Washington Insurance Exam Guide

Washington Health Insurance Exam 2026

Washington calls health insurance "disability," and the standalone line is the Disability Producer licence - 100 questions, 150 minutes, $38. It is the one Washington line where the state law genuinely departs from the national syllabus: a portfolio-based clean-claim standard rather than a per-claim deadline, an external review with a two-pronged clock, and a continuation regime that is an offer to the employer rather than an entitlement of the employee. This guide covers the exam, those rules, and the remote-testing option - which changed this month.

Last verified August 2026 •WA OIC

70%
to pass
Passing Score
100
questions
Exam Length
None
required
Pre-Licensing
PSI
administers
Exam Provider

The Washington Disability Producer License

Start with the vocabulary, because it trips up every candidate who studied from national material. Washington's line of authority for accident and health coverage is "Disability" - defined in RCW 48.17.170(1)(b) as "insurance coverage for accident, health, and disability or sickness, bodily injury, or accidental death," which "may include benefits for disability income." When a Washington exam item says disability, it usually means health.

The standalone Disability Producer exam is 100 questions in 150 minutes for $38. The combined Life and Disability Producer Combo is 150 questions in 195 minutes for $55 - worth taking if life cases are anywhere in your plan, since adding Life later as its own exam costs another $38.

No pre-licensing course has been required since July 23, 2023, when HB 1061 repealed the 20-hour requirement. Apply through NIPR for $55 after you pass; the Life guide walks the application sequence and the Casualty guide covers fingerprints.

If long-term care is in your plan, budget for the training now rather than later: Washington requires a one-time eight-hour course before you sell any LTC, plus four hours every twenty-four months after that (RCW 48.83.130(2)(a)(i), (2)(b)). It hangs off this licence - the disability line is the prerequisite.

Disability Alone, or the Life and Disability Combo

ExamQuestionsTime
Disability Producer (PSI) - Washington's standalone health line 100 scored, plus up to 10 unscored pretest items 150 minutes
Life and Disability Producer Combo - both lines in one sitting 150 scored, plus up to 10 unscored pretest items 195 minutes

Both are offered, at every Washington test centre and remotely. The standalone Disability Producer exam runs 100 questions in 150 minutes for $38; the Life and Disability Producer Combo runs 150 questions in 195 minutes for $55.

The bulletin's wording on unscored items is worth reading precisely: experimental questions are administered "in addition to the number of questions per examination" - one to ten of them, roughly 10%, unscored but counted against your time. The 100 is your scored count; pretest sits on top of it.

Passing is 70% correct, stated in exactly those words. Washington reports a raw percentage, not a scaled score.

Attempts are unlimited. You cannot book a second sitting on the same day as the first, but the bulletin's own example has a candidate failing Wednesday, calling Thursday and testing Friday. Each attempt is a new registration and a new $38.

Most Tested Topics on the Washington Disability Exam

Washington's health regulation is unusually structural: several of its best-known rules are standards on a carrier's whole book rather than promises to one claimant, and two of them are defined inside the operative rule rather than in a definitions section. From the TESTivity Washington regulations curriculum, statute-verified:

ConceptThe Washington rule
Prompt payment of clean claims95% of the monthly volume of clean claims paid within 30 days, and 95% of the monthly volume of all claims paid or denied within 60 days. Both are portfolio standards on the carrier's book, not per-claim guarantees (WAC 284-170-431(2)(a))
"Clean claim," as definedA claim with "no defect or impropriety, including any lack of any required substantiating documentation, or particular circumstances requiring special treatment that prevents timely payments" - and the definition sits inside the rule at (3), not in the chapter's definitions section (WAC 284-170-431(3))
Interest on a late claim1% per month, simple and prorated, on claims that are undenied, unpaid, clean and more than 61 days old. The carrier adds it automatically and may not charge it against the enrollee's deductible or coinsurance (WAC 284-170-431(2)(d))
Electronic versus paper claimsWashington draws no distinction at all. One standard, and the receipt date is when the carrier receives "either written or electronic notice" (WAC 284-170-431(2)(b))
Who decides an external reviewA certified independent review organization, assigned off a rotational registry the Commissioner maintains. The carrier must implement the decision and pay the IRO's charges; the appellant pays nothing (RCW 48.43.535(3), (8))
External review deadline15 days after receiving necessary information, or 20 days after receiving the referral, whichever is earlier - one two-pronged test in a single sentence, not two competing rules, extendable to 25 days after referral in exceptional circumstances (WAC 284-43A-070(3)(a)(i)). Expedited review is 72 hours (WAC 284-43A-070(3)(a)(ii); RCW 48.43.535(7)(a))
Group continuationWashington requires the insurer to offer the group a continuation provision "for a period of time and at a rate agreed upon." The duty runs to the policyholder, and no statutory month count runs to the employee (RCW 48.21.250; RCW 48.44.360; RCW 48.46.440)
Conversion after group coverage endsThe genuine individual right: written application and the first premium within 31 days of termination or of notice of termination, whichever is later, effective without a lapse in coverage (RCW 48.21.260(3); RCW 48.44.370(3))
Conversion after termination for misconductThe insurer need not offer conversion to the terminated employee - but must offer it to that employee's spouse and dependents, on the same terms (RCW 48.21.260(2)(a))
Short-term limited duration plansThree months maximum including any extension, no more than three months in any twelve-month period, and they cannot be renewed - the one exception being a member still hospitalised as an inpatient on the expiration date (WAC 284-43-8000)
Small employer"At least one but no more than 50 employees." Washington's small-group market starts at one (RCW 48.43.005(47))
Medicaid, CHIP and the marketplaceExpanded; administered by the Health Care Authority and branded Washington Apple Health, with CHIP as Apple Health for Kids; the exchange is a state-based marketplace, the Washington Health Benefit Exchange (RCW 74.09.010; RCW 74.09.470(1); RCW 43.71.020)
Long-term care trainingA one-time 8-hour course before selling LTC, then 4 hours every 24 months - and "satisfaction of training requirements in any state satisfies Washington's requirements" (RCW 48.83.130(2)(a)(i), (2)(b), (7))

The clean-claim rule is where prepared candidates separate themselves, because the obvious reading of it is wrong twice over. It is not "every clean claim must be paid in 30 days" - it is 95% of the monthly volume. And the two standards are not the same rule at two speeds: the 30-day standard covers clean claims and requires payment, while the 60-day standard covers all claims and is satisfied by paying or denying. The interest trigger then uses a third number - 61 days - and only for claims that are simultaneously undenied, unpaid and clean.

Continuation is the other reliable trap, and it is a trap in both directions. A candidate who memorised "Washington has no mini-COBRA" will miss the offer duty in RCW 48.21.250; a candidate who assumes an 18-month federal-style entitlement will miss that Washington fixes no duration and no premium percentage, leaving both "agreed upon." What Washington does give the individual is the 31-day conversion right - and note it runs from termination or notice of termination, whichever is later, so a late notice extends it.

Finally, one Washington-specific right that almost no national syllabus covers: a spouse or dependent who stops being a qualified family member by reason of divorce or the death of the principal enrollee may continue the coverage without a physical examination, statement of health, or other proof of insurability (RCW 48.44.400; RCW 48.46.480). Those sections state no duration at all.

i
The 45-day figure is not Washington's
The OIC's consumer pages publish a 45-day external review standard alongside the 15/20-day one. That 45 is the federal standard for self-funded plans, which are not "health plans" under RCW 48.43.535 at all. For a Washington-regulated plan the answer is 15 or 20, whichever is earlier.

Remote Proctoring for Washington Exams

PSI offers remote proctoring for Washington, and it is worth confirming rather than assuming - remote testing has come and gone from various programmes over the past few years. When you schedule, the portal asks you to "Select your test format: (Test Center) or (Remote Proctored)." There is no separate remote surcharge; a Disability Producer exam is $38 either way.

The rule that changed this month. PSI's bulletin was revised on August 3, 2026 and now states that "all Remote Proctored tests offered for the Washington Office of the Insurance Commissioner beginning August 3, 2026 will require a smartphone as a second camera security device." If you tested remotely in Washington before August, or read a guide written before August, this is new.

It also sits oddly beside the device rule, so read both together. The OIC says "Laptops or desktop computers are required for remote tests. Smartphones and tablets are not allowed." The phone is not the machine you test on - it is a second camera pointed at your workspace. You need both devices.

Before the day, run the compatibility check. The bulletin is emphatic: "BE SURE TO CHECK THE COMPATIBILTY OF YOUR COMPUTER to include Audio/Video Check, Webcam Check and System Check." (The typo is PSI's.) Doing this the night before is the single highest-value ten minutes in the whole remote path, because a failed system check on the hour is a forfeited fee.

The launch window, exactly as printed. The bulletin says two things: "You will be able to LAUNCH your test within 30 minutes of your booked test time," and "By not starting your test within 15 minutes after your booked time, you forfeit your test fee or test eligibility." Those are in tension, and we are not going to smooth them over for you - treat 15 minutes as the number that costs money and be at the machine at your booked time.

Room rules. No scratch paper of any kind. Adequate lighting, and a webcam positioned so the proctor can see you. You may not change computers and may not change spaces during the exam. Hands stay on the desktop and away from your face, eyes on the screen, no fidgeting, and no talking, whispering or mouthing - candidates who read questions under their breath have been stopped for it.

No breaks. "Breaks are NOT allowed during remote online proctored examinations." At a test centre you may use the restroom but you get no extra time; remotely you do not leave the chair at all. On a 150-minute Disability exam, plan accordingly.

Identification. The current bulletin requires one form of photo ID, valid and unexpired, matching the name you scheduled under. Its accepted list is: a state-issued driver's licence, a state-issued identification card, a US government-issued passport, a US government-issued military identification card, a US government-issued alien registration card, or a Canadian government-issued ID.

If something breaks mid-exam, PSI's remote support line is (844) 267-1017. Have it written on paper before you start - your phone will be busy being a camera.

!
Ignore the old PSI instruction sheet
A separate PSI page for Washington remote testing is still online and still stamped "Modified Date 7/1/2021." It specifies Windows 7, Chrome 58 and 640x480 video, and says remote candidates need TWO IDs and that a military ID will not be accepted - all contradicted by the 8/3/2026 bulletin. Use the bulletin.

What It Costs

State Exam $38 per attempt (Disability Producer)
Fingerprinting $49.00 - residents only, rising to $52.00 on October 1, 2026
Application $55 (resident producer, filed through NIPR)
Prelicensing $0 - repealed July 23, 2023
Total: About $142 on a first-attempt pass: $38 to PSI for the exam, $49.00 to IdentoGO for fingerprints, $55 to the OIC through NIPR, plus NIPR's own transaction fee at checkout. Budget $145 if your prints are taken on or after October 1, 2026, when the fingerprint fee rises to $52.00.

Three payments and no course fee. Testing remotely costs the same as testing at a centre - though it does assume you already own a laptop and a smartphone.

Eligibility Requirements

At least 18, no act committed that is a ground for denial under RCW 48.17.530, fees paid under RCW 48.14.010, and the exam passed for each line applied for (RCW 48.17.090(2)). No sponsorship and no citizenship requirement.

Residents are fingerprinted; non-residents are not - the OIC states plainly that "Non-resident applicants do not have any fingerprint requirements" (see the Casualty guide for the resident process). A non-resident applies through NIPR on home-state credentials for the same $55, and under RCW 48.17.173(5) may satisfy Washington's CE by meeting the home state's requirement where that state reciprocates.

Keeping the License

Important CE details: 24 credit hours of OIC-approved CE per license continuation period, three of them ethics (WAC 284-17-224). Long-term care is the add-on that matters on this licence: a one-time 8-hour course before you sell any LTC, then 4 hours every 24 months thereafter (RCW 48.83.130(2)). Training completed in any other state satisfies Washington's LTC requirement.

24 credit hours per licence continuation period including three ethics hours (WAC 284-17-224), flat regardless of how many lines you hold, with no carryover of excess credits (WAC 284-17-252).

On a disability licence the product-specific training is what actually bites. Long-term care takes a one-time eight-hour course before you sell any LTC, followed by four hours every twenty-four months (RCW 48.83.130(2)(a)(i), (2)(b)). The refresher content is prescribed - state and federal regulation, the partnership programme and its Medicaid relationship, available services and providers, alternatives to buying private LTC, the effect of inflation and why inflation protection matters, chapters 48.84 and 48.85 RCW, and consumer suitability standards (RCW 48.83.130(2)(b)(i)-(vii)).

Washington runs a real long-term care partnership - RCW 48.85.010 creates the "Washington long-term care partnership," under which a qualifying policy allows "the exclusion of some or all of the individual's assets in determination of medicaid eligibility." Selling partnership policies adds no extra hours: WAC 284-83-425 simply cross-references the same RCW 48.83.130(2) regime.

One more course almost nobody knows about. To sell a Washington Supplemental LTC policy - one designed to pay after WA Cares benefits are exhausted - you must also complete a one-time, one-credit course. It is separate from both the eight-hour and the four-hour, it is named in WAC 284-17-224(3) alongside them, and it exists because Washington's long-term services and supports trust programme has no analogue anywhere else.

Two practical notes. The OIC advises completing the LTC refresher six to eight weeks before it is due, because provider reporting takes up to 10 days and a late credit is a late credit. And LTC training done in any state satisfies Washington's requirement - "the satisfaction of these training requirements for any state shall be deemed to satisfy the training requirements of this state" (RCW 48.83.130(7)) - which is worth knowing if you move in.

Renewal mechanics, late-fee tiers and the reinstatement window live in the Property & Casualty guide.

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Quick Reference

ExamDisability Producer (PSI) - 100 scored questions, 150 minutes
Exam fee$38
Passing standard70% correct (raw, not scaled)
Remote proctoringOffered - laptop or desktop plus a smartphone second camera
Remote support line(844) 267-1017
Fingerprints$49.00 IdentoGO, residents only ($52.00 from 10/1/2026)
License fee$55 through NIPR
Total to licenseAbout $142
LTC training8 hours one-time, then 4 hours every 24 months
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