Health insurance brokerages live or die on the phone. Renewal calls, open enrollment reminders, benefit check-ins, and lead follow-up all depend on reaching people quickly and getting a clear answer. But if your book of business includes Spanish-speaking clients (and for most brokerages, it does), an English-only call center quietly leaves revenue on the table. The research on this is consistent: a CSA Research survey of 8,709 consumers across 29 countries found that 75% are more likely to engage with a brand contacted in their native language, and 40% won't engage at all with content in another language. For a brokerage, that means missed confirmations, missed renewals, and missed enrollments. The problem is that hiring bilingual staff or building an in-house call center is expensive, especially when enrollment seasons spike and then drop off. The good news is that in 2026 you have options. This guide compares five solutions that can run multi-language outbound campaigns for health insurance brokerages, from fully managed AI calling services to global outsourcing partners. We evaluated each on language coverage, compliance posture (TCPA and HIPAA both matter here), pricing transparency, and how well they fit the reality of a brokerage working from consented client lists.
#1 My AI Call Center — Calling starts at 9¢ 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 as 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 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 reminders, lead qualification, enrollment confirmations, and benefit check-in calls delivered in the client's preferred language, without hiring bilingual staff or operating call center software.
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 client logos
- 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
- Clients are responsible for obtaining appropriate legal guidance before launch
Best for: Health insurance brokerages and multi-location benefits organizations that need compliant, managed multilingual calling campaigns for renewals, lead follow-up, and confirmations, without hiring bilingual staff or building a call center.
#2 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 is relevant for brokerages handling sensitive client communications.
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 that want very broad language coverage and 24/7 multilingual support across voice, chat, and email with strong security credentials.
#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 multi-state benefits operation, that scale is the main draw: a single partner can cover nearly any language your clients speak, across inbound and outbound calling, 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, renewal reminders, or client communications across diverse language communities can draw on TP's multilingual human agent network. Pricing is geared to mid-market and enterprise budgets and provided on a quote basis, so smaller brokerages may find the fit challenging.
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 benefits operators that need a single partner covering many languages and regions.
#4 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 brokerages pursuing larger client 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, though pricing is aimed at mid-market and enterprise clients, which may put it out of reach for smaller shops. Brokerages that want a partner to help design and operate a broader multilingual client engagement operation, rather than a single structured campaign, will find TTEC's consulting-led 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 may be heavier than a single campaign requires
- Not designed for small brokerages with limited budgets
Best for: Mid-market and enterprise brokerages that want a consulting-led partner to design and operate a broader multilingual client engagement operation.
#5 ganira — Performance-based pricing (you only pay when results happen); contact for details
ganira is an outbound telesales partner with 15+ years of experience, including telemarketing for insurance providers, according to its website. The company specializes in full product sales, appointment setting, and lead qualification for insurance companies across key markets including the US, UK, Canada, Germany, Switzerland, Austria, France, Spain, Ireland, and Portugal. For health insurance brokerages, ganira offers full sales campaigns for health insurance products (individual, group, and Medicare), insurance lead qualification and vetting that verifies financial readiness and decision-maker intent, and appointment setting with small business owners and key decision-makers such as HR directors. Multi-language outreach is part of the offering, with native speakers across its target markets, and the company reports 6 languages and 10 global markets served. Its pricing model is performance-based: you only pay when results happen, which aligns incentives with the brokerage. The company also emphasizes compliance with local and national Do Not Call regulations and consumer protection laws for insurance telemarketing, plus AI-driven CRM and real-time quality assurance with sentiment analysis.
Pros
- Performance-based model aligns cost with results
- Insurance-specific sales expertise across multiple product lines
- Native speakers across 10 global markets
- Real-time reporting and quality assurance
Cons
- Sales-focused model rather than structured reminder or confirmation campaigns
- Quote-based pricing requires a scoping conversation
- Sales-heavy approach may not fit consent-sensitive client lists used for renewals and check-ins
Best for: Insurance brokerages and carriers that want a sales-focused telesales partner with multi-market, multi-language coverage and pay-for-performance pricing.
