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How to become a licensed health insurance agent

The path is much the same in every state: a resident license from your home state with the health line, a state exam, then a few registrations before you sell Medicare or ACA plans. Each step is below in plain language, with the rules for every state after it.

Get your resident license

These six steps take you from no license to a resident license that covers health insurance.

  1. Resident license

    Pick your resident state and the health line

    Your resident license comes from the state where you live. Apply for the line of authority that covers health insurance. The table below shows what each state calls it.

  2. Complete pre-licensing education, if required

    Some states require a pre-licensing course for the health line and others do not. The table below shows each state's rule.

  3. Pass the state exam

    States run licensing exams through testing companies such as Pearson VUE, PSI, and Prometric. You schedule the exam with the company your state uses.

  4. Get fingerprinted

    Many states require fingerprints for a background check as part of the application. Your state page lists the rule.

  5. Apply for your license

    Apply through NIPR, the National Insurance Producer Registry, or through your state's own system. NIPR explains the resident rules for each state.

  6. Get your NPN

    You receive a National Producer Number (NPN) during the licensing application process. It is a unique NAIC identifier that follows you to every state, and NIPR has an NPN lookup.

Get ready to sell, then keep growing

A license lets you sell. These registrations open Medicare and ACA marketplace work, and non-resident licenses take you to more states.

  1. Every plan year

    Certify for Medicare

    Agents who sell Medicare Advantage and Part D plans complete Medicare training every plan year. The AHIP Medicare + Fraud, Waste, and Abuse course is updated every year, and carriers add their own certifications. Our Medicare roles require the current plan year's AHIP course.

  2. Every plan year

    Register with CMS for ACA plans

    To help people enroll in plans on HealthCare.gov, complete Marketplace registration and training each plan year in the Marketplace Learning Management System (MLMS). CMS gives Marketplace access only to agents whose resident state grants a health-related line of authority.

  3. Register with state exchanges

    States that run their own exchange, such as Covered California and Connect for Health Colorado, have their own agent registration. Your state page says whether your state is one of them.

  4. Add non-resident licenses

    To sell in another state, add a non-resident license there. NIPR handles non-resident applications too. We cover the cost of non-resident licenses as you expand to more states.

  5. Keep your license active

    Each state sets continuing education you finish to renew your license. Your state page lists the rule.

Official sources: CMS, Registration and Training for Marketplace Agents and Brokers; NIPR (National Insurance Producer Registry), licensing center; AHIP Medicare + Fraud, Waste, and Abuse training. Each state page cites that state's regulator.

Licensing rules by state

The resident license line for health, the pre-licensing rule, and the exam provider. Open a state for its full licensing steps and the open roles.

