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Remote health insurance agent jobs in North Carolina

Work from home anywhere in North Carolina, or from our main office in Sunrise, FL. Leads come from our own websites. You never buy leads and never cold call. Pay is commission, paid every week.

Agents who live in North Carolina start with a North Carolina resident license. We cover the cost of non-resident licenses as you expand to more states. Leer en español

ACA plan selections, 2026
761,457
Medicare beneficiaries, 2024
2,228,458
Insurance sales agents, May 2025
20,540

Sources: CMS 2026 Open Enrollment data, KFF State Health Facts, BLS OEWS.

Open roles for North Carolina residents

We hire licensed agents in all 50 states and DC. Every role is remote, or in office in Sunrise, FL.

Licensed Medicare Sales Agent

Help people compare Medicare Advantage, Medicare Supplement, and Part D options and enroll in coverage that actually fits, working company-provided leads by phone with full compliance support.

Location
Remote or in office
Pay
Commission, paid every week

Licensed ACA / Marketplace Agent

Help individuals and families compare ACA marketplace plans, understand what financial help they qualify for, and enroll compliantly, with year-round Special Enrollment Period work alongside the Open Enrollment surge.

Location
Remote or in office
Pay
Commission, paid every week

UnitedHealthOne Insurance Agent

Help people who need coverage outside Medicare and the ACA marketplace compare UnitedHealthOne plans and enroll in the one that fits their needs and budget, working company-provided leads by phone with full compliance support.

Location
Remote or in office
Pay
Commission, paid every week

Limited Medical Agent

Help people find limited medical coverage that fits their situation and budget, explaining clearly what these plans do and do not cover, and enroll them compliantly, working company-provided leads by phone.

Location
Remote or in office
Pay
Commission, paid every week

Life Insurance Agent

Help families protect the people who depend on them. Sell life insurance from major carriers to company-provided leads by phone, with commission starting at 90%, a straightforward approach to needs, and full compliance support.

Location
Remote or in office
Pay
Commission, paid every week

Why North Carolina agents stay busy

For 2027 coverage, North Carolina residents shop for marketplace plans on HealthCare.gov. Agents complete CMS Marketplace registration and training each plan year to enroll them.

761,457
ACA plan selections
2026 Open Enrollment (CMS)
2,228,458
Medicare beneficiaries
2024 total (KFF State Health Facts)
61%
In Medicare Advantage
Share of eligible beneficiaries, February 2026 (MedPAC)
20,540
Insurance sales agents
Employed in May 2025 (BLS)

Sources: CMS 2026 Open Enrollment state file; KFF State Health Facts, Medicare beneficiaries 2024; MedPAC July 2026 Data Book, Chart 9-5; BLS OEWS May 2025, insurance sales agents; Census Bureau ACS 2024 1-year, table C16001.

The median annual wage for insurance sales agents in North Carolina was $58,710 in May 2025, according to the Bureau of Labor Statistics. That figure covers every kind of insurance agent and employer in the state, so read it as a picture of the local market, not as pay at My Live Health. Our pay is commission, paid every week.

About 9.2% of North Carolina residents speak Spanish at home (Census Bureau ACS 2024 1-year, table C16001).

Counties with the most 2026 ACA plan selections

  1. Mecklenburg County111,600
  2. Wake County82,129
  3. Guilford County34,557

How to get licensed in North Carolina

The North Carolina Department of Insurance licenses insurance agents in North Carolina. Here is the path to a resident license that covers health insurance, then the steps to sell Medicare and ACA plans.

  1. Resident license

    Get the right license line

    In North Carolina, the resident license that lets you sell health insurance is Accident and Health or Sickness, plus Medicare Supplement/Long-Term Care to sell Medicare plans. The North Carolina Department of Insurance issues it.

  2. Not required

    No pre-licensing course required

    North Carolina does not require a pre-licensing course for this license. State law bars the Commissioner from requiring a specific course or number of hours.

  3. Pearson VUE

    Pass the state exam

    In North Carolina, insurance licensing exams are run by Pearson VUE. You schedule your health line exam with them.

  4. Required

    Get fingerprinted

    North Carolina requires fingerprints for a background check. Live Scan prints at a local law enforcement office, with a $38 fee paid on the NIPR application.

