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.
- 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.
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.
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.
Get fingerprinted
Many states require fingerprints for a background check as part of the application. Your state page lists the rule.
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.
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.
- 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.
- 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.
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.
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.
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.
| State | Resident license for health | Pre-licensing education | Exam provider |
|---|---|---|---|
| Alabama | Accident and Health or Sickness | Not required since January 1, 2024 | University of Alabama (Alabama Insurance Testing) |
| Alaska | Accident and Health or Sickness | Pearson VUE | |
| Arizona | Accident and Health or Sickness | Not required | PSI |
| Arkansas | Accident and Health or Sickness | 20 hours for Accident and Health or Sickness | PSI |
| California | Accident and Health or Sickness Agent | 12 hours of study on ethics and the California Insurance Code, done before the license is issued | PSI |
| Colorado | Accident and Health | 50 hours for Accident and Health, including 3 hours of ethics | Pearson VUE |
| Connecticut | Accident and Health or Sickness | 20 hours for Accident and Health or Sickness, or 40 hours for Life and Accident and Health combined | Pearson VUE |
| Delaware | Health | Not required | Pearson VUE |
| District of Columbia | Accident and Health or Sickness | Pearson VUE | |
| Florida | 2-40 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 applying | Pearson VUE |
| Georgia | Accident and Sickness | 8 hours for Accident and Sickness, taken within the last 12 months | Pearson VUE |
| Hawaii | Accident and Health or Sickness | Not required | Pearson VUE |
| Idaho | Accident and Health or Sickness | Not required | Pearson VUE |
| Illinois | Accident and Health | 20 hours for Accident and Health, with 7.5 of those hours in a classroom setting | Pearson VUE |
| Indiana | Accident and Health (Health), or combined Life and Health | 20 hours for Health, or 40 hours for combined Life and Health | Pearson VUE |
| Iowa | Accident and Health | Not required | Pearson VUE |
| Kansas | Accident and Health or Sickness | Not required | Pearson VUE |
| Kentucky | Health | 20 hours for Health, or 40 hours for combined Life and Health | Kentucky Department of Insurance, scheduled through its eServices portal |
| Louisiana | Accident and Health or Sickness | Not required | PSI |
| Maine | Health | Not required (the state education requirement was repealed in 2007) | Pearson VUE |
| Maryland | Health | Not required since October 1, 2024 | Prometric |
| Massachusetts | Accident and Health or Sickness | Pearson VUE | |
| Michigan | Accident and Health, or combined Life and Health | 20 hours for Accident and Health, or 40 hours for combined Life and Health | PSI |
| Minnesota | Accident and Health | 20 hours for each line of authority, including Accident and Health | PSI |
| Mississippi | Accident and Health or Sickness | 20 hours for Accident and Health (since July 1, 2024, only the Life line is exempt) | Pearson VUE |
| Missouri | Accident and Health or Sickness | Not required | Pearson VUE |
| Montana | Disability (Health) | Not required | Pearson VUE |
| Nebraska | Accident and Health or Sickness | Not required | PSI |
| Nevada | Health | Not required | Pearson VUE |
| New Hampshire | Accident and Health or Sickness | Not required | PSI |
| New Jersey | Accident & Health or Sickness (Health) | 20 hours for Health, or 40 hours for combined Life and Health, from an approved provider | PSI |
| New Mexico | Accident and Health or Sickness | Not required | PSI |
| New York | Accident and Health (Life, Accident and Health Agent license) | 20 hours for Accident and Health alone, or 40 hours for Life, Accident and Health | PSI |
| North Carolina | Accident and Health or Sickness, plus Medicare Supplement/Long-Term Care to sell Medicare plans | Not required: state law bars the Commissioner from requiring a specific course or number of hours | Pearson VUE |
| North Dakota | Accident & Health or Sickness | Not required | PSI |
| Ohio | Accident & Health | 20 hours for Accident and Health from an Ohio-approved provider (20 more for each added line, such as Life) | PSI |
| Oklahoma | Accident & Health or Sickness | Not required | PSI |
| Oregon | Health | 20 hours for Health (each line of authority needs its own 20-hour course) | PSI |
| Pennsylvania | Accident & Health or Sickness | Not required: Act 142 of 2024 removed the pre-exam education rule | PSI |
| Rhode Island | Accident and Health or Sickness Insurance | Not required | Pearson VUE |
| South Carolina | Accident and Health (or the combined Life, Accident and Health) | Not required | Pearson VUE |
| South Dakota | Accident and Health or Sickness | Not required | Pearson VUE |
| Tennessee | Accident and Health (or the combined Life and Accident and Health) | Not required (only the title insurance line requires a 30-hour course) | Pearson VUE |
| Texas | General Lines: Life, Accident, Health and HMO | Not required, though TDI says a prep course makes passing more likely | Pearson VUE |
| Utah | Accident and Health | Not required | Prometric |
| Vermont | Accident and Health or Sickness | Not required | Prometric |
| Virginia | Health | Not required (only the Title license requires a 16-hour course) | Prometric |
| Washington | Disability (health) | Not required | PSI |
| West Virginia | Accident and Health or Sickness | 20 hours for Accident and Sickness (40 hours when combined with Life) | Pearson VUE |
| Wisconsin | Accident and Health or Sickness | 20 hours: 8 on insurance basics, Wisconsin law, and ethics, plus 12 on accident and health | PSI |
| Wyoming | Accident and Health or Sickness | Not required | Pearson VUE |
Facts checked on October 30, 2026. Rules change, so confirm with your state's insurance regulator before you book an exam.
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