Accident & Health Insurance Cheat Sheet.
The night-before summary, built like the exam.
Download the PDFExam blueprint — study by weight
The bar is the exam — spend your hours where the questions are. Weights follow the 2026 outline.
18%Riders, Provisions & Exclusions~27 q▾
- Waiver of premium, GIR, accidental death riders
- Nonforfeiture options: cash · reduced paid-up · extended term
- Dividend options; loan & automatic premium loan
17%Life Policy Types~26 q▾
- Term (level/decreasing/renewable) vs whole vs universal
- Variable products = securities registration required
- Annuities: immediate/deferred · fixed/indexed/variable
15%Life Insurance Basics~22 q▾
- Insurable interest at application; consideration
- Underwriting, conditional receipts, backdating limits
- Human life value vs needs approach
15%Health Policy Provisions~22 q▾
- 12 mandatory uniform provisions (grace, reinstatement…)
- Renewability ladder: cancellable → guaranteed renewable
- Coordination of benefits; pre-existing limits
13%State Law & Ethics~20 q▾
- Producer licensing, appointments, continuing ed
- Unfair trade practices: rebating, twisting, churning
- Your state's variant changes this section
12%Health & Disability Basics~18 q▾
- Deductible → coinsurance → stop-loss math
- Own-occ vs any-occ disability definitions
- HMO / PPO / POS network rules
10%Medicare, Medicaid & LTC~15 q▾
- Parts A–D · Medigap open enrollment (6 mo from Part B)
- LTC benefit triggers = 2 of 6 ADLs
Annuity Picker
the scenario questions, as a decision pathSide-by-sides the exam loves
| Term | Whole | Universal | |
|---|---|---|---|
| Premium | Lowest; level for the term | Level, highest; fixed for life | Flexible — payer adjusts |
| Duration | 10–30 yrs, then expires | Lifetime (to age 100/121) | Lifetime if adequately funded |
| Cash value | None | Guaranteed, tax-deferred | Current interest, not guaranteed |
| Best when | "Temporary need" · "most coverage per dollar" | "Permanent need" · "guaranteed values" | "Flexible premium" · "adjustable death benefit" |
Common traps
what test-writers bet you'll get wrongLast-minute checklist
0/12Tap each once you can recite it cold. Progress saves on this device.
Quick facts
the numbers to know before exam dayFull write-up
the complete guide, in proseAccident & Health Insurance Agent Exam — Cheat Sheet
Fast-reference facts and must-remember rules for the California Accident & Health (Health-Only) producer licensing exam. Memorize the numbers below cold — they set your budget for the exam day.
Exam-Day Vitals (memorize these numbers)
- 75 questions total on the exam.
- 105 minutes to finish — a firm time limit.
- 60% is the passing score in California.
- $55 producer exam fee.
Pacing Formula (do the math before you sit)
- 105 min ÷ 75 questions ≈ 1.4 minutes per question (about 84 seconds each). Keep a running check: you should be near question 25 by the ~35-minute mark and question 50 by the ~70-minute mark.
- 60% of 75 = 45 questions correct to pass. You can miss up to 30 and still pass — but never bank on missing that many.
- Target a working pace faster than the limit so you reserve time to review flagged items before the clock hits 105 minutes.
Must-Remember Rules
- Flag-and-move: if a question is eating more than ~90 seconds, mark it and move on — at ~1.4 min/question you cannot afford to stall.
- Answer everything: since passing is a percentage of correct answers out of 75, a blank is a guaranteed miss — always leave a best-guess answer before time expires.
- Budget a review pass: aim to reach the last question with several minutes left inside the 105-minute window to revisit flagged items.
- Fee readiness: confirm the $55 exam fee is paid/scheduled before your appointment so nothing blocks your seat.
Quick-Glance Table
- Questions: 75
- Time limit: 105 minutes
- Passing score: 60% (≈ 45 correct)
- Exam fee: $55
- Approx. pace: ~84 sec/question
Frequently asked questions
What are the must-know facts for the health-only insurance exam?
Memorize the plan-type distinctions and benefit triggers first. Know that an HMO uses a primary care gatekeeper for referrals while a PPO permits out-of-network care at higher cost, that major medical plans apply a deductible, coinsurance, and an out-of-pocket maximum, that disability income pays after an elimination period, and that long-term care benefits trigger when the insured cannot perform a stated number of activities of daily living. These distinctions show up again and again in exam questions.
What are the most common traps on the health-only exam?
The classic traps hinge on one-word distinctions. Own-occupation versus any-occupation definitions of disability change whether a claim pays, primary versus contingent beneficiaries differ in who collects first, and revocable versus irrevocable beneficiaries differ in whether the owner needs consent to make a change. Read every question for these qualifier words before choosing an answer.
Which underwriting rules should be on my cheat sheet?
Three come up constantly. Under the Fair Credit Reporting Act, an insurer that orders a consumer or investigative report must notify the applicant of the nature of the information collected; the MIB is a nonprofit database of coded medical impressions shared among member insurers; and underwriters classify applicants as preferred, standard, or substandard, or decline them. Knowing exactly what each entity does keeps you from mixing them up under time pressure.
How should I use the cheat sheet the night before the exam?
Use it for light review, not new learning. Skim each section, cover the definitions, and quiz yourself out loud on the ones you hesitate over — those are your morning-of review list. Then stop; a rested brain retrieves memorized rules far better than an exhausted one, and everything on the sheet should already be familiar by that point.
Is a cheat sheet enough to pass, or do I still need full study?
A cheat sheet alone is not enough — it compresses the must-know rules but cannot teach you to apply them to scenario questions, which make up much of the exam. Pair it with full topic review and plenty of practice questions, and use the sheet as your final-pass memory anchor. It is the last step of studying, not a substitute for it.
Sources
- 1.State Insurance Department Directory — NAIC
- 2.Insurance Licensing Exams (Pearson VUE) — Pearson VUE
Official sources
Primary documents used to verify the exam details shown on this page.
- California Accident & Health ExamCalifornia DOI / PSIinsurance.ca.gov
- NAIC — Producer Licensing and Health Insurance RegulationNational Association of Insurance Commissionerscontent.naic.org
- NIPR — Producer Licensing and RenewalsNational Insurance Producer Registrynipr.com
- PSI Exams — Insurance Licensure Test DeliveryPSI Servicespsiexams.com
- Consumer Information Guides — Health InsuranceCalifornia Department of Insuranceinsurance.ca.gov
Last verified against the official exam content outline: