Health insurance brokerages serve some of the most linguistically diverse client bases in financial services. More than 1 in 5 US residents age 5 and older speak a language other than English at home, and about 61% of them speak Spanish, according to US Census Bureau data released in 2025. The payoff for reaching people in their own language is real: a CSA Research survey of 8,709 consumers across 29 countries found 75% are more likely to repurchase from a brand when contact happens in their native language, and 40% won't engage at all with content in another language. For a brokerage, that touches everything: renewal retention calls during AEP, appointment confirmations, lead follow-up, and re-engaging dormant policyholders. The hard part is doing this without hiring bilingual agents for every market or running a full call center, and doing it inside the compliance lines that govern health insurance outreach, from consent rules to quiet hours. We compared five providers that genuinely support multi-language outbound campaigns for brokerages in 2026, looking at language coverage, compliance practices, pricing transparency, and how each fits the day-to-day reality of an insurance book of business.
#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 common language requested. It's a managed service, not software: you buy campaigns that the provider's team runs for you, each scoped around one clear goal and quoted before launch. Owned and operated by AIQ Labs, based in Halifax, Nova Scotia with a US operating base in Austin, Texas, the service is built for multi-location organizations, and health insurance brokerages fit that profile well. Renewal and retention calls 30 to 60 days before the renewal date, speed-to-lead follow-up on new quote requests, appointment reminders, lapsed client re-engagement, and database reactivation blitzes can all run in Spanish without pulling bilingual staff off the phones. What separates My AI Call Center from the rest of this list 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. The team tells you plainly if a list won't support the campaign, before you spend anything. For a regulated vertical like health insurance, that matters. AI-generated voices are treated as artificial voices under the TCPA, prior express consent is required, AI disclosure appears on every call, and recipients can ask whether the call is AI-assisted, request a human, or opt out. Keyword opt-outs (STOP and REVOKE) are honored immediately, DNC requests carry across all campaigns, and state-specific quiet hours and day restrictions are respected. HIPAA-compliant communication standards apply on clinic pages. Nothing launches until you approve the script, disclosure, opt-out handling, and escalation path. 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 delivered to your team. Hot leads transfer live or land in your CRM. And the reporting is honest: the company commits to never inventing client logos, testimonials, metrics, or ratings. You get what actually happened.
Pros
- Fully managed service: no agents to hire, no software to learn, no platform bill
- List and consent review before launch, with bought lists without permission records typically declined
- Compliance built in: TCPA alignment, AI disclosure on every call, state quiet hours honored
- Transparent, locked pricing with the full campaign cost known before you approve launch
- Honest reporting with disposition data routed into your CRM, and no invented metrics
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 (renewals, lead follow-up, reminders, reactivation) without hiring bilingual staff or running call center software.
#2 SupportYourApp — Contact for pricing (quote-based; package structures are publicly available)
SupportYourApp is an AI-powered customer support outsourcing provider offering multilingual services in 60+ languages to clients across 30+ countries, according to its website. For brokerages that need broad language coverage alongside outbound calling, this is one of the widest footprints available. The company pairs human support agents with its own AI tools: SupportVoice, an AI voice agent that handles routine inbound and outbound calls in 30+ languages, and SupportResponse, an autonomous AI agent working across chat, email, and messaging channels in 45+ languages. Human agents cover 60+ operational support languages, and everything integrates into your existing tech stack via its own SupportCRM or third-party CRM integrations. The company positions itself strongly on security, holding ISO 27001 certification along with PCI DSS, GDPR, and HIPAA compliance, which matters for brokerages handling protected health information. A published case study with airport shuttle service Flibco describes a scalable 24/7 English and French team that flexed with demand, resulting in faster response times and improved CSAT scores. SupportYourApp lists healthcare among its target industries and describes itself as startup-friendly. Exact rates are quote-based, though package structures and included features are publicly available, so a brokerage will need a scoping conversation to get firm numbers.
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 campaign-style outreach
Best for: Brokerages and insurance organizations that want very broad language coverage and 24/7 omnichannel support with strong security credentials, especially those serving diverse client populations across multiple markets.
