performance-based: according to ganira, you only pay when results happen, with no sales meaning no payment. Its agents handle the entire sales cycle, from initial pitch to application submission, and campaigns are built around your insurance products and the regulatory requirements in your region. The company states it is 100% compliant with local and national Do Not Call regulations and consumer protection laws for insurance telemarketing. Its AI-driven CRM provides real-time campaign visibility, lead scoring, and automated compliance checks. For brokerages that want human callers rather than AI voices, and that operate in markets where performance-based pricing fits their economics, ganira offers a specialized alternative to the managed AI model.
Pros
- Insurance-specific expertise across health, life, and P&C lines
- Performance-based pricing aligns vendor incentives with your results
- Native-speaker multi-language outreach across ten markets
- Real-time campaign visibility through an AI-driven CRM
Cons
- Exact pricing is not published; performance terms need scoping
- Human-agent model carries different cost dynamics than per-minute AI calling
- Primarily geared to full sales cycles rather than single-goal structured campaigns
Best for: Insurance brokerages that want human-led outbound telesales with native-speaking agents and a performance-based pricing model.
#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 health insurance brokerages that need broad language coverage alongside outbound calling, it has one of the widest footprints on this list. The company leans toward tech-driven businesses but lists healthcare among its target industries, which matters for brokerages handling sensitive member 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 support agent working across chat, email, and messaging channels in 45+ languages. Human agents cover 60+ operational support languages, with omnichannel coverage available through its own SupportCRM or third-party CRM integrations. Security credentials are a genuine strength: according to its website, SupportYourApp holds ISO 27001 certification and maintains PCI DSS, GDPR, and HIPAA compliance. 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. 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.
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 need 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 or a multi-state insurance group, 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 outreach, renewal campaigns, member communications, or open enrollment follow-ups 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. Onboarding can also get complex, and service quality may vary between regions given the footprint.
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 and multi-state insurance organizations that need a single partner covering many languages and regions.
#5 EHVA — Contact for pricing.
EHVA is a conversational phone AI built specifically for insurance operations, with leadership that spent years designing insurance call flows before layering in AI, according to its website. Its insurance capabilities span intake and application calls across auto, home, life, and health lines, live quoting through API connections to rating systems, agency answering services, and outbound prospecting. For health insurance brokerages, the outbound side is the relevant piece: high-volume lead qualification, appointment setting, renewal and payment reminder campaigns, and re-engagement of aged leads. According to its website, EHVA handles 12,000 inbound calls per day for State Farm agents across the United States, answers 100% of inbound calls immediately, and can go live in an average of five days. Outbound, it qualifies prospects against your criteria and sets appointments directly into your calendar or CRM, leaving personalized voicemails and following up with SMS when a prospect doesn't answer. The platform works purchased lead lists, aged leads, and web inquiries, which is a different list philosophy than consent-audited campaign services. EHVA doesn't advertise specific language coverage on its insurance page, so brokerages with Spanish-speaking member populations should confirm multilingual capability directly before committing.
Pros
- Built specifically for insurance call flows, not a generic voice AI
- Handles both inbound answering and outbound campaign workflows
- Fast deployment, with an average of five days to go live per its website
- Deep integration with rating systems, calendars, and CRMs
Cons
- Software you operate rather than a managed campaign service
- Multilingual capability is not clearly advertised on its insurance pages
- Works purchased lead lists, so consent diligence falls entirely on the brokerage
Best for: Insurance agencies and brokerages that want a self-operated, insurance-specific voice AI platform for high-volume outbound prospecting and renewal campaigns.
Choosing a multi-language outbound partner comes down to three questions. What languages do your members actually speak? What consent records do you have for the lists you'd call? And do you want to operate software or buy campaigns someone runs for you? If you're a multi-location brokerage with permissioned member lists and renewal, retention, and follow-up goals, a managed service like My AI Call Center gives you structured campaigns with consent review before launch, locked pricing from 9¢ per connected minute, and outcomes routed straight into your CRM. If you need dozens of languages and have enterprise scale, Teleperformance or SupportYourApp can cover the breadth. If you want human insurance-specialist callers on performance pricing, ganira is worth a conversation. Whatever you pick, ask every provider the same questions: how do you verify consent, how are opt-outs handled, and what exactly will this cost before launch? The first campaign review with My AI Call Center is free, and you can start by planning your campaign at myaicallcenter.app/campaigns or emailing [email protected].
Frequently asked questions
Why do health insurance brokerages need multi-language outbound campaigns?
Because a large share of the people you insure or want to insure don't prefer English. The U.S. Census Bureau counts about 25.7 million people with limited English proficiency, and a CSA Research survey found 75% of consumers are more likely to engage with a brand that contacts them in their native language. In practice, that means renewal calls, open enrollment follow-ups, and appointment reminders perform better when delivered in the member's preferred language. Spanish is the most commonly requested language for U.S. campaigns, and brokerages that skip it leave renewals and referrals on the table.
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. The bigger differentiator is list discipline: campaigns run only against approved, permissioned, or reviewed contact lists, and list source and consent records are checked before anything launches. Bought lists without clear permission records are flagged and usually declined, and the team tells you plainly if a list won't support the campaign before you spend anything. Pricing is locked before launch, AI disclosure appears on every call, and reporting contains no invented metrics or testimonials.
How much does My AI Call Center cost?
Calling starts at 9¢ per connected minute, tiered by volume, and the rate is agreed before launch and doesn't move mid-campaign. Most campaigns add a one-time campaign 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, so you can scope a campaign and know the full number before approving anything.
Are AI-generated voices legal for outbound calls to insurance members?
They can be, but the consent requirements are strict. AI-generated voices are treated as artificial voices under the TCPA, which means prior express consent is required. Reputable providers also honor state-specific quiet hours and day restrictions, include AI disclosure on every call, honor keyword opt-outs like STOP and REVOKE immediately, and carry DNC requests across all campaigns. Campaign requirements vary by location, industry, contact type, consent status, and technology, so brokerages should get appropriate legal guidance before launch.
Should a brokerage choose a managed service or a self-serve voice AI platform?
It depends on your team and your compliance posture. A managed service like My AI Call Center means no agents to hire, no software to learn, and no platform bill; the provider reviews your lists and consent records, approves scripts, and routes outcomes into your CRM. A self-serve platform like EHVA gives you more direct control and can go live quickly, but consent diligence, script approval, and campaign monitoring all fall on your team. Brokerages without a dedicated compliance or operations lead usually get better results from a managed model, especially for regulated health insurance outreach.
Can these providers call purchased lead lists?
It varies, and it matters. My AI Call Center only runs campaigns against approved, permissioned, or reviewed lists, and bought lists without clear permission records are typically declined. EHVA's website says it can work purchased lead lists, aged leads, and web inquiries, which means the compliance burden sits with the brokerage. Under TCPA rules, calls to cell phones using autodialed or prerecorded or AI voices require prior express consent, so before buying any list, ask the vendor to show you the consent records. If they can't, the list probably can't support a compliant campaign.
Which languages should a health insurance brokerage prioritize for outbound campaigns?
Spanish is the most commonly requested language for U.S. campaigns and should almost always come first, since it covers the largest share of limited-English-proficiency members in most markets. Beyond that, look at your actual book of business and service area: markets with large Vietnamese, Tagalog, Mandarin, Cantonese, Arabic, Haitian Creole, or Portuguese populations may warrant additional coverage. Some providers, like Teleperformance with 400+ languages and dialects or SupportYourApp with 60+ languages, offer very wide coverage, while My AI Call Center centers on Spanish as its most common option. Match the language coverage to where your members actually live.