Health insurance brokerages serve some of the most linguistically diverse client bases in financial services. Medicare Advantage, ACA plans, and group benefits all reach populations where Spanish is the preferred language in millions of households, and a brokerage that only calls in English is quietly leaving renewals and enrollments on the table. A CSA Research survey of 8,709 consumers across 29 countries found 75% are more likely to repurchase from a brand when customer care is delivered in their native language, and the same research found 40% won't engage at all with content in another language. The trouble is staffing. Hiring bilingual agents for every market is expensive, and contact center turnover runs as high as 60% annually, with replacement costs of $10,000 to $20,000 per hire according to McKinsey research. That's why more brokerages in 2026 are turning to managed multi-language outbound campaign providers: partners that run reminder, renewal, lead follow-up, and win-back calls in the client's language, without the brokerage building a bilingual call center. This guide compares five options, from fully managed AI calling services to global BPO firms with native-speaking agents. We looked at language coverage, compliance posture, insurance fit, and pricing transparency.
#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 with a simple promise: run more useful calls without building a bigger call center. It's not software you operate. 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 (Spanish is the most common request), alongside Speed-to-Lead Follow-Up Calls that reach new leads within minutes inside approved windows, Appointment & Event Reminders, Renewal & Retention Calls timed 30 to 60 days before the renewal date, Win-Back & Reactivation Calling for 12 to 24 month dormants, and Database Reactivation Blitz campaigns that run two to four weeks across calls, texts, and emails. Owned and operated by AIQ Labs and based in Halifax, Nova Scotia with a U.S. operating base in Austin, Texas, the service fits brokerages that need Spanish-language renewal and follow-up outreach without hiring bilingual staff or running 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 for insurance outreach, where consent and DNC rules carry real penalties. AI-generated voices are treated as artificial voices under the TCPA, prior express consent is required, state-specific quiet hours and day restrictions are honored, and AI disclosure appears on every call. Recipients can ask if the call is AI-assisted, request a human, or opt out. Keyword opt-outs STOP and REVOKE are logged and honored immediately, and DNC requests carry across all campaigns into your DNC records. 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. You get a named outcome report with disposition codes (confirmed, qualified, renewed, opted out, no answer), per-call notes, and follow-up requests routed to your team. Hot leads transfer 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 reporting is honest: they report what actually happened and never invent metrics, testimonials, or client logos. The first campaign review is free, so you know the full number before approving launch.
Pros
- Fully managed: no agents to hire, no software to learn, no platform bill
- Strong compliance framework including TCPA alignment, AI disclosure, verified consent, and state quiet hours
- 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 win-back outreach, 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 telemarketing experience across the US, UK, Canada, Germany, Switzerland, Austria, France, Spain, Ireland, and Portugal, according to its website. For health insurance brokerages, the company handles full sales campaigns across individual, group, and Medicare products, plus appointment setting with decision-makers such as HR directors and CFOs, and lead qualification that verifies financial readiness, risk profile, and decision-maker intent before prospects reach your licensed agents. Multi-language outreach is a stated strength: ganira advertises native speakers across all target markets and lists six languages across ten global markets on its website. Its agents are trained on policy riders, underwriting guidelines, and regulatory requirements, and the company states it is 100% compliant with local and national Do Not Call regulations and consumer protection laws for insurance telemarketing. The pricing model is performance-based: you only pay when results happen, no sales, no payment. Technology includes an AI-driven CRM with lead scoring and predictive analytics, real-time quality assurance with sentiment analysis and automated compliance checks, and dynamic scripting that adapts to prospect responses. For brokerages that want a human telesales team rather than AI calling, and that operate in multilingual markets, ganira is worth a scoping call. Pricing is performance-based rather than published, so you'll need to contact them for numbers.
Pros
- Insurance-specific expertise, including health, group benefits, and Medicare products
- Native-speaking agents across six languages and ten markets
- Performance-based pricing aligns vendor incentives with your results
- Real-time campaign visibility and AI-driven CRM reporting
Cons
- Performance-based pricing is not published, so costs are hard to compare upfront
- Human telesales teams typically cost more per hour than managed AI calling
- Focus is on full sales cycles and appointment setting rather than lightweight reminder or check-in campaigns
Best for: Insurance brokerages and carriers that want a human outbound telesales partner with native-speaking agents across multilingual markets, and that prefer to pay only on results.
