Health Insurance License
Health, disability, Medicare Supplement, and long-term care coverage.
NC health license guideA North Carolina life insurance license lets you sell life insurance and annuity products across the state. As of October 1, 2025, North Carolina no longer requires a prelicensing course before you sit for the exam — but you still have to pass the state licensing exam, and it is the same exam it has always been. That makes how you prepare more important than ever. Here is exactly what the process looks like and how to get through it on the first attempt.
The Life exam is administered by Pearson VUE on behalf of the North Carolina Department of Insurance. It has 55 scored questions plus a handful of unscored pretest questions, and you get 75 minutes. Every exam is split into a general section on core insurance concepts and a North Carolina section on state law — and the state-law section is where most people lose points.
The major topic areas include:
Note that in North Carolina, Life and Accident & Health are two separate licenses with two separate exams. Passing one has no effect on the other, so plan for each line you intend to carry.
Your main out-of-pocket costs are the Pearson VUE exam fee (charged per attempt, each time you sit) and the fingerprint background check. Because these fees are set by the state and its vendors and change periodically, always confirm the current amounts in the free Pearson VUE North Carolina Insurance Licensing Candidate Handbook before you register. If you do not pass on the first try, you can retake after a short waiting period, paying the exam fee again each time — which is exactly why solid preparation pays for itself.
Industry-wide, first-time pass rates for insurance exams hover around 55%. The applicants who pass are not necessarily the ones who studied longest — they are the ones who studied the right material the right way. Our online video prelicensing course is built around the current North Carolina exam outline: live-instruction video you can stream 24/7, unlimited practice quizzes tied to each topic, and a comprehensive final that mirrors the real thing. You study from home, on your schedule, and walk into the test center knowing what to expect.
For an extra layer of reinforcement, our Insurance Class Assistance Program (ICAP) adds a sectional test bank built around the North Carolina Life Examination Content Outline. The questions are grouped by the outline's specific sections, so instead of one mixed quiz you drill topic by topic, pinpoint the areas where you're weakest, and rehearse the exact kinds of questions the state exam is built from.
Health, disability, Medicare Supplement, and long-term care coverage.
NC health license guideAuto, home, and commercial lines across the two P&C exams.
NC P&C license guideInvestigate and settle claims across North Carolina.
NC adjuster license guide