Health insurance brokerages rarely serve just one language community. If your book of business includes Spanish-speaking families, multilingual small business groups, or Medicare prospects who are more comfortable in another language, an English-only follow-up process quietly loses enrollments. Renewal calls go unanswered. Appointment reminders get ignored. Leads that took real ad spend to generate never convert, and the brokerage reads the silence as disinterest when it's really a language gap. CSA Research found that 75% of consumers are more likely to engage when contacted in their native language, which makes multilingual outreach a revenue question, not a courtesy. The challenge for most brokerages is staffing it. Hiring bilingual callers for every market is expensive, and most dialer platforms leave script design, consent tracking, and compliance in your lap. This 2026 guide compares five options for running multi-language outbound campaigns, from a managed AI calling service to global BPO providers, so you can match the right partner to your lists, your compliance obligations, and your budget.
#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. The 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 against approved, permissioned, or reviewed contact lists only. It's 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 offers Multi-Language Outbound Campaigns, with Spanish the most commonly requested language. 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 within minutes inside approved windows, appointment reminders, surveys, and win-back calling to 12 to 24 month dormants, all delivered in the policyholder's preferred language without hiring bilingual staff or running call center software. What separates it from the software platforms on this list is list discipline and pricing transparency. 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, which matters a lot in insurance, where TCPA consent rules and CMS requirements around Marketplace coverage make sloppy list hygiene a legal risk, not just a wasted spend. Calling starts at 9 cents per connected minute, tiered by volume, and the rate is locked for the campaign. Most campaigns add a one-time setup fee and a flat monthly management fee, both quoted before launch, with no per-seat charges and no platform bill. Nothing launches until you approve the script, the AI disclosure, the opt-out handling, and the escalation path, and outcomes route back into the CRM and scheduling tools you already run. Hot leads transfer to your licensed agents live or land in your CRM.
Pros
- Fully managed service: no agents to hire, no software to learn, no platform bill
- Consent and list review happens before launch, which matters for TCPA and CMS compliance in insurance
- Transparent, locked pricing with the full campaign cost known before you approve anything
- Honest reporting with no invented metrics, testimonials, or ratings
- Outcomes, bookings, and follow-up requests route directly into your existing CRM and scheduling tools
Cons
- Not self-serve; 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 insurance organizations that need compliant, managed multilingual calling campaigns for renewals, lead follow-up, reminders, and reactivation, without hiring bilingual staff or running call center software.
#2 ganira — Contact for pricing (performance-based model; rates quoted per engagement)
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, its website lists full product sales campaigns for individual, group, and Medicare products, along with 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. Multi-language outreach is a stated strength: ganira says it uses native speakers across its target markets and supports six languages across ten global markets. The model is performance-based. According to its website, you only pay when results happen: no sales, no payment. Its agents are trained on policy types, underwriting requirements, and group benefits versus individual plans, and the company says it is 100% compliant with local and national Do Not Call regulations and consumer protection laws for insurance telemarketing. Its AI-driven CRM provides automated data enrichment, lead scoring, and real-time quality assurance including call recording and sentiment analysis. For a brokerage that wants human callers closing full sales cycles in multiple languages rather than a managed AI service, ganira is a strong fit, though exact rates are quote-based.
Pros
- Performance-based pricing aligns cost with results
- Native speakers across its target markets for multilingual outreach
- Insurance-specific agent training covering policy types and underwriting requirements
- Real-time quality assurance with call recording and sentiment analysis
Cons
- Quote-based pricing makes upfront cost comparison difficult
- Human telesales teams typically cost more per contact than AI-assisted campaigns
- Focused on full sales cycles and appointment setting rather than lightweight reminder or reactivation campaigns
Best for: Insurance carriers, agencies, and brokerages that want human multilingual outbound telesales with a performance-based pricing model, particularly those selling in multiple international markets.
#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 multi-state agency group, that scale is the main draw: a single partner can cover nearly any language your policyholders speak, across inbound and outbound calling plus chat, email, and social channels. If your book of business includes language communities beyond Spanish, TP's breadth is hard to match anywhere on this list. For brokerages, the relevant capability is the outbound call center operation: large operators running regionally coordinated outreach, renewal campaigns, member communications, or follow-up programs across diverse language communities can draw on TP's multilingual human agent network. The trade-off is fit. Pricing is geared to mid-market and enterprise budgets and provided on a quote basis, so smaller brokerages may find the engagement model heavy. Onboarding for an operation of this scale can also be more complex than a scoped, single-goal campaign. Still, if you're a national brokerage coordinating outreach across many markets and languages at once, TP is a credible benchmark.
Pros
- Unmatched language breadth at 400+ languages and dialects
- Global reach spanning approximately 170 countries
- Handles large, regionally coordinated outreach programs
Cons
- Pricing geared to mid-market and enterprise budgets
- Onboarding can be complex for smaller teams
- Service quality may vary between regions given the footprint
Best for: Large brokerages and multi-state insurance organizations that need a single partner covering many languages and regions at enterprise scale.
#4 TTEC — Contact for pricing (aimed at mid-market and enterprise clients)
TTEC blends customer experience services 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. Multilingual delivery covers 50+ languages with omnichannel support spanning inbound and outbound call center services, customer acquisition, retention, and support programs. For a health insurance brokerage pursuing a broader member engagement program rather than one-off campaigns, TTEC's consulting-led model is designed for exactly that: it can help design and operate a multilingual outreach operation, not just execute a script. The company's deep expertise in CX transformation and analytics is its real differentiator. Brokerages running large retention programs across mixed-language member bases, or planning coordinated renewal and win-back outreach alongside acquisition work, can use TTEC's analytics layer to segment and measure at a level most standalone providers don't offer. The catch is budget and scope. Pricing is aimed at mid-market and enterprise clients, which may put it out of reach for smaller agencies, and a consulting-led engagement is a bigger commitment than a scoped campaign with a locked rate. For the right size of brokerage, though, it's a serious option.