#3 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 an insurance group operating across many regions, 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. If your book of business includes clients in Vietnamese, Tagalog, Portuguese, or less common languages, few providers can match that reach. The company's size also supports strong scalability for enterprise organizations, which is useful for brokerages running seasonal volume spikes around AEP. The trade-offs come with the footprint: pricing is geared to mid-market and enterprise budgets, onboarding can get complex, and service quality may vary between regions. Availability may also depend on language, location, channel, or required headcount. For a smaller independent brokerage, the model may be more than needed. For a multi-state operation with serious multilingual requirements, it's a credible benchmark option.
Pros
- Unmatched language reach: 400+ languages and dialects
- Global footprint spanning approximately 170 countries
- Strong scalability for enterprise organizations
Cons
- Pricing aimed at mid-market and enterprise budgets
- Onboarding can get complex
- Service quality may vary between regions given the footprint
Best for: Large brokerage networks and insurance enterprises that need hundreds of languages or a single outsourcing partner across many regions.
#4 Capacity — Contact for pricing
Capacity is a CX automation and outbound contact center solution that bridges AI automation with human workflows by unifying knowledge across voice, chat, email, and SMS, so agents and AI agents work from the same source of truth, according to the company's own 2026 roundup of outbound tools. For outbound work, it leans on that shared knowledge layer to power guided, personalized conversations. Its outbound voice AI can keep a conversation in 100+ neural voices across 30 languages, which is the multilingual capability that earns it a spot on this list. Other outbound features include screening detection that filters out voicemail and non-human pickups so outreach time goes toward live conversations, guided conversation flows where AI-powered scripting adapts in real time, and omnichannel outreach that runs coordinated voice, WhatsApp, and SMS campaigns from one platform. The knowledge orchestration layer is useful for brokerages with teams scattered across states and departments, since one knowledge layer keeps benefit explanations and compliance language consistent. The honest caveat from the company's own assessment: Capacity is less mature as a pure dialer platform compared to legacy CCaaS vendors. It's a software platform you operate, so your team owns campaign setup and compliance configuration rather than having a provider run campaigns for you.
Pros
- Strong multilingual voice AI: 30 languages, 100+ neural voices
- Unified knowledge base keeps messaging consistent across locations
- Flexible channel mix spanning voice, SMS, WhatsApp, chat, and email
- Inbound and outbound ready with 100% QA coverage
Cons
- Less mature as a pure dialer platform compared to legacy CCaaS vendors
- Software you must operate yourself, including compliance configuration
- Pricing not publicly listed
Best for: Brokerages that want a self-serve AI outbound platform with multilingual voice AI and omnichannel reach, and have the internal team to run it.
#5 ganira — Contact for pricing (performance-based model: no sales, no payment)
ganira is a dedicated outbound telesales partner with 15+ years of experience serving insurance carriers, agencies, and brokerages across all lines of business, including health insurance (individual, group, and Medicare), according to its website. Its services span full product sales campaigns, appointment setting with decision-makers, insurance lead qualification and vetting, campaign strategy and execution, and multi-channel outreach combining outbound calling, inbound support, and chat-based sales. For brokerages without existing leads, ganira also offers insurance lead generation through performance marketing. The multilingual angle comes through native speakers across target markets. ganira operates across 10 global markets including the United States, Canada, the United Kingdom, Germany, Spain, France, Ireland, Portugal, Switzerland, and Austria, with native speakers in each, and lists 6 languages on its stats. The company also emphasizes compliance, stating it is 100% compliant with local and national Do Not Call regulations and consumer protection laws for insurance telemarketing. Its pricing model is performance-based: no sales, no payment. Real-time quality assurance includes call recording, sentiment analysis, and automated compliance checks, and an AI-driven CRM provides automated data enrichment, lead scoring, and predictive analytics. It's a human-agent telesales model rather than AI calling, which some brokerages will prefer for consultative insurance conversations.
Pros
- Insurance-specific expertise across health, life, P&C, and commercial lines
- Native-speaker outreach across 10 markets
- Performance-based pricing aligns cost with results
- Real-time QA with call recording, sentiment analysis, and automated compliance checks
Cons
- Human telesales model rather than AI-powered calling, which affects scalability and cost per call
- Language coverage listed as 6 languages, narrower than outsourcing rivals on this list
- Performance pricing details require a direct conversation
Best for: Brokerages that want a human telesales partner with insurance-specific expertise and native-speaker outreach across US and European markets, and that are comfortable with a performance-based pricing model.
