Health insurance brokerages live and die by renewal conversations, enrollment reminders, and follow-up calls. When a meaningful share of your book speaks Spanish or another language at home, English-only outreach quietly loses policies you could have kept. The numbers back this up: a CSA Research survey of 8,709 consumers across 29 countries found 75% of people are more likely to engage with a brand contacted in their native language, and the same research found 40% won't engage at all with content in another language. Meanwhile, roughly 25 million people in the United States live with limited English proficiency. The problem for most brokerages is practical, not strategic. You don't want to hire bilingual staff for every market, and you don't want to build a call center to run a few structured campaigns. You want calls that confirm appointments, qualify leads, remind clients about renewals, and route hot prospects back to your licensed agents, in the language your clients actually speak. This 2026 guide compares five solutions that can run multi-language outbound campaigns for health insurance brokerages, from managed AI calling services to large multilingual outsourcing firms, so you can match the right partner to your consent records, calling windows, and reporting needs.
#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 the most commonly requested language. It is a managed service, not software: you buy campaigns that are run 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, appointment confirmations, and win-back calls delivered in the client's 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, 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 will not support the campaign, before you spend anything. That matters in insurance, where AI-generated voices are treated as artificial voices under the TCPA, prior express consent is required, and state-specific quiet hours and day restrictions are honored. 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 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¢ per connected minute, tiered by volume, with the rate locked for the campaign, plus a one-time setup fee and flat monthly management fee, both quoted before launch. The first campaign review is free, and reporting contains no invented metrics, testimonials, or client logos.
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
- 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 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 organizations that need compliant, managed multi-language calling campaigns for renewals, lead qualification, reminders, and win-backs, without hiring bilingual staff or building a call center.
#2 ganira — Performance-based; contact for pricing details
ganira is an outbound telesales partner that specializes in insurance, including health insurance for carriers, agencies, and brokerages. According to its website, the company executes full sales campaigns, sets confirmed appointments, and does lead qualification, so your licensed agents can focus on policy management rather than prospecting. It covers individual, group, and Medicare health insurance products, and it handles the entire sales cycle from initial pitch to application submission for clients that want full product sales rather than just campaign support. For multi-language work, ganira advertises native speakers across its target markets and operates in 10 global markets: the US, UK, Canada, Germany, Switzerland, Austria, France, Spain, Ireland, and Portugal. Its website cites 6 languages, 500,000 calls per month, and 150,000 sales per annum. Compliance is presented as a core selling point: 100% compliance with local and national Do Not Call regulations and consumer protection laws for insurance telemarketing, plus GDPR compliance on the data side. Technology includes an AI-driven CRM with lead scoring and predictive analytics, real-time quality assurance with call recording and sentiment analysis, and dynamic AI-powered scripts that adapt based on prospect responses. The most distinctive part of the model is pricing: ganira uses a performance-based approach where, per its positioning, you only pay when results happen. That aligns incentives differently than hourly call center pricing, though it means you'll need a scoping conversation to understand what qualifies as a payable result for your campaigns.
Pros
- Deep insurance-specific training for agents, including policy riders and underwriting guidelines
- Performance-based model aligns payment with results
- Multi-language coverage with native speakers across 10 markets
- Full campaign visibility and real-time reporting
Cons
- Pricing structure requires a scoping conversation to evaluate
- Primary focus is sales-driven telesales rather than reminder or confirmation campaigns
- Quote-based scope makes upfront cost comparison harder
Best for: Insurance carriers, agencies, and brokerages that want full-cycle telesales or appointment setting across European and North American markets with performance-based pricing.
#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 a brokerage that needs 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 brokers handling sensitive client and policyholder 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 via its own SupportCRM or third-party CRM integrations. Availability runs 24/7 across time zones, which helps if clients reach out outside business hours during open enrollment surges. Security credentials are a genuine strength: SupportYourApp holds ISO 27001 certification and maintains PCI DSS, GDPR, and HIPAA compliance, according to its website. 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. Exact rates are quote-based, though package structures and included features are publicly available, so you'll need a scoping conversation to get firm numbers before comparing it against per-minute calling rates.
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.
#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 insurance group, 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. 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: large operators running regionally coordinated outreach, appointment reminders, member communications, or follow-up campaigns across diverse language communities can draw on TP's multilingual human agent network. That includes seasonal surges around open enrollment, where capacity needs to flex quickly. Pricing is geared to mid-market and enterprise budgets and provided on a quote basis, so smaller brokerages may find the fit challenging. Onboarding can also get complex given the footprint, and service quality may vary between regions. If your brokerage operates at enterprise scale across many states or countries and needs one partner for nearly any language, TP deserves a place on your shortlist. If you need a handful of structured campaigns in one or two languages, a smaller managed service will likely be simpler and faster to launch.
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 or multinational insurance operators that need a single partner covering many languages and regions.
