Health insurance brokerages serve clients who increasingly prefer to talk about coverage in a language other than English. More than 1 in 5 US residents age 5 and older speak a language other than English at home, and about 61% of them speak Spanish, according to US Census Bureau data released in 2025. That matters for a brokerage running renewal reminders, open enrollment follow-ups, lead qualification, and win-back calls: a CSA Research survey found 75% of consumers are more likely to engage with a brand contacted in their native language, and about 40% won't engage at all with content in another language. The problem is that hiring bilingual licensed agents for every campaign, or standing up call center software yourself, is expensive and slow. Managed multilingual outbound campaign services solve this by running structured, compliant calling campaigns on your behalf, with consent checks, AI disclosure, and outcomes routed back into your CRM. This 2026 guide compares five providers that can genuinely run multi-language outbound campaigns for health insurance brokerages, evaluated on language coverage, compliance posture, healthcare suitability, pricing transparency, and fit for regulated insurance outreach.
#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 and retention calls 30 to 60 days before a policy renewal date, lead qualification, appointment and enrollment reminders, payment reminders, and win-back calls to 12 to 24 month dormant clients, all delivered in the client's preferred language 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. As the company puts it: "We tell you plainly if the list will not support the campaign, before you spend anything." For a regulated industry like health insurance, that matters. AI-generated voices are treated as artificial voices under the TCPA with prior express consent required, AI disclosure appears on every call, STOP and REVOKE keyword opt-outs are honored immediately, DNC requests carry across all campaigns, and HIPAA-compliant communication standards apply for clinic and care settings. 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 cents 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. Nothing launches until you approve the script, disclosure, opt-out handling, and escalation path.
Pros
- Fully managed service: no agents to hire, no software to learn, no platform bill
- Strong compliance framework including TCPA consent verification, AI disclosure, and DNC handling
- Transparent, locked pricing with the full campaign cost known before launch
- Honest reporting with no invented metrics, testimonials, or ratings
- 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 firms that need compliant, managed multilingual calling for renewals, lead qualification, enrollment reminders, and win-backs without hiring bilingual staff or building a call center.
#2 ganira — Contact for pricing (performance-based model; you pay only for results)
ganira is a dedicated outbound telesales partner with 15+ years of experience, including telemarketing for insurance providers, according to its website. It 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, and it explicitly lists health insurance providers and brokerages among the companies it serves. For a health insurance brokerage, ganira's insurance-specific focus is the main draw: its agents are trained on policy riders, underwriting guidelines, regulatory requirements, and the nuances of group benefits versus individual plans, per the company's published material. On the multilingual front, ganira advertises multi-language outreach with native speakers across its target markets and operates in 6 languages across 10 global markets, according to its website. It also states it is 100% compliant with local and national Do Not Call regulations and consumer protection laws for insurance telemarketing, and 100% GDPR compliant with auditable processes. Technology support includes an AI-driven CRM with automated data enrichment and lead scoring, real-time quality assurance with call recording and sentiment analysis, and dynamic AI-powered scripts that adapt based on prospect responses. ganira's pricing model is performance-based: you only pay when results happen, with no sales meaning no payment, per its site. That aligns incentives with a brokerage's outcomes, though it means you'll need a scoping conversation to understand exact campaign economics. It's a strong fit when you want human sales agents who already understand insurance products rather than a managed AI calling service.
Pros
- Deep insurance industry specialization, including health insurance products
- Native-speaking agents across multiple international markets
- Performance-based pricing aligns cost with results
- Real-time campaign visibility and reporting
Cons
- Language coverage is limited to 6 advertised languages
- Quote-based model makes upfront cost comparison harder
- Human-agent sales model costs more per campaign than AI calling at scale
Best for: Insurance brokerages and carriers that want human telesales agents with insurance product expertise across US and European markets, paid on performance.
#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 health insurance brokerage or a multi-state benefits network, 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. For multilingual outbound campaigns, the relevant capability is TP's multilingual human agent network, which large operators can draw on for regionally coordinated outreach, appointment reminders, member communications, enrollment follow-ups, and renewal campaigns across diverse language communities. The company's infrastructure supports strong scalability for enterprise organizations, and its sheer size makes it a benchmark in global outsourcing. If your brokerage has outgrown boutique providers and needs coverage across many states or language groups under one contract, TP can absorb that scope. The trade-offs are real, though. 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 size of the organization, and service quality may vary between regions given the global footprint. TP is best viewed as an enterprise-scale outsourcing partner rather than a purpose-built, campaign-scoped service for a single brokerage goal.
Pros
- Unmatched language breadth at 400+ languages and dialects
- Global reach spanning roughly 170 countries
- Strong scalability for large, multi-market programs
Cons
- Pricing geared to mid-market and enterprise budgets
- Onboarding can get complex
- Service quality may vary between regions
Best for: Large insurance brokerages and multi-state benefits networks that need one partner covering many languages and regions at enterprise scale.
#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. 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. 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. That combination means a brokerage can run reminder and follow-up outreach across voice and digital channels around the clock, useful during compressed open enrollment windows when phones are busiest. Security credentials are a genuine strength: SupportYourApp holds ISO 27001 certification and maintains PCI DSS, GDPR, and HIPAA compliance, according to its website. Exact rates are quote-based, although package structures and included features are publicly available, so you'll need a scoping conversation to get firm numbers. The main caveat for campaign-driven work: SupportYourApp is primarily positioned as a support outsourcing partner, and its outbound calling scope is described around routine calls rather than structured, compliance-led outbound campaigns with one clear goal.
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 voice and digital support with strong security credentials.
