What This License Is
A South Dakota Accident & Health license lets you sell health, accident, disability, and related products to people and businesses in South Dakota. It is issued by the South Dakota Division of Insurance, Department of Labor and Regulation.
Licensing runs through the same process as every South Dakota producer line — the difference is the focused Accident & Health exam.
Exam Options & Format
The Accident & Health exam is Accident & Health or Sickness Producer (InsSD_Health42): 95 total (90 scored + 5 pretest) questions, 2 hr, $85 per attempt. Passing standard: 70.
South Dakota also offers the combined exam (Life, Accident & Health or Sickness Producer (InsSD_LAH45): 155 total (145 scored) questions, 2 hr 30 min, $95), which licenses both lines in one sitting. If there is any chance you will sell life or annuity products later, the combined exam is usually the better value.
Applying for the license after you pass
Passing the exam is not the license - it qualifies you to apply. South Dakota gives you 180 days from passing your major-line exam to submit your application, so don't sit on it.
Wait at least 48 hours after passing before you apply; that window lets your results upload to SBS and NIPR so your application can be matched to your score.
File the resident producer application online through NIPR (www.nipr.com). The licensing fee is $25 plus a small service fee, paid when you submit. There is no separate fingerprinting step or fee - the Division runs your background check from the application.
Issuance is not automatic. The Division reviews your application and background results before the license is granted, and you must be appointed by each carrier whose products you intend to sell.
South Dakota law tested on the L&H state portion
The state portion leans heavily on producer conduct and the life and health rules unique to South Dakota. Expect questions on the Director of Insurance's powers, licensing maintenance, unfair trade and claims practices, and insurance fraud regulation (SDCL 58-4A).
Life-specific topics include the policy replacement rules (ARSD 20:06:08:60-63), advertising and illustration standards, the free-look and grace-period requirements for individual life and annuity contracts, and group life conversion and dependent-coverage rules.
Annuity sales are governed by South Dakota's suitability and best-interest standard (SDCL 58-33A) plus the SEC/FINRA overlay for variable products - a frequent exam theme.
The Life and Health Insurance Guaranty Association (SDCL 58-29C) and its advertising/disclaimer rules round out the life-and-health regulatory core.
Health, Medicare Supplement, and LTC rules
On the health side, the state portion tests South Dakota's individual and group requirements (SDCL 58-17): eligibility and newborn/dependent coverage, mandated benefit offers, and group continuation and conversion rules layered on top of federal COBRA.
Medicare Supplement gets its own block - buyer's-guide and outline-of-coverage delivery, replacement rules, the free-look right, suitability, and Medicare SELECT (ARSD 20:06:13).
Long-Term Care is heavily regulated: the LTC Partnership program tied to the federal Deficit Reduction Act of 2005, outline-of-coverage and shopper's-guide delivery, the free-look right, suitability, and rate stabilization (SDCL 58-17B; ARSD 20:06:21).
The Affordable Care Act framework - metal tiers, essential health benefits, guaranteed issue, special enrollment periods, and the marketplace - is also fair game on the general health content.
Continuing education and renewal
South Dakota's CE requirement is lighter than most states. A producer holding the Life, Accident & Health line alone completes 10 hours of approved CE every two-year term.
If you hold BOTH the Life/Health line and the Property/Casualty line, the requirement is 20 hours per term - at least 10 credits in each line, with a minimum of 8 in each. No carryover credits, and you cannot repeat the same course within a term for credit.
Licenses renew on the last day of your birth month, every two years, on a cycle tied to whether your birth year is odd or even. Complete all CE before you submit the renewal - you cannot renew until CE is satisfied.
There is no late-renewal grace period in South Dakota, so build a calendar reminder a couple of months ahead of your birth-month deadline.
Quick Reference
Official Links
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