Accident & Health Insurance Agent Exam Exam Guide
At a glance
- Questions
- 75
- Time limit
- 1h 45m
- Passing score
- 60% (CA) / 70% typical
- Exam fee
- $55
- Governing body
- State DOI
Quick answers
How much does the Accident & Health Insurance cost?
The Accident & Health Insurance exam fee is $55 (typical, varies by state).
What is the passing score for the Accident & Health Insurance?
The passing score for the Accident & Health Insurance is 60% (CA) / 70% typical.
How many questions is the Accident & Health Insurance?
The Accident & Health Insurance has 75 questions with a time limit of 1 hour 45 minutes.
The Accident & Health Insurance Agent Exam is a state-level licensing examination for professionals seeking to sell accident and health insurance products. This exam qualifies agents to sell coverage types including major medical insurance, disability income, long-term care, and Medicare supplement insurance. Because insurance regulation in the United States is conducted at the state level across the 50 states, the District of Columbia, and five U.S. territories, insurance professionals must obtain a license in each state where they conduct business.
Passing this exam demonstrates competency in health insurance products, underwriting principles, policy provisions, and federal and state insurance regulations. The exam is administered by PSI, a leading testing company, and serves as a prerequisite for becoming a licensed accident and health insurance agent.
The Accident & Health Insurance Agent Exam tests knowledge across the domains of health insurance coverage, policy provisions, underwriting, and regulatory compliance. Candidates should understand major medical plans, which cover hospital, surgical, and physician expenses subject to a deductible, coinsurance, and an out-of-pocket maximum. Familiarity with network-based plans is essential: HMOs emphasize prepaid network care and typically require a primary care physician to act as a gatekeeper for referrals, while PPOs offer lower cost-sharing when using in-network providers but allow out-of-network care at higher cost.
Key Coverage Types
Disability income insurance replaces a portion of lost earnings after an elimination period and defines disability as either own-occupation or any-occupation. Long-term care insurance covers custodial and skilled care, paying benefits when the insured cannot perform a stated number of activities of daily living. Candidates must also understand life insurance principles, including term life (which covers a specified period and pays only if the insured dies within that term, building no cash value), whole life (which provides a level premium, guaranteed death benefit, and guaranteed cash value growing on a fixed schedule), universal life (a flexible-premium permanent product separating mortality, expense, and interest components), and variable life (which requires additional FINRA registration because values fluctuate with investment performance and the policyowner bears the investment risk).
Regulatory and Professional Framework
The exam includes content on state-based insurance regulation and the role of key organizations: the NAIC was established in 1871 to assist state insurance regulators in serving the public interest, and NIPR is a centralized licensing and compliance resource for insurance professionals that has operated for more than 25 years, allowing agents to apply for licenses, renew credentials, and expand into additional states through a single unified platform.
Underwriting and Ethics
Underwriting concepts covered include the determination of insurable interest (which must exist at policy inception but not at the time of loss), risk classification (categorizing applicants as preferred, standard, substandard, or declined), and the Fair Credit Reporting Act requirement that insurers notify applicants of the nature of any information collected.
Cost and registration
The typical registration fee for the Accident & Health Insurance Agent Exam is 55 USD, though costs may vary by state. The exam is administered through proctored test centers operated by PSI or via online proctoring, and candidates should verify the current fee with their state insurance regulator or the testing provider.
Exam format
The Accident & Health Insurance Agent Exam is a computer-based, multiple-choice examination delivered under proctored, timed conditions. The exam consists of 75 questions and must be completed within 105 minutes. Candidates schedule the examination and take it at a PSI test center or through online proctoring. A passing score of 60% is required, though requirements may vary slightly by state.
How the Accident & Health Insurance compares to related exams
The California Accident & Health Insurance Agent Exam (also called the Accident & Health, or A&H, license exam) is one of several producer-licensing exams offered by the California Department of Insurance. Because their names overlap, candidates often confuse it with the broader Life Insurance License Exam, the Health Insurance License Exam, and the Life-Only Insurance Agent Exam. This page compares scope, difficulty, ideal candidates, and prerequisites so you can confirm you are studying for the right one.
Ways to prepare for the Accident & Health Insurance
Preparing for the California Accident & Health Insurance Agent Exam doesn't require an expensive prep course — but knowing when to spend and when to save can make the difference between passing on your first attempt and paying the exam fee twice. This guide compares free study resources against paid courses and books so you can build a study plan that fits your budget and learning style.
The exam itself is a fixed cost: the California producer exam fee is $55. Everything you spend on preparation is optional, and plenty of candidates pass using free and low-cost materials alone.
Free vs. Paid Prep at a Glance
The Accident & Health exam is 75 questions with a 105-minute time limit, and you need a score of 60 percent to pass in California. Both free and paid resources can get you there — the trade-off is time, structure, and confidence.
| Dimension | Free resources | Paid courses & books |
|---|---|---|
| Cost | $0 | Roughly $30–$300 depending on format |
| Structure | You assemble your own study path | Guided curriculum with a set sequence |
| Practice questions | Limited pools, often repetitive | Large, regularly updated question banks |
| Support | Self-directed; community forums | Instructor help, email support, pass guarantees |
| Best for | Self-motivated learners on a budget | Those who want structure or are short on time |
Free Study Options
- Official state resources. The California Department of Insurance publishes the exam content outline, candidate handbook, and licensing requirements at no cost — the authoritative starting point for what's actually tested.
