Accident & Health
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ExploreAbout this exam
The Accident & Health license qualifies an individual to sell health-related insurance products such as individual and group medical expense coverage, disability income policies, and accident coverage. It is typically pursued by people entering or advancing in insurance sales, agency support, or benefits consulting, and it is often paired with a life insurance license. The exam is multiple choice and samples across ten domains: state regulation and licensing, general insurance principles, accident and health fundamentals, policy provisions and exclusions, disability income, medical expense and managed care, group health, government programs such as Medicare and Medicaid, annuities and retirement basics, and ethics and consumer protection. Provision-heavy and managed-care material carries the most weight, so candidates usually do best by studying those areas first and treating regulation, annuities, and ethics as lighter passes. Preparation generally means working through a prelicensing course, reading the state's licensing handbook and any published exam content outline, and drilling practice questions until you can explain why each wrong answer is wrong. Because requirements vary by state, confirm eligibility, scheduling, and current exam logistics with your state's department of insurance or its designated testing vendor before you register.
What you'll study
About Accident & Health preparation
What is the exam format?
It is a multiple-choice exam delivered on a computer at a testing center or, in some states, through remote proctoring. Each question has one best answer, and there is no penalty for guessing, so answer every item before submitting.
How long is the exam, and how many questions are there?
Question counts and time limits are set by your state and its testing vendor, and they change periodically. The official body publishes the current figure on its website and in the candidate handbook you receive when you schedule.
How hard is the exam?
Most candidates find it moderate. The concepts are not mathematically difficult, but the wording is precise and many questions turn on a single distinguishing phrase. People who fail usually did not practice enough application-style questions rather than lacking the underlying knowledge.
What score do I need to pass?
Passing scores are set by the state, and many jurisdictions use a scaled score rather than a raw percentage. The official body publishes the current figure, so check your state department of insurance or designated testing vendor for the passing standard that applies to you.
What happens if I fail?
Most states allow you to retake the exam after a waiting period, and some require a new attempt fee each time. Retake rules, waiting periods, and any limits on the number of attempts are state-specific, so confirm them with your testing vendor before rescheduling.
How long is my license valid, and do I need continuing education?
License terms and continuing education requirements are set by each state, commonly on a two-year cycle. Most states require ethics hours as part of the total, and you should verify your specific renewal deadline and hour requirements with your state regulator.
What order should I study the domains in?
Start with policy provisions, riders, and exclusions, then medical expense and managed care, since together they carry the most weight. Follow with disability income and group health, then regulation, government programs, general concepts, annuities, and ethics as shorter final passes.
What are the most common reasons candidates fail?
Confusing similar provisions such as elimination periods versus probationary periods, mixing up coordination-of-benefits rules, and skimming the regulation and ethics material because it seems easy. Weak candidates also memorize definitions without practicing how those definitions appear in scenario questions.
Do I need a prelicensing course before the exam?
Most states require a prelicensing education course before you can sit for the exam, though the required hours vary widely. A few states waive it for certain applicants. Check your state's requirement before paying for any course.
Can I take the exam before I am licensed?
Yes. The exam is a prerequisite to licensure, not a substitute for it. After passing, you typically must submit a license application, complete a background check, and often have a sponsoring insurer or agency before the state issues the license.