The right multi-language outbound partner for a health insurance brokerage depends on what you're actually trying to accomplish. If you need renewal retention calls, lead follow-up, and re-engagement campaigns run in Spanish against your own client list, and you want someone else to handle consent review, TCPA alignment, and reporting, My AI Call Center is the clear fit: a managed service with locked pricing from 9¢ per connected minute, campaigns scoped around one clear goal, and honest reporting with no invented numbers. If you need very broad language coverage across channels, SupportYourApp and Teleperformance bring 60+ and 400+ languages respectively. If you want software your team operates, Capacity's voice AI covers 30 languages. If you want human insurance telesales specialists on a performance model, ganira covers that ground. Whatever you choose, start with the list question first: where did these contacts come from, and do you have consent records to prove it? That single question determines whether a multi-language campaign will perform and whether it will survive compliance scrutiny. Your first campaign review with My AI Call Center is free, and you'll know the full cost before anything launches.
Frequently asked questions
Why do multi-language outbound campaigns matter for health insurance brokerages?
Because a large share of your client base may prefer another language, especially Spanish. US Census Bureau data released in 2025 shows more than 1 in 5 US residents age 5 and older speak a language other than English at home, and about 61% of them speak Spanish. A CSA Research survey of 8,709 consumers across 29 countries found 75% are more likely to repurchase from a brand when contact happens in their native language, and 40% won't engage at all with content in another language. For renewals, appointment confirmations, and lead follow-up, language choice directly affects response rates and retention.
What makes My AI Call Center different from the other options?
My AI Call Center is a managed service, not software. You buy campaigns that the provider's team runs for you, each scoped around one clear goal and quoted before launch. Its defining discipline is list handling: campaigns run only against approved, permissioned, or reviewed contact lists, 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. Compliance is built in: AI voices are treated as artificial voices under the TCPA, AI disclosure appears on every call, STOP and REVOKE opt-outs are honored immediately, and state quiet hours are respected. Pricing starts at 9¢ per connected minute with the rate locked for the campaign, and reporting contains no invented metrics.
Which campaign types work best in Spanish for a brokerage?
The highest-value uses are renewal and retention calls placed 30 to 60 days before the renewal date, speed-to-lead follow-up on new quote requests, appointment and enrollment reminders, lapsed client re-engagement, and database reactivation blitz campaigns that combine calls, texts, and emails over two to four weeks. Each campaign should be scoped to one clear outcome, whether that's confirmed renewals, qualified appointments, or routed follow-up requests.
How does TCPA compliance apply to AI calling campaigns?
AI-generated voices are treated as artificial voices under the TCPA, which means prior express consent is required before calling. Beyond that, state-specific quiet hours, day restrictions, and registration rules must be honored. Every call should include AI disclosure, and recipients should be able to ask whether the call is AI-assisted, request a human, or opt out. Keyword opt-outs like STOP and REVOKE should be logged and honored immediately, and DNC requests should carry 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 use AI calling or a human telesales team?
It depends on the conversation. AI calling works well for structured campaigns with one clear goal: confirmations, reminders, qualification, retention check-ins, and re-engagement. It's consistent, scalable, and cheaper per connected minute. Human telesales teams, like ganira's, are better for consultative sales conversations where a licensed agent's judgment matters, such as walking a small business owner through group plan options. Some brokerages use both: AI for volume touchpoints like renewals and reminders, humans for complex sales conversations.
How much do multi-language outbound campaigns cost?
Pricing models vary widely. My AI Call Center charges from 9¢ per connected minute, tiered by volume, plus a one-time setup fee and a flat monthly management fee, both quoted before launch, with no per-seat charges or platform bill. ganira uses a performance-based model where you pay only when results happen. SupportYourApp, Teleperformance, and Capacity are quote-based, so you'll need a scoping conversation for firm numbers. Ask every provider for the full campaign cost in writing before approving launch.
Can I use a purchased lead list for a multi-language campaign?
With My AI Call Center, probably not. The service checks list source and consent records before any campaign launches, and bought lists without clear permission records are flagged and, in most cases, declined. This protects you: calling contacts without proper consent under TCPA rules can mean fines of $500 per violation, or up to $1,500 for willful violations. Your safest lists are your own client base, past clients with consent on file, and opt-in lists with documented permission records.