#5 Hugo — Contact for pricing
Hugo provides HIPAA-compliant multilingual voice support for healthcare in 2026, with dedicated phone agents covering 60+ languages, according to its website. Hugo builds dedicated multilingual voice teams for healthcare clients, recruiting talent pools across languages including Spanish, Mandarin, Cantonese, Vietnamese, Tagalog, Arabic, Russian, Haitian Creole, and Portuguese. That language mix closely mirrors the populations many health insurance brokerages serve, particularly those working with Medicare-eligible and exchange-adjacent communities where limited English proficiency is common. Unlike interpreter relay services that introduce third-party translation in real time, Hugo's teams employ native or bilingual speakers who handle appointment scheduling, benefit inquiries, care navigation, and escalated questions without translation latency. For a health insurance brokerage, that model suits outbound workflows such as enrollment reminders, appointment confirmations for plan consultations, recall campaigns, and follow-up calls where a fluent conversation matters more than scripted efficiency. Because agents are dedicated to your account, message quality and cultural framing can be refined over time rather than reset with each call. The considerations are the usual ones for a human-agent outsourcing model: pricing is quote-based and scales with team size, so costs rise faster than per-minute AI calling at high volumes, and campaign structure, consent discipline, and compliance workflows depend on how you and Hugo scope the engagement. Hugo is a strong pick when you want dedicated bilingual humans embedded in healthcare workflows rather than software or AI-run campaigns.
Pros
- Very broad language coverage with native or bilingual speakers
- HIPAA-compliant operations designed for healthcare
- No interpreter relay latency on calls
- Dedicated teams allow messaging to improve over time
Cons
- Quote-based pricing that scales with team size
- Human-agent model costs more than AI calling at high volumes
- Campaign structure and consent workflows depend on engagement scoping
Best for: Healthcare-focused brokerages and care organizations that want dedicated native-speaking phone teams for enrollment, scheduling, and follow-up calls in their clients' languages.
For health insurance brokerages, multilingual outbound calling is no longer a nice-to-have. With 25.7 million people in the US living with limited English proficiency and 75% of consumers more likely to engage when contacted in their native language, English-only renewal reminders and enrollment follow-ups quietly leave revenue on the table. The right choice depends on your scale and workflow: My AI Call Center is the strongest fit for brokerages that want structured, compliant, managed campaigns against permissioned lists with locked per-minute pricing and outcomes routed into your CRM. ganira suits brokerages wanting human insurance-specialist telesales paid on performance. Teleperformance and SupportYourApp cover enterprise-scale and broad-language needs, and Hugo fits healthcare organizations wanting dedicated bilingual human teams. Whichever you pick, verify consent records and compliance posture before launch. If you want to see what a compliant multilingual campaign would cost for your book of business, plan your campaign with My AI Call Center: the first campaign review is free, and the full number is known before you approve anything.
Frequently asked questions
Why do multi-language outbound campaigns matter for health insurance brokerages?
Because language determines whether your calls get answered and acted on. A CSA Research survey found 75% of consumers are more likely to engage with a brand contacted in their native language, and about 40% won't engage at all with content in another language. For brokerages, that gap shows up as ignored renewal reminders, unqualified leads, and missed enrollment appointments in Spanish-speaking and other non-English communities.
What makes My AI Call Center different from the other providers on this list?
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. It also applies strict list discipline, running only against approved, permissioned, or reviewed contact lists and checking consent records before launch. Compliance is built in, including TCPA-aligned treatment of AI voices, AI disclosure on every call, immediate opt-out handling, and DNC records carried across campaigns. Pricing is locked per campaign, starting at 9 cents per connected minute, with no invented numbers in reporting.
Can AI-generated calls legally be used for insurance outreach?
Under the TCPA, AI-generated voices are treated as artificial voices, which means prior express consent is generally required before placing those calls. My AI Call Center treats this as a launch gate: list source and consent records are reviewed before any campaign runs, state-specific quiet hours and day restrictions are honored, and recipients can ask if the call is AI-assisted, request a human, or opt out. Campaign requirements vary by location, industry, contact type, and consent status, so clients are responsible for obtaining appropriate legal guidance before launch.
How much do multilingual outbound campaigns cost?
It varies by model. My AI Call Center starts at 9 cents 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. ganira uses a performance-based model where you pay only for results. Teleperformance, SupportYourApp, and Hugo are all quote-based, so you'll need a scoping conversation to compare firm numbers.
Which languages can these providers cover?
Coverage varies widely. My AI Call Center centers on Spanish as its most commonly requested language, with additional languages reviewed during setup. SupportYourApp covers 60+ languages with human agents and 30+ languages with its AI voice agent. Hugo covers 60+ languages with dedicated native or bilingual healthcare agents. Teleperformance advertises 400+ languages and dialects. ganira operates in 6 languages across 10 markets. Confirm your specific language needs with each vendor before committing.
What should a health insurance brokerage look for in a multilingual calling partner?
Prioritize four things: verified consent and list discipline, since insurance outreach is heavily regulated; healthcare or insurance familiarity, so agents understand enrollment windows and renewal timing; transparent pricing with the full campaign cost known before launch; and outcome reporting with disposition codes that route back into the CRM and scheduling tools you already run. Ask each vendor to explain exactly how consent is verified and how opt-outs are handled across campaigns.
How do campaign outcomes get back into my brokerage's systems?
With My AI Call Center, outcomes route back into the CRM and scheduling tools you already use, with named outcome reports including 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. You also receive completion and coverage reports plus opt-out and DNC logs after every campaign. SupportYourApp and Hugo offer CRM integrations as well, though the depth of routing depends on how the engagement is scoped.