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Remote health insurance agent jobs in South Dakota

Work from home anywhere in South Dakota, 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 South Dakota start with a South Dakota resident license. We cover the cost of non-resident licenses as you expand to more states.

ACA plan selections, 2026
50,951
Medicare beneficiaries, 2024
198,271
Insurance sales agents, May 2025
1,870

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

Open roles for South Dakota 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 South Dakota agents stay busy

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

50,951
ACA plan selections
2026 Open Enrollment (CMS)
198,271
Medicare beneficiaries
2024 total (KFF State Health Facts)
25%
In Medicare Advantage
Share of eligible beneficiaries, February 2026 (MedPAC)
1,870
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 South Dakota was $71,990 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 2.8% of South Dakota residents speak Spanish at home (Census Bureau ACS 2024 1-year, table C16001).

Counties with the most 2026 ACA plan selections

  1. Minnehaha County8,638
  2. Pennington County5,778
  3. Lincoln County3,238

How to get licensed in South Dakota

The South Dakota Division of Insurance licenses insurance agents in South Dakota. 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 South Dakota, the resident license that lets you sell health insurance is Accident and Health or Sickness. The South Dakota Division of Insurance issues it.

  2. Not required

    No pre-licensing course required

    South Dakota does not require a pre-licensing course for this license. You can study on your own and book the exam when you are ready.

  3. Pearson VUE

    Pass the state exam

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

  4. Not listed

    No fingerprint step listed

    South Dakota does not list fingerprints among its requirements for resident producers.

  5. Apply for your license

    Apply for your South Dakota resident license through NIPR. 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). South Dakota uses HealthCare.gov, so this is the registration that lets you enroll South Dakota residents in marketplace plans. CMS ties Marketplace access to the health line of authority on your resident license, so your South Dakota license comes first.

  8. Keep your license active

    To renew, South Dakota requires 10 hours of continuing education every 2 years in approved life and health courses.

Also good to know in South Dakota: If you move to South Dakota and apply within 90 days of ending your old resident license, you skip the exams for the same lines.

Official source: South Dakota Division of Insurance. More sources: SD Division of Insurance: Continuing education; ARSD 20:06:18:03: Continuing education requirements; SDCL 58-30-148: Resident producer license requirements; SD Division of Insurance: Residency; Pearson VUE: South Dakota insurance candidate handbook (PDF). Facts checked on October 30, 2026. Rules change, so confirm the details with the South Dakota Division of Insurance before you book an exam.

Work from South Dakota

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

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

What you need

  • A South Dakota resident license with the Accident and Health or Sickness 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 South Dakota

What license do I need to sell health insurance in South Dakota?
A South Dakota resident license with the Accident and Health or Sickness line, issued by the South Dakota Division of Insurance. Agents need a resident license from the state where they live.
Do I need pre-licensing education in South Dakota?
No. South Dakota does not require a pre-licensing course for this license. You can study on your own and book the exam when you are ready.
Who runs the insurance licensing exam in South Dakota?
In South Dakota, insurance licensing exams are run by Pearson VUE. You schedule your health line exam with them.
Does South Dakota use HealthCare.gov?
Yes. For 2027 coverage, South Dakota uses HealthCare.gov. To enroll South Dakota residents in marketplace plans, agents complete CMS Marketplace registration and training each plan year.
Can I work remotely from South Dakota?
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 South Dakota 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 South Dakota? After your first 4 weeks, you are guaranteed at least $900 a week.