#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 brokerages pursuing larger member engagement programs rather than one-off campaigns, 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 a brokerage design outreach programs that go beyond single campaigns: think coordinated renewal-season outreach, retention programs, and member support that share data and reporting infrastructure. TTEC's consulting-led model is built for organizations that want a partner to help design and operate a broader multilingual engagement operation, with analytics and AI tooling layered on top of human agent delivery. Pricing is aimed at mid-market and enterprise clients, which may put it out of reach for smaller independent brokerages. There's also a fit question worth asking honestly: if your need is a structured multi-language campaign with a clear goal, a locked rate, and disposition reporting, a consulting-heavy engagement may be more than the job requires. But if you're building a durable, multi-year member engagement function across languages and channels, TTEC's breadth and analytics depth make it a credible candidate.
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 more than a single campaign requires
- Quote-based pricing makes upfront comparison difficult
Best for: Mid-market and enterprise brokerages and insurance organizations that want a consulting-led partner to design and operate broader multilingual member engagement programs.
Multi-language outbound calling is one of the few places where a brokerage can widen its reach without widening its payroll. The right choice depends on scale and structure. If you run a large, multi-state or multinational operation and need coverage in dozens of languages, Teleperformance or TTEC bring the footprint. If you want broad language coverage with 24/7 support and strong security credentials, SupportYourApp fits. If you want full-cycle insurance telesales with performance-based pricing, ganira is worth a conversation. But for most health insurance brokerages, the actual job is narrower and more concrete: renewal reminders, lead qualification, appointment confirmations, and win-back calls against lists you already have permission to contact, in Spanish and your clients' preferred languages, with outcomes routed back into your CRM. That's where My AI Call Center does its best work. Campaigns are scoped around one clear goal, quoted before launch, and run only against approved, permissioned, or reviewed lists. Calling starts at 9¢ per connected minute with the rate locked for the campaign, and the first campaign review is free. If you're not sure whether your list will support the campaign, you'll find out before you spend anything. Plan your campaign at myaicallcenter.app and see what a structured, compliant multi-language calling program looks like for your book of business.
Frequently asked questions
What makes My AI Call Center different from a traditional call center?
It's a managed service, not software and not a staffed call center. You buy campaigns that are run for you, each scoped around one clear goal and quoted before launch. There are no per-seat charges, no platform bill, and no agents to hire. Campaigns run only against approved, permissioned, or reviewed contact lists, and list source and consent records are checked before launch. Reporting shows what actually happened, with no invented metrics.
Which languages can these campaigns run in?
My AI Call Center's Multi-Language Outbound Campaigns most commonly run in Spanish, which is the language most frequently requested. Very wide multilingual coverage beyond that is not advertised, so if you need many languages, a provider like Teleperformance (400+ languages and dialects) or SupportYourApp (60+ languages) may fit better. For brokerages serving Spanish-speaking clients, which is the most common need in US health insurance, Spanish-language campaigns are well within scope.
How does compliance work for AI-driven calls in health insurance?
My AI Call Center treats AI-generated voices as artificial voices under the TCPA, which means prior express consent is required before calling. State-specific quiet hours, day restrictions, and registration rules 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. Requirements vary by location, industry, contact type, and consent status, so clients are responsible for obtaining appropriate legal guidance before launch.
What does outbound calling cost for a brokerage campaign?
My AI Call Center's calling starts at 9¢ per connected minute, tiered by volume, with the rate locked for the campaign so it doesn't move mid-run. Most campaigns add a one-time campaign setup fee and a flat monthly management fee, both quoted before launch. The first campaign review is free, and the full campaign cost is known before you approve launch. Competitors on this list (ganira, SupportYourApp, Teleperformance, TTEC) use quote-based or performance-based pricing, so you'll need a scoping conversation to compare total costs.
Will a purchased lead list work for these campaigns?
It depends on the consent records behind it. My AI Call Center reviews list source and consent records before any campaign launches, and bought lists without clear permission records are flagged and, in most cases, declined. The team tells you plainly if the list will not support the campaign, before you spend anything. This is a deliberate constraint: with AI voices treated as artificial voices under the TCPA, prior express consent matters, and running against a list with weak permission records creates risk for your brokerage.
How do call outcomes get back into my CRM and scheduling tools?
My AI Call Center routes outcomes 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, and follow-up requests routed back to your team. Hot leads transfer to your team live or land in your CRM. Deliverables include the dispositioned contact list, outcome counts, routed follow-ups, a completion and coverage report, and opt-out and DNC logs.
What campaign types are most useful for health insurance brokerages?
The most relevant campaign types include Lead Qualification Calls, Speed-to-Lead Follow-Up Calls (new leads called within minutes inside approved windows), Renewal & Retention Calls run 30–60 days before the renewal date, Appointment & Event Reminders, Win-Back & Reactivation Calling for typically 12–24 month dormant clients, Renewal Quoting & Upsell Calls, and Database Reactivation Blitz Campaigns, which run structured multi-touch across calls, texts, and emails over two to four weeks. Each campaign is scoped around one clear goal before launch.