  5. Apply for your license

    Apply for your North Carolina resident license through NIPR (apply first, then Pearson VUE emails your exam authorization). You receive your National Producer Number (NPN), a unique ID that follows you to every state, during the application process.

  6. Every plan year

    Certify for Medicare

    To sell Medicare Advantage and Part D plans with us, complete the AHIP Medicare + Fraud, Waste, and Abuse course for the current plan year (AHIP updates it every year), plus each carrier's certification.

  7. Every plan year

    Register with CMS for ACA plans

    Complete Marketplace registration and training with CMS each plan year through the Marketplace Learning Management System (MLMS). North Carolina uses HealthCare.gov, so this is the registration that lets you enroll North Carolina residents in marketplace plans. CMS ties Marketplace access to the health line of authority on your resident license, so your North Carolina license comes first.

  8. Keep your license active

    To renew, North Carolina requires 24 credit hours of continuing education every 2 years, including required ethics hours.

Also good to know in North Carolina: Selling Medicare plans, including Medicare Advantage, also requires the Medicare Supplement/Long-Term Care line.

Official source: North Carolina Department of Insurance. More sources: NC DOI: Resident license requirements chart, Dec. 2025 (PDF); NC DOI: Checklist for a new resident license (PDF); NC DOI: Insurance licensing examination candidate guide, Oct. 2025 (PDF); NC General Assembly: G.S. 58-33-30, licensing procedures; NC DOI: Continuing education for producers and adjusters; NC DOI: New licensee CE chart (PDF); NIPR: North Carolina resident licensing requirements. Facts checked on October 30, 2026. Rules change, so confirm the details with the North Carolina Department of Insurance before you book an exam.

Work from North Carolina

Every role is remote, or in office in Sunrise, FL, so you can work from home anywhere in North Carolina.

We run seven days a week. You pick the hours that fit your life.

Leads come from our own websites. You never buy leads and never cold call.

Your North Carolina resident license lets you help people in North Carolina. We cover the cost of non-resident licenses as you expand to more states.

What you need

  • A North Carolina resident license with the Accident and Health or Sickness, plus Medicare Supplement/Long-Term Care to sell Medicare plans line
  • Your National Producer Number (NPN). You can look it up on NIPR.
  • For Medicare roles: the AHIP Medicare + Fraud, Waste, and Abuse course for the current plan year
  • For ACA roles: CMS Marketplace registration for the current plan year
  • Willingness to add non-resident licenses as you grow. We cover the cost of non-resident licenses as you expand to more states.

How you are paid

$0
Chargebacks
No chargebacks, ever. You keep 100% of what you earn and never owe anything back.
$900
Weekly minimum after your first 4 weeks
After your first 4 weeks, you are guaranteed at least $900 a week.
Commission
Paid every week

Referral bonus

Know a good agent? Bring them in and earn a per-deal override on their sales.

Per-deal override

Questions about licensing and work in North Carolina

What license do I need to sell health insurance in North Carolina?
A North Carolina resident license with the Accident and Health or Sickness, plus Medicare Supplement/Long-Term Care to sell Medicare plans line, issued by the North Carolina Department of Insurance. Agents need a resident license from the state where they live.
Do I need pre-licensing education in North Carolina?
No. North Carolina does not require a pre-licensing course for this license. State law bars the Commissioner from requiring a specific course or number of hours.
Who runs the insurance licensing exam in North Carolina?
In North Carolina, insurance licensing exams are run by Pearson VUE. You schedule your health line exam with them.
Does North Carolina use HealthCare.gov?
Yes. For 2027 coverage, North Carolina uses HealthCare.gov. To enroll North Carolina residents in marketplace plans, agents complete CMS Marketplace registration and training each plan year.
Can I work remotely from North Carolina?
Yes. Our roles are remote, or in office in Sunrise, FL. We run seven days a week. You pick the hours that fit your life. Leads come from our own websites. You never buy leads and never cold call.
Do I need a non-resident license?
Your North Carolina resident license comes first. To help people in other states, you add a non-resident license for each state, and NIPR handles those applications. We cover the cost of non-resident licenses as you expand to more states.

Apply this week.

Licensed in North Carolina? After your first 4 weeks, you are guaranteed at least $900 a week.