Life and Disability
Life and Health
Life, Accident and Health
Life, Accident and Health or Sickness
Life Agent
These are 5 ways of saying the same thing.
To get your license you will have to pass an exam with usually 70% in most states. Don’t take the exam lightly. Your exam will ask questions that are filled with new terminology uses a lot of double negatives which makes some topics that you’ve studied almost unrecognizable.
Keep in mind that the exam is passable. You just have to put in the time and energy to study.
Here’s a broad framework for a Life and Health Insurance Licensing Exam Curriculum applicable across all states for 2025. This structure ensures compliance with state-specific requirements while maintaining consistency in the foundational knowledge for licensing.
Life and Health Insurance Licensing Exam Curriculum
1. General Insurance Knowledge
- Insurance Concepts and Principles
- Risk management: Types of risk (pure vs. speculative), methods of handling risk
- Insurable interest: Definition and importance
- Contract law: Elements of a valid insurance contract (offer, acceptance, consideration, etc.)
- Insurance Markets
- Private vs. government insurers
- Mutual vs. stock companies
- Admitted vs. non-admitted carriers
- Reinsurance: Function and importance
- Regulatory Framework
- State regulation and the role of the Department of Insurance (DOI)
- Federal laws impacting insurance (e.g., Affordable Care Act for health, ERISA)
- Unfair trade practices and market conduct
2. Life Insurance
- Types of Policies
- Term life
- Whole life
- Universal life
- Variable life
- Group life
- Policy Provisions, Riders, and Options
- Standard provisions (e.g., grace period, incontestability)
- Beneficiary designations
- Riders (e.g., waiver of premium, accidental death)
- Settlement options
- Policy Applications and Underwriting
- Application process
- Medical vs. non-medical underwriting
- Risk classification: Preferred, standard, substandard
- Life Insurance Taxation
- Tax treatment of premiums, death benefits, and cash values
- Modified Endowment Contracts (MECs)
3. Health Insurance
- Types of Policies
- Medical expense insurance
- Disability income insurance
- Long-term care insurance
- Medicare supplements
- Group health plans
- Policy Provisions and Clauses
- Coordination of benefits
- Deductibles, co-pays, coinsurance
- Grace periods and reinstatement
- Managed Care and Networks
- HMOs, PPOs, EPOs, POS plans
- Pre-authorization and case management
- Health Insurance Taxation
- Employer-paid premiums
- Benefits and their tax treatment
- Federal and State Health Insurance Programs
- Medicare: Parts A, B, C, D
- Medicaid and CHIP
- Affordable Care Act provisions
4. Ethics and Market Conduct
- Ethical sales practices
- Suitability requirements (e.g., NAIC model regulations)
- Advertising standards
- Consumer protections and complaint resolution
5. State-Specific Laws and Regulations
- Licensing requirements: Pre-licensing education, application, and exams
- Continuing education requirements
- State-specific policy requirements (e.g., free look periods, mandated benefits)
- Complaint procedures and DOI oversight