Health insurance brokerages live and die by the phone call, and the language you call in decides whether that call gets answered or hung up on. A CSA Research survey of 8,709 consumers across 29 countries found that 75% of people are more likely to engage with a brand when contacted in their native language, and roughly 40% won't engage at all with content in another language. For brokerages serving Spanish-speaking members, open enrollment reminders, renewal calls, plan-change confirmations, and post-enrollment check-ins all depend on the contact actually understanding what you're asking. Hiring bilingual staff for every campaign is expensive, and building an in-house call center is worse. The practical answer in 2026 is to work with a provider that runs multilingual outbound campaigns for you, against lists you already have permission to call, with compliance handled up front. This guide compares five options: a managed AI calling service built for structured campaigns, an insurance-specialized telesales partner, and three multilingual outsourcing firms with broad language coverage. Each is evaluated on language capability, compliance posture, healthcare suitability, and pricing transparency so you can match the right partner to your book of business.
#1 My AI Call Center — Calling starts at 9 cents 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, such as confirming open enrollment appointments, qualifying leads, reminding members about renewal deadlines, or running satisfaction surveys, and the full campaign is quoted before it launches. The service is owned and operated by AIQ Labs, based in Halifax, Nova Scotia, with a U.S. operating base in Austin, Texas. For health insurance brokerages, that means you can run renewal and retention calls 30 to 60 days before the renewal date, appointment reminders, lead qualification, and win-back campaigns in your members' 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, and list source and consent records are checked before any campaign launches. Bought lists without clear permission records are flagged and, in most cases, declined. As the company puts it: "We tell you plainly if the list will not support the campaign, before you spend anything." Compliance is built into the workflow: AI-generated voices are treated as artificial voices under the TCPA with prior express consent required, state-specific quiet hours and day restrictions are honored, AI disclosure appears on every call, and recipients can ask if the call is AI-assisted, request a human, or opt out. Keyword opt-outs (STOP and REVOKE) 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 routed 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, plus a one-time setup fee and flat monthly management fee 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 including AI disclosure, verified consent, and state quiet hours
- Transparent, locked pricing with the full campaign cost known before launch
- Honest reporting with no invented metrics, testimonials, or ratings
- Outcomes integrate directly into existing CRM and scheduling tools
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 benefits organizations that need compliant, managed multilingual calling campaigns for renewals, reminders, lead qualification, and member check-ins without hiring bilingual staff or building a call center.
#2 ganira — Performance-based; contact ganira for a quote.
ganira is an outbound telesales partner that specializes in the insurance industry, with dedicated services for health insurance carriers, providers, and brokerages across individual, group, and Medicare products. According to its website, the company runs full product sales campaigns, appointment setting, and lead qualification, so brokerage sales teams can focus on underwriting and policy management rather than chasing unqualified prospects. Its agents are trained specifically on insurance products, including policy riders, underwriting guidelines, regulatory requirements, and the differences between group benefits and individual plans. For brokerages that need multilingual outreach, ganira advertises multi-language capability with native speakers across target markets and operates across 10 global markets, including the United States, Canada, the United Kingdom, Germany, Spain, and France. The company positions itself around a performance-based pricing model: you pay when results happen, with no sales meaning no payment, which aligns its incentives with yours in a way hourly call centers don't. Its technology stack includes an AI-driven CRM with automated data enrichment and lead scoring, real-time quality assurance with call recording and sentiment analysis, dynamic AI-powered scripts that adapt to prospect responses, and 100% GDPR compliance with auditable processes. The company also states it is fully compliant with local and national Do Not Call regulations and consumer protection laws for insurance telemarketing. For a brokerage that wants a partner to actually sell and set appointments across language markets rather than just run reminders, ganira's insurance-specific focus is its main draw.
Pros
- Deep insurance-industry specialization across product types
- Performance-based model aligns cost with results
- Native-speaker agents across 10 markets
- Real-time campaign visibility and reporting
Cons
- Quote-based pricing makes upfront cost comparison difficult
- Sales-focused model may be more than brokerages need for simple reminder or confirmation campaigns
- Publicly available detail on specific language lists beyond the 10 advertised markets is limited
Best for: Insurance carriers, agencies, and brokerages that want a telesales partner to run full sales cycles, appointment setting, and lead qualification across multiple language markets on a pay-for-results 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, 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 member 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 available via its own SupportCRM or third-party CRM integrations, so call outcomes can route back into the systems your brokerage already runs. Security credentials are a genuine strength for regulated work: SupportYourApp holds ISO 27001 certification and maintains PCI DSS, GDPR, and HIPAA compliance, according to its website. The company positions itself as startup-friendly and serves SaaS, fintech, eCommerce, healthcare, and travel companies. For brokerages, SupportYourApp works well when you need a partner that can cover many member languages with a blend of human agents and AI voice support across both inbound and routine outbound workflows. The trade-off is that its primary focus is customer support outsourcing rather than structured, compliance-led outbound campaign management, so brokerages wanting tightly scoped multilingual campaign work should confirm the outbound scope during scoping. 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 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: Brokerages and healthcare-adjacent organizations that want very broad language coverage (60+ languages) with HIPAA-compliant operations and a blend of human agents and AI voice support.