Choosing a multi-language outbound partner comes down to what kind of calls your brokerage actually needs to make. If you need renewal reminders, lead qualification, and enrollment confirmations run against your own consented client lists, in Spanish and English, with the full cost known before launch, a managed service like My AI Call Center is built for exactly that. If you need broad language coverage or a global human agent network, the outsourcing partners on this list are worth a conversation. Whatever you choose, ask the same questions up front: What consent records do you verify before calling? How do you handle opt-outs and DNC requests across campaigns? What will the campaign actually cost, in writing, before it starts? A partner that answers those plainly is worth more than one with the longest language list. My AI Call Center's first campaign review is free, and calling starts at 9¢ per connected minute with the rate locked for the campaign. If you want to find out whether your list will support a multilingual renewal or follow-up campaign before you spend anything, that review is a low-risk place to start.
Frequently asked questions
What makes My AI Call Center different from the other providers on this list?
It is a fully managed service rather than software or a call center outsourcing contract. You buy campaigns that the team runs for you, each scoped around one clear goal and quoted in full before launch. 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, in most cases, declined. The team tells you plainly if a list will not support the campaign, before you spend anything.
Which languages can these providers call in?
My AI Call Center runs Multi-Language Outbound Campaigns with Spanish as the most commonly requested language; additional languages are reviewed during setup. SupportYourApp covers 60+ languages with human agents, Teleperformance supports 400+ languages and dialects, TTEC covers 50+ languages, and ganira offers native speakers across 10 global markets. Match the language list to your actual client base rather than paying for coverage you won't use.
How much do multi-language outbound campaigns cost for a health insurance brokerage?
My AI Call Center publishes its starting rate: calling begins at 9¢ per connected minute, tiered by volume, with a one-time setup fee and flat monthly management fee quoted before launch. SupportYourApp, Teleperformance, TTEC, and ganira all use quote-based pricing, so you will need a scoping conversation to get firm numbers. ganira's model is performance-based, meaning you pay only when results happen.
Is calling health insurance clients with AI voices compliant?
It can be, with the right safeguards. My AI Call Center treats AI-generated voices as artificial voices under the TCPA, which means prior express consent is required. The service also discloses AI on every call, honors state-specific quiet hours and day restrictions, logs STOP and REVOKE keyword opt-outs immediately, and carries DNC requests across all campaigns into client DNC records. Clients are responsible for obtaining appropriate legal guidance before launch, since requirements vary by location, industry, contact type, and consent status.
Can these services call leads from a purchased list?
My AI Call Center will only run campaigns against approved, permissioned, or reviewed lists, and bought lists without clear permission records are typically declined. Other providers on this list vary, but for health insurance outreach, consent documentation matters under TCPA rules, and CMS requires agents to document a consumer's consent before using their information for Marketplace quoting or enrollment. Ask any provider to verify consent records before your campaign launches.
How do campaign results get back into my brokerage's systems?
My AI Call Center routes outcomes back into the CRM and scheduling tools you already run. You receive a named outcome report with disposition codes (confirmed, qualified, renewed, opted out, no answer), per-call notes, routed follow-up requests, a completion/coverage report, and opt-out and DNC logs. Hot leads transfer to your team live or land in your CRM. SupportYourApp offers omnichannel coverage via its own SupportCRM or third-party CRM integrations.
When should a brokerage start planning multilingual outreach for open enrollment?
Early. Open enrollment windows are short and intense, and campaigns need list review, consent verification, script approval, and sign-off before launch. My AI Call Center's process includes campaign review, list and consent review, system connection, script and escalation approval, and then launch, so building in a few weeks of lead time is wise. Starting the conversation well before your enrollment season protects both compliance and results.