Resident health insurance license rules by state
StateResident license for healthPre-licensing educationExam provider
AlabamaAccident and Health or SicknessNot required since January 1, 2024University of Alabama (Alabama Insurance Testing)
AlaskaAccident and Health or SicknessPearson VUE
ArizonaAccident and Health or SicknessNot requiredPSI
ArkansasAccident and Health or Sickness20 hours for Accident and Health or SicknessPSI
CaliforniaAccident and Health or Sickness Agent12 hours of study on ethics and the California Insurance Code, done before the license is issuedPSI
ColoradoAccident and Health50 hours for Accident and Health, including 3 hours of ethicsPearson VUE
ConnecticutAccident and Health or Sickness20 hours for Accident and Health or Sickness, or 40 hours for Life and Accident and Health combinedPearson VUE
DelawareHealthNot requiredPearson VUE
District of ColumbiaAccident and Health or SicknessPearson VUE
Florida2-40 Health, or 2-15 Health and Life (including Annuities and Variable Contracts)40 hours (2-40) or 60 hours (2-15), completed within 4 years of applyingPearson VUE
GeorgiaAccident and Sickness8 hours for Accident and Sickness, taken within the last 12 monthsPearson VUE
HawaiiAccident and Health or SicknessNot requiredPearson VUE
IdahoAccident and Health or SicknessNot requiredPearson VUE
IllinoisAccident and Health20 hours for Accident and Health, with 7.5 of those hours in a classroom settingPearson VUE
IndianaAccident and Health (Health), or combined Life and Health20 hours for Health, or 40 hours for combined Life and HealthPearson VUE
IowaAccident and HealthNot requiredPearson VUE
KansasAccident and Health or SicknessNot requiredPearson VUE
KentuckyHealth20 hours for Health, or 40 hours for combined Life and HealthKentucky Department of Insurance, scheduled through its eServices portal
LouisianaAccident and Health or SicknessNot requiredPSI
MaineHealthNot required (the state education requirement was repealed in 2007)Pearson VUE
MarylandHealthNot required since October 1, 2024Prometric
MassachusettsAccident and Health or SicknessPearson VUE
MichiganAccident and Health, or combined Life and Health20 hours for Accident and Health, or 40 hours for combined Life and HealthPSI
MinnesotaAccident and Health20 hours for each line of authority, including Accident and HealthPSI
MississippiAccident and Health or Sickness20 hours for Accident and Health (since July 1, 2024, only the Life line is exempt)Pearson VUE
MissouriAccident and Health or SicknessNot requiredPearson VUE
MontanaDisability (Health)Not requiredPearson VUE
NebraskaAccident and Health or SicknessNot requiredPSI
NevadaHealthNot requiredPearson VUE
New HampshireAccident and Health or SicknessNot requiredPSI
New JerseyAccident & Health or Sickness (Health)20 hours for Health, or 40 hours for combined Life and Health, from an approved providerPSI
New MexicoAccident and Health or SicknessNot requiredPSI
New YorkAccident and Health (Life, Accident and Health Agent license)20 hours for Accident and Health alone, or 40 hours for Life, Accident and HealthPSI
North CarolinaAccident and Health or Sickness, plus Medicare Supplement/Long-Term Care to sell Medicare plansNot required: state law bars the Commissioner from requiring a specific course or number of hoursPearson VUE
North DakotaAccident & Health or SicknessNot requiredPSI
OhioAccident & Health20 hours for Accident and Health from an Ohio-approved provider (20 more for each added line, such as Life)PSI
OklahomaAccident & Health or SicknessNot requiredPSI
OregonHealth20 hours for Health (each line of authority needs its own 20-hour course)PSI
PennsylvaniaAccident & Health or SicknessNot required: Act 142 of 2024 removed the pre-exam education rulePSI
Rhode IslandAccident and Health or Sickness InsuranceNot requiredPearson VUE
South CarolinaAccident and Health (or the combined Life, Accident and Health)Not requiredPearson VUE
South DakotaAccident and Health or SicknessNot requiredPearson VUE
TennesseeAccident and Health (or the combined Life and Accident and Health)Not required (only the title insurance line requires a 30-hour course)Pearson VUE
TexasGeneral Lines: Life, Accident, Health and HMONot required, though TDI says a prep course makes passing more likelyPearson VUE
UtahAccident and HealthNot requiredPrometric
VermontAccident and Health or SicknessNot requiredPrometric
VirginiaHealthNot required (only the Title license requires a 16-hour course)Prometric
WashingtonDisability (health)Not requiredPSI
West VirginiaAccident and Health or Sickness20 hours for Accident and Sickness (40 hours when combined with Life)Pearson VUE
WisconsinAccident and Health or Sickness20 hours: 8 on insurance basics, Wisconsin law, and ethics, plus 12 on accident and healthPSI
WyomingAccident and Health or SicknessNot requiredPearson VUE

Facts checked on October 30, 2026. Rules change, so confirm with your state's insurance regulator before you book an exam.

Licensed already? Apply this week.

We hire licensed agents in all 50 states and DC. After your first 4 weeks, you are guaranteed at least $900 a week.