North Dakota Insurance Exam Guide

North Dakota Health Insurance Exam 2026

North Dakota offers a standalone Accident & Health line of authority. The exam is 110 (+5-10 unscored trial items) questions in 2 hr 30 min, and there is no combined exam in North Dakota — every producer builds their license line by line. The licensing process itself — application, background check, and continuing education — works the same as for any North Dakota producer license.

Last verified July 2026 ND Insurance

70%
to pass
Passing Score
110
questions
Exam Length
None
required
Pre-Licensing
PSI
administers
Exam Provider

What This License Is

A North Dakota Accident & Health license lets you sell health, accident, disability, and related products to people and businesses in North Dakota. It is issued by the North Dakota Insurance & Securities Department.

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

Exam Options & Format

ExamQuestionsTime
Accident & Health — Accident & Health Producer (PSI) 110 (+5-10 unscored trial items) 2 hr 30 min

The Accident & Health exam is Accident & Health Producer (PSI): 110 (+5-10 unscored trial items) questions, 2 hr 30 min, $64 per attempt. Passing standard: 70% (77 correct of 110).

North Dakota 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
North Dakota has no combined exam — adding another line later means simply passing that line's own exam. Start with the line your role needs today.

Remote Proctoring Has Ended

As of April 24, 2026, North Dakota no longer offers remote online proctored exams. All exams are now taken in person at a PSI testing location. ND PSI sites include two in Bismarck (PSI at 120 N. 3rd Street, and the North Dakota Safety Council), Minot State University in Minot, and the Fargo Training and Testing Center. You may also test at PSI centers in other states.

!
Plan for a test center
If you were counting on testing from home, that option is gone in North Dakota. Book an in-person seat at one of the four ND PSI locations (or a PSI center wherever you are).

Fingerprint Background Check

All resident applicants must submit fingerprints for a state and national criminal history records check run through the ND Bureau of Criminal Investigation and the FBI (ORI ND920382Z). You complete a Criminal History Record Check Request form and pay two separate fees: a $40 BCI processing fee and, if you use PSI's LiveScan service, a $29 PSI fee.

The convenient route is to be fingerprinted by LiveScan at the Bismarck (120 N. 3rd St) or Fargo PSI test centers - you can do it during regular testing hours, even on the day of your exam, and PSI mails the signed consent form, fingerprint card, and the $40 BCI payment to the Department for you. The $40 BCI fee must be a company check, personal check, money order, or cashier's check payable to the North Dakota Attorney General (no credit cards or cash).

i
Knock it out on exam day
Get LiveScan fingerprinted at the Bismarck or Fargo PSI center the same day you test. Bring a check or money order for $40 payable to the North Dakota Attorney General - credit cards and cash aren't accepted for that fee. Already hold a valid ND license and just adding a class? Fingerprints aren't required again.

Applying for Your License

Once you've passed both exams and submitted fingerprints, apply online through NIPR using the NAIC Uniform Application. The initial resident producer license fee is $100, plus a small NIPR transaction fee. A passing exam score is valid for one year, so apply within that window.

If you answered 'yes' to any background question, submit your written statement and the corresponding official court documents (court website printouts are not accepted) through the NIPR Attachments Warehouse, by email to ndlicensing@nd.gov, or by mail to the Department. Adding a line of authority to an active license later carries no fee.

!
Score is good for one year
Your passing exam result stays valid for one year to apply (and remains valid as long as you continuously hold the license, plus 12 months after cancellation). Don't let the year lapse before you file with NIPR.

Renewal and Continuing Education

North Dakota licenses renew biennially and expire on the last day of your birth month. You can renew up to 90 days before expiration through NIPR; the renewal filing fee is $25 plus a transaction fee. The Department sends a renewal notice to your email on file, but you're solely responsible for renewing on time. Report any name or address change within 30 days.

Continuing education is 24 hours per two-year cycle, of which 3 hours must be ethics. If your license expires, you may reinstate within one year through NIPR if you're CE-compliant; after that a non-resident must reapply.

i
NPN is your license number
North Dakota uses your National Producer Number (NPN) as your license number and no longer mails paper licenses - print yours from NAIC State Based Systems (SBS) when you need a copy.

Moving to North Dakota Already Licensed?

If you held a resident license in your previous home state within the last 90 days, you're exempt from the North Dakota exam requirements for the lines on that license - just submit a resident license application. You cannot hold an active resident license in another state at the same time, so cancel the old one first. If you already hold an active North Dakota non-resident license, submit the application with no fee.

What to Expect on Test Day

Arrive 30 minutes early and bring one valid, current, government-issued photo ID with your name, signature, and photograph (driver's license, state/national ID, passport, passport card, military ID, or permanent resident card). No temporary IDs are accepted.

PSI provides scratch paper and a pencil, which you return at check-out. No reference materials, calculators, phones, or other electronic devices are allowed. Cancel or reschedule at least two days before your appointment to avoid forfeiting the fee.

i
ESL extra time
If English isn't your primary language, request an ESL authorization from PSI for time and a half - submit a personal request letter plus a letter from an English instructor or sponsor.

What the Life and A&H Exams Cover

Each exam splits 40 state-specific (product and laws) items from 70 general items. On the Life exam, the heaviest general areas are Life Insurance Policy Provisions, Options & Riders (20 items), Types of Life Insurance Policies (14), Life Insurance Basics (13), Annuities (8), and General Insurance Concepts (8). The 40 state items center on ND life and annuity law, solicitation and advertising rules, standard policy provisions, and the Guaranty Association.

On the Accident & Health exam, the biggest general buckets are Medical Plans (15), Accident & Health Insurance Basics (13), Individual A&H Policy Provisions (12), Disability Income (7), General Insurance Concepts (7), and Specialized Health for Qualified Individuals - Medicare/Medicaid/LTC (6). The 40 state items cover ND A&H policy provisions, HIPAA, Medicare supplement and long-term care rules, and mandated benefits.

i
State items are 40 of 110
On every North Dakota exam, 40 of the 110 scored items are state-specific law. Don't treat the state material as an afterthought - it's over a third of your score on each exam.
See where you stand — free
Take a free North Dakota Health practice exam with real-format questions.
Start Free →

Quick Reference

ExamAccident & Health Producer (PSI) — 110 (+5-10 unscored trial items) questions, 2 hr 30 min
Exam Fee$64
Passing Standard70% (77 correct of 110)
StructureTwo separate exams: Life + Accident & Health
Time (each)150 minutes
Pre-licensingNot required
Fingerprint$40 BCI + $29 PSI LiveScan (ORI ND920382Z)
License fee$100 initial (NIPR); $25 biennial renewal
RetakesUnlimited, no waiting period
CE24 hrs / 2 yrs (3 ethics)
RenewalBiennial, last day of birth month
Pass on the first try

Don't study generic. Study North Dakota.

You've got the roadmap. Now get the North Dakota-specific Health question bank, mock exams, and video course built by instructors with 20+ years teaching this material.