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Welcome to Life & Health Insurance

Key Takeaways

  • The guide covers nationwide general knowledge for Life and Health licensing.

  • State-specific laws are not included and must be studied separately.

  • Life insurance topics include policy types, riders, underwriting, and taxation.

  • Health insurance topics include medical plans, disability, LTC, and government programs.

  • Exam length and passing score vary by state: California's combined exam has 150 questions and a 60% pass mark; Illinois requires a scaled score of 70.

Last updated: October 2026

Welcome to Life & Health Insurance Exam Prep

Quick Answer: The Life & Health Insurance exam is a state licensing exam, and its length and passing standard vary by state: California's combined Life, Accident and Health exam has 150 multiple-choice questions and a 60% pass mark, while Illinois gives a General and a State exam for each line and requires a scaled score of 70. It covers life insurance (term, whole, universal, variable, annuities) and health insurance (medical, disability, LTC, Medicare/Medicaid). Each state administers its own exam with state-specific content. Many states require pre-licensing education before testing; Pennsylvania has required none since April 29, 2025.

This comprehensive study guide covers the nationwide general knowledge required for Life & Health Insurance licensing exams across the United States.


Important Disclaimer

State-Specific Content Not Included: This study guide focuses on general insurance principles, product knowledge, and federal regulations that apply nationwide. Each state has its own insurance department with unique laws, regulations, and requirements. You must supplement this material with your state's specific content before taking your licensing exam.


What This Exam Covers

The Life & Health Insurance exam tests your knowledge across two major areas:

Life Insurance

  • Types of life insurance policies (term, whole, universal, variable)
  • Annuities and retirement products
  • Policy provisions, options, and riders
  • Underwriting and policy delivery
  • Group life insurance
  • Taxation of life insurance and annuities

Health Insurance

  • Medical expense and managed care plans
  • Disability income insurance
  • Long-term care insurance
  • Medicare, Medicaid, and government programs
  • The Affordable Care Act (ACA)
  • Group health insurance and COBRA

Exam Format

ComponentDetails
QuestionsVaries by state (California: 75 per single-line exam, 150 combined; Illinois Life: 50 general + 31 state scored questions)
DurationVaries by state (California combined exam: 195 minutes in the PSI bulletin; Illinois Life: 75 + 50 minutes)
Passing ScoreVaries by state (California 60%; Illinois scaled score of 70)
FormatMultiple choice

Study Tips

  1. Master the fundamentals first - Understand basic insurance concepts before diving into specific products
  2. Know the differences - Be able to compare similar products (term vs. whole life, HMO vs. PPO)
  3. Focus on policy provisions - These are heavily tested
  4. Understand taxation - Know which benefits are taxable and which are tax-free
  5. Learn the regulations - Unfair trade practices and ethics are always on the exam

How This Guide Is Organized

PartChaptersTopics
11-3Insurance Fundamentals
24-13Life Insurance
314-16Annuities
417-19Life Insurance & Annuity Taxation
520-23Health Insurance Basics
624-26Specialized Health Products
727-29Government Health Programs
830The Affordable Care Act
931Health Insurance Taxation
1032-35Insurance Regulations & Ethics

Let's begin your journey to becoming a licensed Life & Health Insurance professional!

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Exam Scope Overview

Sections you finish are checked off in the contents.