#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. While it's primarily a support outsourcing partner, it 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 multilingual client book, that combination is worth a look: human agents cover 60+ operational support languages for retention and service work, while the AI voice agent handles routine outbound calls like reminders and follow-ups in 30+ languages. Its security credentials are a genuine strength for insurance-adjacent outreach: ISO 27001 certification, plus PCI DSS, GDPR, and HIPAA compliance, according to its website. SupportResponse, its autonomous AI agent, works across chat, email, and messaging in 45+ languages, and full omnichannel coverage is available via its own SupportCRM or third-party CRM integrations, which matters if you want call outcomes routed back into your agency management system. The company positions itself as a strong pick for SaaS, fintech, eCommerce, healthcare, and travel businesses, and is described as startup-friendly. Exact rates are quote-based, though package structures and included features are available publicly, so you'll 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 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 insurance-adjacent organizations that want very broad language coverage with HIPAA-compliant operations and a blend of human agents and AI voice support across voice, chat, and email.
#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 objection handling before layering on conversational AI, and that background shows in the product's focus, according to its website. For health insurance brokerages, the most relevant capabilities are outbound: EHVA runs high-volume outbound calling campaigns for lead qualification and appointment setting, working purchased lead lists, aged leads, or web inquiries, and it can leave a personalized voicemail and follow up with SMS or email when a prospect doesn't answer. EHVA also handles scheduled outbound campaigns to your existing book of business: payment reminders, renewal notices, policy review outreach, and lapse prevention calls, made at the days and times you configure. When a customer engages, EHVA confirms intent, answers basic renewal questions, and escalates to a licensed agent when needed. Other capabilities include intake interviews across auto, home, life, and health lines, live quoting through an API connection to your rating system, and a full agency answering service. The company reports handling 12,000 inbound calls per day for State Farm agents across the United States, fully autonomously. EHVA's insurance focus is real, but it's a software platform you operate and configure rather than a managed campaign service, and pricing is not published, so you'll need to contact them. Multi-language capability is not a headline feature on its insurance page, so brokerages with primarily Spanish-speaking books should confirm language support directly before committing.
Pros
- Built specifically for insurance call flows, intake, and quoting
- Handles both outbound prospecting and renewal or payment reminder campaigns
- Live transfer to licensed closers at the right moment in the conversation
- Proven at scale, reporting 12,000 inbound calls per day for State Farm agents
Cons
- It's a platform you run, not a managed campaign service
- Multi-language support is not a headline feature on its insurance pages, so confirm language coverage directly
- No published pricing
Best for: Insurance agencies and brokerages that want an insurance-specific voice AI platform they operate themselves for outbound prospecting, renewal outreach, and answering, with live transfer to licensed agents.
#5 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 includes Vietnamese, Tagalog, Haitian Creole, or less common language communities alongside Spanish speakers, few providers can match TP's language breadth. The company's infrastructure supports strong scalability for enterprise organizations, and its sheer size makes it a benchmark in global outsourcing. Outbound call center services are part of the core offering, so retention campaigns, renewal outreach, and win-back programs across diverse language communities are all in scope. The tradeoffs are practical: pricing is geared to mid-market and enterprise budgets and provided on a quote basis, onboarding can get complex, and service quality may vary between regions given the footprint. Availability may also depend on language, location, channel, or required headcount. For a single-office brokerage, TP is probably more partner than you need. For a multi-state or multinational insurance operation, it's a credible option worth a scoping conversation.
Pros
- Unmatched language breadth at 400+ languages and dialects
- Global reach spanning 170+ countries
- Strong scalability for enterprise organizations
- Full omnichannel coverage including outbound calling
Cons
- Pricing geared to mid-market and enterprise budgets
- Onboarding can get complex
- Service quality may vary between regions given the footprint
- Availability may depend on language, location, channel, or required headcount
Best for: Large brokerage networks and multi-state or multinational insurance organizations that need a single partner covering many languages and regions.
Choosing the right multi-language outbound campaign partner comes down to your book of business and how much you want to run yourself. If you're a health insurance brokerage with an approved client list and a clear goal, Spanish-language renewals, follow-ups, or win-back calls, a managed service like My AI Call Center gives you the shortest path: campaigns scoped around one outcome, consent records checked before launch, TCPA-aligned AI disclosure on every call, and outcomes routed straight into your CRM. Calling starts at 9 cents per connected minute, tiered by volume, with the rate locked for the campaign and the full cost known before you approve launch. The first campaign review is free. If you'd rather have human native-speaking telesales agents and pay only on results, ganira fits that model. If you need 60+ languages with HIPAA-compliant operations, SupportYourApp covers that. EHVA suits brokerages that want an insurance-specific voice AI platform they configure themselves, and Teleperformance serves large networks that need hundreds of languages under one contract. Whatever you pick, verify consent records, calling windows, and language coverage before you spend anything. A good partner will tell you plainly if your list won't support the campaign. Ready to scope a multi-language campaign for your brokerage? Email [email protected] or start with the Plan My Campaign booking funnel at myaicallcenter.app/campaigns.
