Health insurance brokerages serve some of the most linguistically diverse communities in the country, and the outreach gap shows up in real dollars. A CSA Research survey of 8,709 consumers across 29 countries found that 75% are more likely to buy again from a brand that speaks to them in their native language, and 40% won't engage at all with content in another language. For a brokerage, that gap shows up during open enrollment, at renewal time, and in every follow-up call to a Spanish-speaking household that never got made. The problem is staffing. Hiring bilingual agents for every language in your book of business is expensive and slow, and contact center turnover runs as high as 60% a year, with each replacement costing $10,000 to $20,000 per McKinsey research on contact center operations. This 2026 guide compares five providers that can run multi-language outbound campaigns for health insurance brokerages, from managed AI calling services to multilingual outsourcing firms, so you can match the right partner to your consent-sensitive lists, TCPA obligations, and renewal calendar.
#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 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, based in Halifax, Nova Scotia with a U.S. operating base in Austin, Texas, the service is built for multi-location organizations that need to run more useful calls without building a bigger call center. For a health insurance brokerage, that means renewal and retention calls 30 to 60 days before the renewal date, speed-to-lead follow-up on new quote requests, appointment reminders, surveys, and win-back campaigns against dormant policyholders, all delivered in the language the contact actually speaks. 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. They tell you plainly if a list won't support the campaign before you spend anything, which matters enormously in a regulated industry where TCPA fines can run $500 per violation or up to $1,500 for willful violations. Compliance is built in: AI-generated voices are treated as artificial voices under the TCPA with prior express consent required, AI disclosure appears on every call, keyword opt-outs like STOP and REVOKE are honored immediately, and DNC requests carry across all campaigns into your client records. HIPAA-compliant communication standards apply on clinic pages. Nothing launches until you approve the script, disclosure language, 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, and hot leads can transfer to your team live. Reporting is honest: they report what actually happened and never invent client logos, testimonials, metrics, or ratings. Pricing is transparent and locked for the campaign, with the full number known before you approve launch.
Pros
- Fully managed service: 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 integrate directly into existing CRM and scheduling tools
- Honest reporting with no invented metrics, testimonials, or ratings
Cons
- Not a self-serve platform; campaigns require provider review and approval before launch
- Language coverage centers on Spanish; 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 healthcare organizations that need compliant, managed multi-language calling campaigns, renewals, reminders, and lead follow-up, without hiring bilingual staff or running call center software.
#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 pairs human 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 support agent working across chat, email, and messaging channels in 45+ languages. Human agents cover 60+ operational support languages, with omnichannel coverage via its own SupportCRM or third-party CRM integrations. Security credentials are a genuine strength for a regulated industry. SupportYourApp holds ISO 27001 certification and maintains PCI DSS, GDPR, and HIPAA compliance, according to its website, which matters for brokerages handling protected health information. The company lists healthcare among its target industries and offers custom-built AI solutions matched to a brand's tone. A published example illustrates the approach: for Flibco, an airport shuttle service expanding into new markets, SupportYourApp built a scalable 24/7 English and French team. Exact rates are quote-based, so budgeting requires a scoping conversation. Brokerages should note the primary focus is customer support outsourcing rather than structured, compliance-led outbound campaign work.
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 and healthcare organizations that want very broad language coverage and 24/7 multilingual support across voice, chat, and email with strong security credentials.
#3 ganira — Contact for pricing (performance-based model)
ganira is a dedicated outbound telesales partner with 15+ years of experience serving insurance carriers, agencies, and brokerages across the US, UK, Canada, Germany, Switzerland, Austria, France, Spain, Ireland, and Portugal. For health insurance specifically, the company handles full sales campaigns for individual, group, and Medicare products, plus appointment setting with decision-makers like HR directors and CFOs for group benefits, and lead qualification that verifies financial readiness, risk profile, and decision-maker intent. Its agents understand policy riders, underwriting guidelines, and regulatory requirements, according to its website. Multi-language outreach is a stated strength: ganira says it uses native speakers across all target markets and supports six languages across ten global markets. Compliance is addressed directly, with the company stating it is 100% compliant with all local and national Do Not Call regulations and consumer protection laws for insurance telemarketing. Its pricing model is performance-based, meaning you only pay when results happen, which aligns vendor incentives with yours. Technology includes an AI-driven CRM with automated data enrichment and lead scoring, real-time quality assurance with call recording and sentiment analysis, and dynamic scripting that adapts based on prospect responses. Brokerages should note this is a human-agent telesales model, so capacity scales with headcount rather than software, and pricing requires a conversation.