#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 health 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. The company's infrastructure supports strong scalability for enterprise organizations, and its size makes it a benchmark in global outsourcing. For health insurance use cases, the outbound call center capability is the most relevant piece: brokerages running regionally coordinated outreach, open enrollment reminders, member communications, or renewal follow-up campaigns across diverse language communities can draw on TP's multilingual human agent network rather than staffing each language themselves. The company also brings decades of experience operating regulated contact center programs, which matters when calls touch sensitive member information and state-specific calling rules. Pricing is geared to mid-market and enterprise budgets and provided on a quote basis, so smaller brokerages may find the fit challenging, and onboarding a provider of this size can get complex. Service quality may also vary between regions given the scale of the footprint. For brokerages that need one partner covering many languages and regions at serious volume, though, TP is hard to match on breadth.
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 at enterprise scale.
#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 health insurance brokerages pursuing larger member 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: think coordinated renewal-season calling, member retention programs, and acquisition outreach, all informed by analytics rather than run blind. TTEC also brings consulting capacity, which is useful when a brokerage wants a partner to help design the engagement model itself, not just execute calls against a script. That consulting-led approach is a real differentiator for organizations planning multi-year member communication programs across language groups. The trade-off is fit and cost: pricing is aimed at mid-market and enterprise clients, which may put it out of reach for smaller independent brokerages, and the breadth of the engagement means onboarding takes longer than a simple campaign service. Brokerages that want a partner to help design and operate a broader multilingual member engagement operation, rather than a single structured campaign, will find TTEC's 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 means longer onboarding than campaign-based services
- More than most independent brokerages need for straightforward reminder or renewal calling
Best for: Mid-market and enterprise brokerage groups that want a consulting-led partner to design and operate a broader multilingual member engagement program, not just single campaigns.
For health insurance brokerages, multilingual outbound calling comes down to three questions: which languages your members actually speak, whether your contact lists have clear consent records, and how much compliance risk you're willing to carry. If you want structured campaigns (renewal reminders, lead qualification, member check-ins) run for you against permissioned lists with the full cost known before launch, My AI Call Center is the strongest fit in 2026, with calling starting at 9 cents per connected minute and the first campaign review free. If you need a partner to sell and set appointments across multiple markets, ganira's insurance-specific telesales model is worth a conversation. If your priority is sheer language breadth with HIPAA-compliant operations, SupportYourApp covers 60+ languages, and Teleperformance or TTEC fit large, multi-region programs. Whatever you choose, ask each provider the same three things before signing: how they verify consent on your list, what disclosure and opt-out handling looks like on every call, and what the total campaign cost will be. A partner who answers those plainly is a partner you can work with. Plan your first campaign review with My AI Call Center and find out what your list can actually support before you spend anything.
Frequently asked questions
What makes My AI Call Center different from a traditional call center for brokerages?
My AI Call Center is a managed service, not software and not a staffed call center. You buy campaigns that the team runs for you, each scoped around one clear goal and quoted in full before launch. Calls run only against approved, permissioned, or reviewed contact lists, with list source and consent records checked before any campaign launches. Bought lists without clear permission records are flagged and, in most cases, declined. You get disposition-coded outcome reports routed back into your existing CRM, with no per-seat charges and no platform bill.
Which languages can these providers call in?
It varies by provider. My AI Call Center runs Multi-Language Outbound Campaigns with Spanish the most commonly requested language; additional languages are reviewed during setup. SupportYourApp covers 60+ languages with human agents and 30+ languages through its SupportVoice AI agent. Teleperformance advertises 400+ languages and dialects across roughly 170 countries. TTEC supports 50+ languages. ganira offers native-speaker outreach across 10 global markets. Match the provider's language list to your actual member base rather than paying for breadth you won't use.
How does compliance work for AI-generated outbound calls to insurance members?
My AI Call Center treats AI-generated voices as artificial voices under the TCPA, which means prior express consent is required before calls. State-specific quiet hours, day restrictions, and registration rules are honored, AI disclosure appears on every call, and recipients can ask if the call is AI-assisted, request a human, or opt out. Keyword opt-outs (STOP and REVOKE) are honored immediately, and DNC requests carry across all campaigns into client DNC records. The company notes that campaign requirements vary by location, industry, contact type, and consent status, and clients are responsible for obtaining appropriate legal guidance before launch.
What does multilingual outbound calling cost for a health insurance brokerage?
My AI Call Center publishes its rate: 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, and the first campaign review is free. ganira uses performance-based pricing where you pay for results. SupportYourApp, Teleperformance, and TTEC all use quote-based pricing, so you'll need a scoping conversation to get firm numbers from any of them.
Can these providers call lists my brokerage purchased?
My AI Call Center reviews the list source and consent records before any campaign launches. Bought lists without clear permission records are flagged and, in most cases, declined, and the team tells you plainly if the list will not support the campaign before you spend anything. Other providers on this list have varying list policies, so confirm their consent verification process before handing over any purchased data. In general, lists built from your own member and lead relationships with documented consent are the safest foundation for outbound calling.
Which use cases matter most for health insurance brokerages?
The highest-value campaigns are renewal and retention calls timed 30 to 60 days before the renewal date, open enrollment and appointment reminders, lead qualification and speed-to-lead follow-up on new inquiries, win-back calls to dormant contacts from the past 12 to 24 months, and post-enrollment satisfaction surveys. My AI Call Center supports all of these as structured campaign types, and outcomes route back into your CRM with disposition codes so your licensed agents only work the leads that are actually warm.
Do I need to hire bilingual staff if I use one of these providers?
No. That's the core value of all five options on this list. My AI Call Center runs the campaigns for you in the contact's preferred language, so you don't hire bilingual agents or learn call center software. SupportYourApp, Teleperformance, and TTEC provide multilingual human agents and AI voice support as part of their outsourcing model, and ganira staffs native speakers across its markets. Your team handles the licensed, high-value conversations; the provider handles the language coverage and call volume.