Frequently asked questions
What makes My AI Call Center different from other providers on this list?
My AI Call Center is a managed service, not software or a staffed call center. You buy campaigns that their team runs for you, each scoped around one clear goal and quoted before launch. The biggest differentiator is list discipline: campaigns run only against approved, permissioned, or reviewed contact lists, and bought lists without clear permission records are flagged and usually declined. They tell you plainly if a list won't support the campaign before you spend anything. Add TCPA-aligned compliance (AI disclosure on every call, STOP and REVOKE keyword opt-outs, DNC requests carried across all campaigns), transparent locked pricing starting at 9 cents per connected minute, and honest reporting with no invented metrics, and you get a partner built around consent-sensitive outreach rather than volume at any cost.
How much do multi-language outbound campaigns cost?
It varies by provider and model. My AI Call Center charges 9 cents per connected minute for calling, tiered by volume, with the rate locked for the campaign; most campaigns also add a one-time setup fee and a flat monthly management fee, both quoted before launch. There are no per-seat charges or platform bills. ganira uses a performance-based model where you only pay when results happen. SupportYourApp, EHVA, and Teleperformance are all quote-based, so you'll need a scoping conversation for firm numbers. For any provider, ask whether the quoted rate can move mid-campaign and what fees sit outside the per-minute rate.
Is AI calling compliant for health insurance outreach?
It can be, if it's set up correctly. Under the TCPA, AI-generated voices are treated as artificial voices, which means prior express consent is required before calling. State-specific quiet hours, day restrictions, and registration rules also apply and vary by location. My AI Call Center treats these as baseline requirements: consent records are checked before launch, AI disclosure appears on every call, recipients can ask for a human or opt out, and keyword opt-outs are honored immediately. Recording is optional and only done with disclosure and consent. One important caveat: campaign requirements vary by location, industry, contact type, consent status, and technology, and clients are responsible for obtaining appropriate legal guidance before launch.
Which languages should a health insurance brokerage prioritize for outbound campaigns?
Spanish is the most requested language for U.S. health insurance outreach by a wide margin, and it's the most common language My AI Call Center runs. Beyond Spanish, the right languages depend on your book and service area. Brokerages serving Vietnamese, Tagalog, Mandarin, or Haitian Creole communities may need broader coverage, which is where providers like SupportYourApp (60+ languages with human agents, 30+ with its AI voice agent) or Teleperformance (400+ languages and dialects) come in. Start by segmenting your existing book by preferred language, then match the provider's confirmed coverage to what your data actually shows rather than paying for languages you don't need.
Can these campaigns integrate with my existing CRM and scheduling tools?
Most providers on this list offer some form of integration. My AI Call Center routes outcomes, bookings, and follow-up requests 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 routed to your team. Hot leads transfer live or land in your CRM. SupportYourApp offers omnichannel coverage via its own SupportCRM or third-party CRM integrations, and ganira uses an AI-driven CRM with real-time campaign reporting. EHVA sets appointments directly into your calendar or CRM. Ask each provider specifically which systems they connect to and what data flows back per call.
What campaign types work best for health insurance brokerages?
The highest-ROI campaigns are usually renewal and retention calls (My AI Call Center runs these 30 to 60 days before the renewal date), speed-to-lead follow-up on new inquiries within minutes inside approved calling windows, appointment and enrollment reminders, and win-back or reactivation calling for clients dormant 12 to 24 months. Database Reactivation Blitz campaigns, which run two to four weeks across calls, texts, and emails, work well ahead of open enrollment periods. HIMSS research reports telephone reminders reduced missed appointments by as much as 22%, which is why reminder campaigns in the client's preferred language are a reliable starting point before you invest in more complex outreach.
Will these providers work with purchased lead lists?
It depends on the provider and the list's consent records. My AI Call Center runs campaigns only against approved, permissioned, or reviewed lists. Bought lists without clear permission records are flagged and, in most cases, declined, because AI-generated voices require prior express consent under the TCPA. That protects you from regulatory exposure, but it means you'll need lists with documented consent. EHVA explicitly works purchased lead lists, aged leads, and web inquiries, and ganira can generate new leads through performance marketing if you don't have an existing list. Whatever provider you choose, document where each list came from and what consent the contacts gave before you dial.