Pros
- Combines multilingual delivery with analytics and CX consulting
- Omnichannel support across voice, digital, and retention programs
- Suited to large, coordinated engagement programs rather than single campaigns
Cons
- Pricing aimed at mid-market and enterprise clients
- Consulting-led engagements are heavier than a scoped campaign
- Smaller agencies may find the fit and budget requirements challenging
Best for: Mid-market and enterprise brokerages that want a consulting-led partner to design and run a broader multilingual member engagement operation.
#5 SupportYourApp — Contact for pricing (quote-based)
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, it has one of the widest footprints among tech-driven outsourcing providers, and 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 in 45+ languages. Human agents cover 60+ operational support languages. Security credentials are a genuine strength: SupportYourApp holds ISO 27001 certification and maintains PCI DSS, GDPR, and HIPAA compliance, per its website. For a brokerage processing member health information, that compliance posture matters. The limitation is focus. The company's center of gravity is customer support outsourcing rather than structured outbound campaign work, and its outbound calling scope is described as routine calls rather than compliance-led campaigns with consent review, disposition reporting, and escalation paths. Exact rates are quote-based, so you'll need a scoping conversation to get firm numbers.
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 upfront cost comparison harder
- 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 and insurance organizations that want very broad language coverage and 24/7 multilingual support across voice, chat, and email with strong security credentials.
The right multi-language outbound partner depends on the shape of your brokerage. If you're a national operation coordinating outreach across dozens of language communities, Teleperformance's 400+ languages and TTEC's consulting-led engagement model are built for that scale. If you want human telesales teams closing full sales cycles with performance-based pricing, ganira's insurance-specific training and native multilingual speakers are worth a conversation. And if broad language coverage across voice, chat, and email support is the priority, SupportYourApp's HIPAA-compliant footprint covers a lot of ground. For most brokerages, though, the practical question is simpler: how do you run compliant multilingual renewal calls, lead follow-up, and reactivation campaigns on lists you actually have permission to call, without hiring bilingual staff or managing software? That's where My AI Call Center stands out. Campaigns are scoped around one clear goal, quoted in full before launch, and run from 9 cents per connected minute with the rate locked. Lists and consent records are reviewed before anything launches, and you're told plainly if a list won't support the campaign. The first campaign review is free, so you can scope a Spanish-language renewal or speed-to-lead campaign and know the full cost before you commit a dollar. Plan your campaign at myaicallcenter.app or reach the team at [email protected].
Frequently asked questions
Why do health insurance brokerages need multi-language outbound campaigns?
Because language quietly decides whether a policyholder engages. CSA Research found 75% of consumers are more likely to engage with a brand that contacts them in their native language. For a brokerage, that shows up in renewal retention, appointment show rates, and lead conversion. A Spanish-speaking household that ignores an English renewal call isn't disinterested; they just didn't get a message they could act on. Multi-language outreach closes that gap without requiring you to hire bilingual staff for every market you serve.
How much does My AI Call Center cost?
Calling starts at 9 cents per connected minute, tiered by volume, and the rate is agreed before launch and does not move mid-campaign. Most campaigns add a one-time campaign setup fee and a flat monthly management fee, both quoted before launch. There are no per-seat charges, no platform bill, and no minimums you didn't choose. The first campaign review is free, so you know the full number before approving anything.
Can My AI Call Center call leads my brokerage just bought?
Probably not, and that's deliberate. My AI Call Center only runs campaigns against approved, permissioned, or reviewed lists. 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 the list won't support the campaign before you spend anything. In insurance, where TCPA consent rules and CMS requirements around Marketplace coverage carry real legal weight, that discipline protects you.
What languages does My AI Call Center support?
Multi-Language Outbound Campaigns are a core campaign type, with Spanish the most commonly requested language. Very wide multilingual coverage beyond that is not advertised, so if you need outreach in three or four less common languages, raise it during the free campaign review and the team will tell you plainly what's feasible before you commit to anything.
How does My AI Call Center handle compliance for insurance calls?
AI-generated voices are treated as artificial voices under the TCPA, so prior express consent is required before calling. State-specific quiet hours, day restrictions, and registration rules are honored, and AI disclosure is made on every call: recipients can ask if the call is AI-assisted, request a human, or opt out. Keyword opt-outs like STOP and REVOKE are honored immediately, and DNC requests are respected across all campaigns and carried into your DNC records. Recording is optional and only done with disclosure and consent, and data is never shared, sold, or used to train shared models. One note: campaign requirements vary by location, industry, and consent status, so you're responsible for getting appropriate legal guidance before launch.
What campaign types work best for health insurance brokerages?
The most common fits are renewal and retention calls run 30 to 60 days before the renewal date, speed-to-lead follow-up that calls new quote requests within minutes inside approved windows, appointment and enrollment reminders, surveys, and win-back calling to members who've been dormant 12 to 24 months. Each campaign is scoped around one clear goal, and outcomes route back into your CRM and scheduling tools, with hot leads transferring to your licensed agents live or landing in your CRM.
Should a brokerage use a managed service or a large BPO like Teleperformance?
It depends on scale and scope. Large multi-state brokerages coordinating outreach across many language communities at once may find Teleperformance's 400+ languages or TTEC's consulting-led model worth the enterprise budget. Smaller and mid-size brokerages usually get better economics from a managed service like My AI Call Center, where a single campaign with one clear goal can launch after a free review, with transparent per-minute pricing, consent-checked lists, and outcome reports routed into existing systems. BPOs shine at scale; managed campaigns shine at focus and speed to launch.