Pros
- Deep insurance specialization including Medicare and group benefits
- Performance-based pricing aligns vendor incentives with results
- Native-speaker multi-language outreach across ten markets
- AI-driven CRM with real-time compliance checks and reporting
Cons
- Human-agent model means capacity scales with headcount
- Pricing is not published; requires a consultation
- Focused on sales campaigns rather than reminders, surveys, and retention calling
Best for: Health insurance brokerages that want a human-led outbound telesales partner with insurance-specific training and a performance-based pricing model across multilingual markets.
#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 operation, that scale is the main draw: a single partner can cover nearly any language your clients speak, across inbound and outbound calling, technical support, and 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 brokerages, the outbound call center capability is the most relevant piece. Large operators running regionally coordinated outreach, renewal reminders, member communications, or follow-up campaigns across diverse language communities can draw on TP's multilingual human agent network. The tradeoffs are practical. Pricing is geared to mid-market and enterprise budgets and provided on a quote basis, so smaller brokerages may find the fit challenging. Onboarding for an operation of this scale can get complex, and service quality may vary between regions given the footprint. For a brokerage with the volume to justify it, though, few providers can match the language 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 health insurance operators that need a single partner covering many languages and regions.
#5 TextingOnly (OTTO) — Contact for pricing
TextingOnly takes a different route to multi-language outreach: SMS qualification funnels rather than voice campaigns. According to its website, the platform builds a campaign once in English, and the contact selects their preferred language on a SmartLink page. OTTO then runs the entire qualification flow in that language, currently supporting English and Spanish as the primary bilingual pairing, which covers the most common need for U.S. health insurance brokerages. The team receives structured lead records in English with the contact's language preference tagged, so a non-bilingual rep can follow up with a full summary while a bilingual rep can pick up the transcript. For brokerages, the healthcare use case is explicit on their site: patient intake, appointment scheduling, and insurance questions can be asked in Spanish, reducing front desk burden. TCPA consent is documented at opt-in for every contact across all language paths, and per-language conversion reporting shows opt-in volume, completion rate, and conversion broken out by language in one dashboard. The limitation is channel and scope. This is SMS-first outreach, not calling, so it complements rather than replaces a voice campaign, and language coverage beyond English and Spanish is discussed as part of a custom setup rather than offered out of the box. Additional language pairs require custom configuration.
Pros
- No bilingual staff needed for the qualification flow
- TCPA consent documented at opt-in across all language paths
- Per-language conversion reporting in a single dashboard
- Works for both English and Spanish contacts from one campaign entry point
Cons
- SMS-first platform, not a voice calling solution
- Language coverage centers on English and Spanish; other pairs require custom setup
- Complements rather than replaces outbound calling campaigns
Best for: Health insurance brokerages that want bilingual SMS-first lead qualification and intake flows for English and Spanish-speaking contacts without hiring bilingual staff.
The right multi-language outbound partner depends on what you're actually trying to accomplish. If you're a health insurance brokerage with permissioned client lists and a renewal calendar to protect, a managed service like My AI Call Center gives you structured campaigns with consent review before launch, AI disclosure on every call, and outcomes routed back into your CRM, starting at 9¢ per connected minute with the rate locked for the campaign. If you need very broad language coverage across voice and digital channels, SupportYourApp's 60+ language footprint and HIPAA compliance are worth a scoping call. Human-led telesales with insurance-specific training suits brokerages that want a sales partner on performance-based pricing, while Teleperformance makes sense for large multi-state networks that need scale. And if SMS-first bilingual qualification fits your intake process better than calling, TextingOnly handles English and Spanish flows cleanly. Whatever you choose, ask every vendor the same questions: how consent records are verified before launch, how opt-outs are honored, and what the full campaign cost is before you approve it. Plan your campaign at myaicallcenter.app, where the first campaign review is free and the full number is known before anything launches.
