Massachusetts Insurance Exam Guide

Massachusetts Health Insurance Exam 2026

Massachusetts offers a standalone Accident & Health line of authority. The exam is 90 total (80 scored: 50 general + 30 Massachusetts; 10 pretest) questions in 2 hr (VERIFY — from secondary sources), and there is no combined exam in Massachusetts — every producer builds their license line by line. The licensing process itself — application, background check, and continuing education — works the same as for any Massachusetts producer license.

Last verified July 2026 MA DOI

70%
to pass
Passing Score
80
questions
Exam Length
None
required
Pre-Licensing
Pearson
administers
Exam Provider

What This License Is

A Massachusetts Accident & Health license lets you sell health, accident, disability, and related products to people and businesses in Massachusetts. It is issued by the Massachusetts Division of Insurance.

Licensing runs through the same process as every Massachusetts producer line — the difference is the focused Accident & Health exam.

Exam Options & Format

ExamQuestionsTime
Accident & Health — Accident, Health or Sickness Producer (Series 16-52, Pearson VUE) 90 total (80 scored: 50 general + 30 Massachusetts; 10 pretest) 2 hr (VERIFY — from secondary sources)

The Accident & Health exam is Accident, Health or Sickness Producer (Series 16-52, Pearson VUE): 90 total (80 scored: 50 general + 30 Massachusetts; 10 pretest) questions, 2 hr (VERIFY — from secondary sources), $37 per attempt. Passing standard: 70 (scaled).

Massachusetts does not offer a combined exam for these lines — each line of authority is its own exam, so producers who want both simply take both exams.

i
Accident & Health-only vs. combined
Massachusetts has no combined exam — adding another line later means simply passing that line's own exam. Start with the line your role needs today.

Eligibility Requirements

You must be at least 18 and of good character; Massachusetts reviews your background through the application's written disclosure questions rather than fingerprints. A criminal history involving fraud, dishonesty, or breach of trust can lead to denial — answer every disclosure completely, because misrepresentation is itself grounds for denial.

What It Costs

State Exam $37 per attempt (Accident & Health exam)
Fingerprinting Not required in Massachusetts
Application $225 for the 3-year term (Life / Accident & Health lines) + ~$5.60 NIPR transaction fee
Prelicensing Not required in Massachusetts
Total: Roughly the exam fees plus the license fee — no pre-licensing or fingerprint costs

Massachusetts keeps upfront costs low — no pre-licensing course, no fingerprint fee. Budget the per-exam fees plus the license fee at application:

Passing Score

You need a scaled score of 70 to pass, with results reported at the test center. Aim for a consistent 80% on practice exams before you schedule — that buffer is the best predictor of a first-attempt pass.

Keeping Your License Active

Important CE details: 45 CE credits each 3-year cycle (60 in the FIRST cycle after original licensure), including 3 hours of Massachusetts Approved Ethics (MAE). Renewal is birthday-based, every 3 years. P&C and Personal Lines producers selling NFIP flood insurance need a one-time 3-hour flood course.

Massachusetts runs on a 3-year, birthday-based license cycle. Each cycle requires 45 CE credits — except your first cycle after original licensure, which requires 60 credits. Every cycle must include 3 hours of Massachusetts Approved Ethics (MAE) coursework.

CE administration moved to Pearson VUE alongside the exam transition, so course lookups and credit banking now run through Pearson/SBS rather than Prometric.

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Quick Reference

ExamAccident, Health or Sickness Producer (Series 16-52, Pearson VUE) — 90 total (80 scored: 50 general + 30 Massachusetts; 10 pretest) questions, 2 hr (VERIFY — from secondary sources)
Exam Fee$37
Passing Standard70 (scaled)
Pre-LicensingNot required
FingerprintsNot required
License Fee$225 for the 3-year term (Life / Accident & Health lines) + ~$5.60 NIPR transaction fee
Apply Within12 months of passing (via NIPR)
CE45 hrs / 3 yrs (60 first cycle; 3 MAE ethics)
RenewalBirthday-based, every 3 years
Licensing AuthorityMassachusetts Division of Insurance
Pass on the first try

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