Best Multi-Language Outbound Campaigns for Health Insurance Brokerages

Health insurance brokerages live and die by the open enrollment window, and in 2026 that window includes a lot of people who don't answer in English. The U.S. Census Bureau counts more than 25 million residents with limited English proficiency, and CSA Research found that 75% of consumers are more likely to engage with a brand contacted in their native language. For a brokerage, that translates directly into renewal confirmations, plan-change reminders, and enrollment follow-ups that either connect or quietly fail. The catch is that health insurance calling is heavily regulated. TCPA consent rules, CMS requirements around Marketplace enrollment, state quiet hours, and HIPAA-adjacent handling of member data all apply, and AI-generated voices are now treated as artificial voices under the TCPA. That's why this guide focuses on managed, compliance-forward providers rather than raw dialer software. We compared five solutions that genuinely support multi-language outbound campaigns for brokerages, evaluated on language coverage, consent and compliance posture, healthcare 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 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 in full 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 is built for multi-location organizations of 1 to 200+ staff, which fits brokerages running branch-level renewal and enrollment outreach. 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 in health insurance, where AI-generated voices are treated as artificial voices under the TCPA and prior express consent is required. 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, and STOP and REVOKE keyword opt-outs are logged and honored immediately. DNC requests carry across all campaigns. 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. Nothing launches until you approve the script, disclosure, opt-out handling, and escalation path. 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. No per-seat charges, no platform bill, and no invented numbers in reporting.

Best for: Health insurance brokerages and multi-location agencies that need compliant, managed renewal, enrollment, and follow-up calls in clients' preferred languages without hiring bilingual staff or building a call center.

#2 ganira — Contact for pricing (performance-based model; no sales, no payment)

ganira is a dedicated outbound telesales partner with 15+ years of experience, including telemarketing for insurance providers across life, health, P&C, and commercial lines, according to its website. For health insurance brokerages, the most relevant services are full product sales campaigns, 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 the sales team. The company operates across 10 global markets including the US, UK, Canada, Germany, Switzerland, Austria, France, Spain, Ireland, and Portugal, and advertises native-speaker agents across six languages, which is what earns it a place on a multi-language list. Its pricing model is performance-based: you only pay when results happen, with no sales resulting in no payment. ganira also advertises an AI-driven CRM with automated data enrichment and lead scoring, real-time quality assurance with call recording and sentiment analysis, dynamic AI-powered scripts that adapt based on prospect responses, and 100% GDPR compliance with auditable processes. Published scale figures include 500,000 calls per month, 150,000 sales per annum, 200+ sales experts, and 30 clients. For brokerages that want an outsourced sales team rather than a structured campaign service, and that have the volume to justify it, ganira is a credible option. Exact pricing is not published; the model is commission- and performance-based, so expect a scoping conversation.

Best for: Insurance carriers, agencies, and brokerages that want an outsourced telesales team running full sales cycles and appointment setting across multiple language markets.

#3 Hugo — Contact for pricing

Hugo provides HIPAA-compliant multilingual voice support for healthcare, with dedicated phone agents covering 60+ languages, according to its website. For brokerages handling member and prospect communications that touch health information, Hugo's healthcare-first posture is the main draw. Its model is built around native or bilingual speakers who handle appointment scheduling, care navigation, and escalated questions without the translation latency of interpreter relay services. According to Hugo's published materials, operations are ISO 27001 certified, SOC 2 compliant, and HIPAA-aligned, with encrypted telephony, role-based access controls, and continuous QA monitoring by native-speaking evaluators. The company reports phone pickup under 4 seconds and first-call resolution rates above 85%, with dedicated teams assigned 100% to healthcare clients rather than shared across industries. It recruits talent pools across Spanish, Mandarin, Cantonese, Vietnamese, Tagalog, Arabic, Russian, Haitian Creole, and Portuguese, among others. For brokerages navigating federal language-access mandates under Section 1557 of the Affordable Care Act, Hugo positions itself as a way to scale multilingual voice operations during enrollment surges and recall-style outreach campaigns without degrading service quality. Its Surge Protect capability provides on-demand capacity during open enrollment volume spikes, which maps directly to the brokerage calendar. Pricing is not publicly disclosed and requires a scoping conversation.

Best for: Healthcare organizations and brokerages that need HIPAA-aligned, dedicated multilingual voice teams with strong QA controls and surge capacity during open enrollment.

#4 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 the company leans toward tech-driven businesses, it lists healthcare among its target industries, which is relevant for brokerages handling sensitive member 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, plus custom help desk integration and migration services. 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. AI agents are available around the clock across time zones, which helps if members contact the brokerage outside business hours. Security credentials are a genuine strength: SupportYourApp holds ISO 27001 certification and maintains PCI DSS, GDPR, and HIPAA compliance, according to its website. For brokerages that want very broad language coverage across voice, chat, and email with strong security credentials, it's one of the widest footprints available. 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.

Best for: Organizations that want very broad language coverage and 24/7 multilingual support across voice, chat, and email with strong security credentials.

#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 multi-state insurance group, that scale is the main draw: a single partner can cover nearly any language your members and prospects 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 sheer size makes it a benchmark in global outsourcing. For 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 group benefits enrollments and policyholder communications during peak enrollment periods. The trade-offs 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 can get complex given the footprint, and service quality may vary between regions. If your brokerage operates at scale across many states or countries and needs one partner for nearly any language, TP is worth a serious evaluation. If you're running a single structured renewal campaign, a smaller managed service will likely be simpler and cheaper.

Best for: Large brokerage networks and multi-state or multinational insurance operators that need a single partner covering many languages and regions.

Multi-language outbound campaigns are no longer optional for health insurance brokerages serving diverse communities, but the right partner depends on your scale and your compliance appetite. If you want structured, consent-checked campaigns with locked pricing and outcomes routed straight into your CRM, My AI Call Center is the clearest fit: calling starts at 9¢ per connected minute, the full campaign cost is quoted before launch, and the first campaign review is free. If you need an outsourced sales team running full policy sales cycles, look at ganira. If HIPAA-aligned dedicated teams and 60+ languages matter most, evaluate Hugo or SupportYourApp. For enterprise-scale, multi-country operations, Teleperformance covers nearly any language you'll encounter. Whatever you choose, ask the same questions up front: where did the list come from, what consent records exist, and what will the campaign actually cost before it launches. Plan your first campaign with My AI Call Center and get a full quote before you spend anything.

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