Frequently asked questions
What makes My AI Call Center different from other multi-language outbound providers?
My AI Call Center is 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 biggest differentiator 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, and they tell you plainly if a list won't support the campaign before you spend anything. Compliance is built in, with AI disclosure on every call, TCPA alignment treating AI voices as artificial voices, immediate STOP and REVOKE keyword opt-outs, and DNC requests carried across all campaigns. Pricing starts at 9¢ per connected minute with the rate locked for the campaign.
Why does multi-language outreach matter for health insurance brokerages?
Because language quietly decides whether a client renews or drifts away. A CSA Research survey of 8,709 consumers across 29 countries found that 75% are more likely to repurchase from a brand when communication is delivered in their native language, and 40% won't engage at all with content in another language. For a brokerage, renewal calls, appointment reminders, and open enrollment follow-ups that arrive only in English reach only part of the book of business. Spanish is the most common second language need for U.S. brokerages, and reaching those households in their preferred language protects retention during the windows that matter most.
How much do multi-language outbound campaigns cost?
It depends on the model. My AI Call Center publishes its calling rate: 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, and the first campaign review is free. Human-agent outsourcing providers like ganira use performance-based pricing where you pay when results happen, with exact rates set in a consultation. SupportYourApp, Teleperformance, and TextingOnly are all quote-based, so you'll need a scoping conversation for firm numbers. Ask every vendor for the full campaign cost in writing before approving launch.
What compliance issues should health insurance brokerages consider for outbound calling?
The TCPA is the main one. AI-generated voices are treated as artificial voices under the TCPA, which means prior express consent is required, and fines can run $500 per violation or up to $1,500 for willful violations. State-specific quiet hours, day restrictions, and registration rules also apply. Beyond that, health insurance work touches HIPAA standards for protected health information, and CMS requires documented consumer consent before using their information to quote Marketplace coverage. Reputable providers verify list source and consent records before launch, honor opt-outs immediately, and maintain DNC logs. My AI Call Center, for example, checks consent records before any campaign launches and applies HIPAA-compliant communication standards on clinic pages.
Can I run multi-language campaigns without hiring bilingual staff?
Yes, and that's the main reason managed AI calling services exist. My AI Call Center runs Multi-Language Outbound Campaigns with Spanish as the most common option, with no agents to hire and no software to learn. TextingOnly's OTTO handles the entire Spanish-language SMS qualification flow automatically and delivers the lead record to your team in English with the language preference tagged. SupportYourApp pairs AI voice agents in 30+ languages with human agents covering 60+ languages. The staffing math is compelling: contact center turnover runs as high as 60% a year, and replacing each agent costs $10,000 to $20,000 per McKinsey research, so hiring native speakers per language market rarely pencils out.
What kinds of campaigns work best for health insurance brokerages?
The highest-ROI campaigns are tied to dates and decisions. Renewal and retention calls placed 30 to 60 days before the renewal date protect the book of business when clients are most likely to shop around. Speed-to-lead follow-up calls, with new leads called within minutes inside approved windows, convert quote requests that otherwise go cold. Appointment and event reminders reduce no-shows, and HIMSS reports telephone reminders reduced missed appointments by as much as 22%. Win-back and reactivation campaigns target 12 to 24 month dormants, and database reactivation blitzes run structured multi-touch campaigns across calls, texts, and emails over two to four weeks. Each campaign should have one clear goal and a defined outcome, quoted before launch.
Will these providers call purchased lead lists?
It varies, and it's worth asking directly. My AI Call Center runs campaigns only against approved, permissioned, or reviewed contact lists, and bought lists without clear permission records are flagged and, in most cases, declined. That's a feature in a regulated industry, since TCPA violations carry fines of $500 per call or more, and CMS requires documented consent before using a consumer's information to quote Marketplace coverage. Other providers on this list work from client-supplied lists or generate leads themselves. If you're buying leads from a vendor, ask for the consent records in writing before any campaign touches them.