- Free practice questions. Many sites offer sample Accident & Health questions. These are useful for gauging readiness but tend to draw from small, recycled pools.
- Public glossaries and articles. Insurance terminology guides and explainer articles help you master definitions without spending anything.
- Free study guides. Guides like this one consolidate the key facts and topics so you don't have to hunt across multiple sources.
Paid Study Options
- Prep courses. Online courses bundle video lessons, structured modules, and large practice-exam banks, often with a pass guarantee.
- Textbooks and study manuals. Comprehensive printed or digital manuals cover every exam topic in depth — good for candidates who prefer reading and highlighting.
- Flashcard sets and question banks. Paid, frequently updated question banks are the biggest advantage of going premium; they expose you to more scenario variety than free pools.
When Each Makes Sense
Choose free resources if you're disciplined, comfortable building your own schedule, and have time to study over several weeks. With 75 questions and a 60 percent passing threshold, a candidate who works through the official content outline and a few hundred practice questions can absolutely pass without paying for prep.
Choose paid prep if you're short on time, have failed before, or simply learn better with structure and accountability. Given that a retake means paying the $55 exam fee again, a modest investment in a quality course can be cheaper than a second attempt — plus the time cost of re-studying.
A common middle path: start with free official materials and this guide, then buy a single paid practice question bank if your free-test scores are hovering near the 60 percent line.
Each of these is a side-by-side on what the provider does better than we do, what it charges today, and where the free path here is enough.
Frequently asked questions
What is the Accident & Health Insurance Agent Exam?
The Accident & Health Insurance Agent Exam is the state licensing test you must pass to sell accident and health insurance products, such as medical, disability, and long-term care coverage. It measures whether you know health policy types, key provisions, underwriting basics, and the state rules that govern agents. Passing it is a required step before your state insurance department will issue your health-only producer license.
How many questions are on the health-only insurance exam, and how long do I get?
The exam has 75 questions with a 105-minute time limit. That works out to a little under a minute and a half per question, so pacing matters but most prepared candidates finish with time to spare. Flag anything you are unsure about and come back to it rather than stalling early.
What score do I need to pass the Accident & Health exam?
You need a score of 60 percent to pass in California. The exam is pass/fail, so once you clear that line your exact score does not matter for licensing. If you take the exam in another state, confirm that state's passing standard with its department of insurance, since requirements are set state by state.
How much does the health-only insurance exam cost?
The producer exam fee is $55. Keep in mind that is only the exam sitting fee — prelicensing education, fingerprinting, and the license application itself usually carry separate charges. Check the California Department of Insurance's current fee schedule before you register, since fees can change.
How do I register for the Accident & Health Insurance Agent Exam?
You register through your state's insurance department or its designated testing vendor after completing any required prelicensing education. In California, start with the California Department of Insurance's licensing pages, which walk you through education requirements, scheduling, and identification rules. Book your exam date once your coursework is done so the material is still fresh.
Where should I start studying for the health-only exam for free?
Start with free practice questions, a glossary of key terms, and a printable cheat sheet — together they cover the recall and application skills the exam tests. Take a short practice set first to find your weak topics, then study those areas before drilling more questions. All of it is available without paying or creating an account, so you can begin today.
Is the Accident & Health Insurance Agent Exam the same as the Health Insurance License Exam?
For practical purposes in California, yes. The health authority is examined through the Accident & Health line, so what people call the "Health Insurance License Exam" refers to the same accident-and-health scope covered by the Accident & Health Insurance Agent Exam.
How is the Accident & Health exam different from the Life-Only exam?
They cover different product lines. The Accident & Health exam tests medical, disability, Medicare-supplement, and long-term-care coverage, while the Life-Only Insurance Agent Exam tests life insurance and annuities. Neither grants the other's authority, so you must pass each separately to sell both.
How many questions is the Accident & Health Insurance Agent Exam and what score do I need?
The Accident & Health Insurance Agent Exam has 75 questions with a 105-minute time limit, and you need a 60 percent score to pass. The producer exam fee is $55.
Can I pass the Accident & Health exam using only free resources?
Yes. The exam is 75 questions with a 105-minute time limit and requires a 60 percent score to pass in California. Many candidates pass using the official California Department of Insurance content outline plus free practice questions. Free prep demands more self-discipline, but it is entirely workable for a motivated learner.
Is a paid course worth it for this exam?
It depends on your situation. If you're short on time, prefer guided instruction, or have failed a prior attempt, a paid course's structure and larger question banks can be worth it. Because a retake costs another $55 exam fee plus more study time, spending on quality prep can pay for itself by helping you pass the first time.
What's the one paid resource worth buying if I'm on a budget?
A regularly updated practice question bank. Free question pools tend to be small and repetitive, so a paid bank gives you the most exam-day value by exposing you to more scenario variety. If your free practice scores are close to the 60 percent passing mark, that's the single upgrade most likely to push you over the line.
Sources
- 1.California Accident & Health Exam — California DOI / PSI (accessed Jul 7, 2026)
- 2.State Insurance Department Directory — NAIC
- 3.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: