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NELH Certification

TL;DR
  • NELH is Nebraska's Series 13-03 exam, covering life, annuities, accident, and health lines in one test.
  • You need 105 of 150 correct answers (70%) within 150 minutes to pass.
  • Nebraska has open eligibility - no state-mandated prelicensing course is required before testing.
  • The combined exam costs $47, and you must file your license application within one year of passing.

What the NELH Certification Actually Is

The NELH certification refers to the Nebraska Life & Health Insurance Producer Exam, a licensing test regulated by the Nebraska Department of Insurance and delivered through PSI as Series 13-03: Life and Annuities, Accident and Health or Sickness Insurance. Passing it is the gateway to selling life insurance, annuities, and accident and health products in Nebraska. It is not a voluntary professional designation you add to a resume after years of experience - it's the mandatory state exam every prospective life and health producer must clear before applying for a resident license.

Because it's a state exam rather than a private certification, the rules are set by statute and enforced by PSI at the testing center, not by a membership organization. That means the fee structure, scoring, and eligibility rules are fixed and published, which makes the exam predictable to prepare for once you understand its mechanics. If you're still getting oriented, our companion piece on What Is NELH Certification? breaks down the terminology in more depth.

Combined Exam, Not Two Separate Tests: The NELH exam bundles life and annuities content with accident and health content into a single 150-question sitting. Candidates who assume it's split into two shorter exams often mismanage their study time.

How the Series 13-03 Exam Is Structured

The NELH exam consists of 150 scored multiple-choice questions, administered in a 150-minute window at a physical PSI test center. That's roughly one minute per question, which is generous compared to many licensing exams, but only if you're not stalling on unfamiliar terminology. A passing score requires 105 correct answers, or 70%.

There's no distinction between "easy" and "hard" questions in terms of weighting - every scored item counts equally toward your total. Questions are pulled from the 16 content domains listed by the Nebraska Department of Insurance, and each domain's percentage represents roughly how many questions from that area will appear on your specific test form.

Key Takeaway

Because all 150 questions count equally, don't over-invest study time in a 1%-weighted domain at the expense of a 15%-weighted one. Match your study hours to the domain percentages, not to personal interest.

If you want a deeper breakdown of how the scoring threshold plays out in practice, including what a 105-question passing bar means for how many questions you can afford to miss, see NELH Passing Score 2026: Exactly What You Need to Pass. And if you're trying to gauge how the exam feels relative to other insurance licensing tests, How Hard Is the NELH Exam? Complete Difficulty Guide 2026 walks through the difficulty factors in detail.

The 16 Domains You Need to Master

The NELH exam blueprint spans 16 domains, ranging from broad regulatory knowledge to narrow tax provisions. Here's the full weighting:

DomainWeight
1. Insurance Regulation15%
2. General Insurance10%
4. Life Insurance Policies9%
5. Life Insurance Policy Provisions, Options and Riders9%
3. Life Insurance Basics8%
9. Sickness and Accident Risk and Underwriting8%
6. Annuities6%
10. Individual Accident and Sickness Policy Provisions and Clauses6%
12. Medical Plans6%
13. Group Plans6%
15. Insurance for Senior Citizens and Individuals with Special Needs5%
7. Federal Taxation of Life Insurance and Annuities4%
11. Disability3%
14. Dental Insurance2%
16. Federal Tax Considerations for Sickness and Accident Insurance2%
8. Customer Relations and Privacy1%

The heaviest single domain is Insurance Regulation at 15% - expect questions on Nebraska's licensing rules, producer conduct, unfair trade practices, and the Department of Insurance's oversight authority. This domain alone can make or break your score if neglected.

Domain 1: Insurance Regulation

Candidates must understand Nebraska-specific statutes governing producer licensing, appointments, and market conduct.

  • Grounds for license denial, suspension, or revocation
  • Producer duties around replacement and disclosure
  • Unfair claims practices and penalties

Domain 4 & 5: Life Insurance Policies and Provisions

Together these two domains account for 18% of the exam, making them a combined priority nearly as large as Insurance Regulation.

  • Whole life, term, universal, and variable life structures
  • Nonforfeiture options, riders, and settlement options
  • Policy loans, dividends, and grace period provisions

Domain 9: Sickness and Accident Risk and Underwriting

This domain tests how insurers evaluate and price health-related risk.

  • Underwriting classifications and rating factors
  • Pre-existing condition treatment
  • Risk selection principles for accident and health lines

Lighter domains like Dental Insurance (2%), Federal Tax Considerations for Sickness and Accident Insurance (2%), and Customer Relations and Privacy (1%) still appear on the exam, but they warrant proportionally less study time. For a domain-by-domain walkthrough of all 16 areas with more granular subtopics, see NELH Exam Domains 2026: Complete Guide to All 16 Content Areas.

Registration, Fees, and Eligibility

Nebraska takes an open-eligibility approach to the NELH exam. There's no requirement to complete state-approved prelicensing education before you sit for the test - you can register and test as soon as you're ready. That's a meaningful difference from states that mandate a fixed number of prelicensing hours, and it shifts more responsibility onto candidates to self-assess their readiness.

No Cap on Attempts: Nebraska does not limit how many times you can retake the NELH exam. If you don't pass on your first try, you can register again - but each attempt costs the $47 combined exam fee, so retakes add up financially even without a formal cap.

Key registration facts to keep in mind:

  • The combined life and health exam costs $47.
  • The exam has 150 scored questions and a 150-minute time limit.
  • A passing score is 70%, or 105 correct answers.
  • Testing happens at physical PSI test centers - there is no remote-proctored option described in the state's exam program.
  • Once you pass, you must file your producer license application within one year, or your passing result expires.

That one-year filing window is easy to overlook in the excitement of passing, but missing it means retesting from scratch. For a full pricing and fee breakdown, including how the exam cost fits into your total licensing budget, read NELH Certification Cost 2026: Complete Pricing Breakdown. If you want a checklist-style rundown of eligibility rules before you register, NELH Requirements 2026: Eligibility, Prerequisites & How to Qualify covers it step by step. Scheduling logistics and testing windows are addressed in NELH Exam Dates 2026: Testing Windows, Deadlines & Scheduling.

Who Hires NELH-Certified Producers

Passing the NELH exam and obtaining your Nebraska life and health producer license opens the door to work with insurance carriers, independent agencies, brokerages, and financial services firms that sell life insurance, annuities, and accident and health products in the state. Common paths include:

  • Captive agents working under a single carrier's contract, selling that company's life and health products exclusively.
  • Independent agents and brokers who represent multiple carriers and need the license to place business across companies.
  • Group benefits specialists at agencies handling employer-sponsored medical, dental, and disability plans, drawing on the Group Plans and Medical Plans domains.
  • Senior market and Medicare-focused producers who lean heavily on the Insurance for Senior Citizens and Individuals with Special Needs domain content.

Because the exam bundles life, annuity, and health content, the license itself is versatile - you're not limited to selling one product line. That versatility is part of why many producers view the NELH license as a practical entry point into the broader insurance career field, a question explored more fully in Is the NELH Certification Worth It? Complete ROI Analysis 2026 and in NELH Salary Guide 2026: Complete Earnings Analysis for those weighing career trajectories. Openings for licensed producers are also tracked on our NELH Jobs resource.

Building a Study Plan Around Domain Weight

Because the NELH exam blueprint publishes exact domain percentages, the smartest way to allocate study time is proportional to weight rather than personal comfort. Spend the most time on Insurance Regulation (15%), General Insurance (10%), and the two life policy domains (9% each), since together those four areas make up 43% of the exam. Treat Domains 8, 14, and 16 - each 1-2% - as final-week review items rather than early-week deep dives.

Week 1

Regulation and Foundations

  • Domain 1: Insurance Regulation
  • Domain 2: General Insurance
  • Domain 3: Life Insurance Basics
Week 2

Life Products and Annuities

  • Domain 4: Life Insurance Policies
  • Domain 5: Policy Provisions, Options and Riders
  • Domain 6: Annuities
  • Domain 7: Federal Taxation of Life Insurance and Annuities
Week 3

Health and Accident Lines

  • Domain 9: Sickness and Accident Risk and Underwriting
  • Domain 10: Individual A&S Policy Provisions
  • Domain 11: Disability
  • Domain 12: Medical Plans
  • Domain 13: Group Plans
Week 4

Specialty Topics and Full Review

  • Domain 14: Dental Insurance
  • Domain 15: Senior Citizens and Special Needs
  • Domain 16: Federal Tax Considerations for A&S
  • Domain 8: Customer Relations and Privacy
  • Full 150-question timed practice run

Running full-length, timed practice sets that mirror the real 150-question, 150-minute format is the single best way to confirm you're ready - you can start practicing under realistic conditions on our NELH practice test platform. For a structured week-by-week study framework built specifically around this exam's content weighting, see NELH Study Guide 2026: How to Pass on Your First Attempt, and if you'd rather see the underlying pass-rate patterns behind why proportional studying matters, NELH Pass Rate 2026: What the Data Shows lays out the available data.

Licensing After You Pass

Passing the exam is not the finish line - it's the trigger for a one-year clock. You must submit your Nebraska producer license application within one year of your passing exam date, or the result no longer counts toward licensure. Once licensed, Nebraska producers renew every two years and must complete 24 hours of continuing education per renewal cycle, including 3 hours specifically in ethics.

Plan Past the Exam: Because the license application deadline is tied to your exam pass date, not a fixed calendar date, candidates who wait months to apply risk losing their result and having to retest. File promptly.

Keep a quick-reference sheet of these deadlines and renewal figures handy as you go through the licensing process - a condensed version of the must-know numbers is available in NELH Cheat Sheet 2026: One-Page Review of Must-Know Facts. And if you're still building baseline familiarity with the exam's origins and terminology before diving into domain study, our primer What Is NELH? and the related NELH Meaning guide are good starting points. When you're ready to test your readiness under real exam conditions, head over to the practice test homepage to get started, or explore structured NELH Training resources for guided preparation.

Frequently Asked Questions

Is the NELH exam one test or two separate exams for life and health?

It's one combined exam. The Series 13-03 test covers life and annuities plus accident and health or sickness insurance in a single 150-question, 150-minute sitting.

Do I need to take a prelicensing course before sitting for NELH?

No. Nebraska uses open eligibility, meaning there is no state-mandated prelicensing education requirement before you can register and test.

How many questions can I miss and still pass?

You need 105 correct answers out of 150 to pass, which is 70%. That means you can miss up to 45 questions and still pass.

What happens if I don't file my license application right after passing?

You have one year from your passing exam date to file your Nebraska producer license application. Miss that window and your passing result no longer applies, requiring a retest.

Is there a limit to how many times I can retake the NELH exam?

No, Nebraska does not impose a cap on exam attempts. Each attempt does require paying the $47 combined exam fee again.

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