- The NELH combined exam has 150 scored questions in 150 minutes; 105 correct (70%) passes.
- Insurance Regulation is the single largest domain at 15% of the exam.
- Nebraska requires no state-approved prelicensing course - open eligibility applies.
- The combined exam fee is $47, and attempts are unlimited if you don't pass.
Exam Snapshot: The Numbers That Matter
Before you touch another practice question, pin these facts to memory. The Nebraska Life & Health Insurance Producer Exam (NELH) is regulated by the Nebraska Department of Insurance and administered by PSI under the exam code Series 13-03, Life and Annuities, Accident and Health or Sickness Insurance. It's a combined exam - you don't take separate life and health tests - and every candidate sees the same core structure.
- Total questions: 150, all scored, all multiple-choice
- Time limit: 150 minutes
- Passing score: 70%, or 105 correct answers out of 150
- Fee: $47 for the combined exam
- Eligibility: Open - no state-approved prelicensing education required
- Attempts: Unlimited
- Filing deadline: License application due within one year of passing
- Testing location: Physical PSI test centers only
If you want the deeper mechanics behind each of these numbers - including how the fee compares to other producer exams and what happens if your one-year filing window lapses - the NELH Certification Cost 2026: Complete Pricing Breakdown and NELH Requirements 2026: Eligibility, Prerequisites & How to Qualify guides cover it in full.
All 16 Domains at a Glance
The NELH exam is built from 16 content domains, each carrying a different weight toward your final score. Memorizing this table is the fastest way to know where your study hours actually pay off.
| Domain | Weight |
|---|---|
| 1. Insurance Regulation | 15% |
| 2. General Insurance | 10% |
| 3. Life Insurance Basics | 8% |
| 4. Life Insurance Policies | 9% |
| 5. Life Insurance Policy Provisions, Options and Riders | 9% |
| 6. Annuities | 6% |
| 7. Federal Taxation of Life Insurance and Annuities | 4% |
| 8. Customer Relations and Privacy | 1% |
| 9. Sickness and Accident Risk and Underwriting | 8% |
| 10. Individual Accident and Sickness Insurance Policy General Provisions and Clauses | 6% |
| 11. Disability | 3% |
| 12. Medical Plans | 6% |
| 13. Group Plans | 6% |
| 14. Dental Insurance | 2% |
| 15. Insurance for Senior Citizens and Individuals with Special Needs | 5% |
| 16. Federal Tax Considerations for Sickness and Accident Insurance | 2% |
Notice the pattern: life topics (domains 3-7) and health/accident topics (domains 9-16) together make up most of the exam, while regulation and general insurance concepts sit on top as the connective tissue. For a walkthrough of what each domain actually tests - sample concepts, not just percentages - see the NELH Exam Domains 2026: Complete Guide to All 16 Content Areas.
The Domains Worth Your Time First
With 150 minutes and 150 questions, you have roughly one minute per question - not a lot of room to second-guess yourself on topics you never solidified. Prioritize by weight, not by what feels comfortable.
Domain 1: Insurance Regulation (15%)
The largest single domain. Expect questions on producer licensing rules, appointment and termination procedures, unfair trade practices, and the Nebraska Department of Insurance's authority over producers.
- Grounds for license suspension or revocation
- Definitions of rebating, twisting, and misrepresentation
- Producer duties around replacement of existing policies
Domain 4 & 5: Life Insurance Policies and Provisions (9% each, 18% combined)
Together these two domains outweigh even Insurance Regulation. Know policy types (whole, term, universal, variable), standard provisions (grace period, incontestability, nonforfeiture), and common riders (waiver of premium, accidental death, guaranteed insurability).
- Differences between term conversion and renewal features
- How dividend options work on participating policies
- Settlement options and their payout mechanics
Domain 2: General Insurance (10%)
This domain covers foundational concepts that apply across both life and health products - insurable interest, contract elements, and underwriting principles that show up again inside more specific domains later in the exam.
- Elements of a legal insurance contract
- Concepts like adverse selection and risk pooling
- Application, binder, and conditional receipt mechanics
Domain 9: Sickness and Accident Risk and Underwriting (8%)
The heaviest health-side domain. It tests how insurers evaluate applicants for accident and sickness coverage and how risk classification decisions get made.
- Underwriting factors specific to health insurance
- Standard, substandard, and declined risk classifications
- Waiting periods and elimination periods
The remaining domains - Annuities, Medical Plans, Group Plans, Insurance for Senior Citizens, and the smaller domains like Dental Insurance and Customer Relations and Privacy - matter too, but they carry less weight individually. Don't skip them; a single-digit domain can still be worth 6-10 questions on a 150-question exam. If you're unsure how much total study time to allocate across all 16, the NELH Study Guide 2026: How to Pass on Your First Attempt lays out a fuller plan.
Key Takeaway
Domains 1, 4, and 5 alone account for a third of your score. Master Insurance Regulation, Life Insurance Policies, and Policy Provisions/Riders before spending extended time on lower-weight domains.
Registration, Fees, and Retake Rules
Registration mechanics trip up more candidates than the content does. Here's what to actually remember:
- Cost: $47 covers the combined life and health exam - there's no separate fee for each half since it's administered as one Series 13-03 test.
- No prelicensing requirement: Nebraska's open eligibility means you can register and sit for the exam without completing a state-approved course. That flexibility is convenient, but it puts the full burden of preparation on you.
- Unlimited attempts: If you don't reach 105 correct answers, you can register and retake the exam again. There's no cap on how many times you can attempt it.
- One-year filing window: Passing the exam isn't the finish line. You must submit your license application to the Nebraska Department of Insurance within one year of your pass date, or your result effectively expires for licensing purposes.
- Testing sites: PSI administers the exam exclusively at physical test centers - there's no remote-proctoring option for this exam.
For a breakdown of every dollar involved - exam fee, any related licensing costs, and how it stacks against other paths - read the NELH Certification Cost 2026: Complete Pricing Breakdown. And if you're still mapping out when to sit for the exam relative to job offers or license deadlines, the NELH Exam Dates 2026: Testing Windows, Deadlines & Scheduling guide explains how PSI scheduling actually works.
Question Format and Timing on Test Day
Every question on the NELH exam is multiple-choice, and all 150 are scored - there are no unscored pretest questions mixed in that you need to worry about identifying. That simplifies your pacing strategy considerably: every question counts equally toward your 105-correct target.
With 150 minutes for 150 questions, you're working with roughly one minute per question on average. That's generous compared to many licensing exams, but it disappears quickly if you get stuck rereading dense provision language. A practical pacing approach:
- Move through straightforward regulation and general insurance questions quickly to bank time.
- Slow down deliberately on policy provision and rider questions, since wording differences (e.g., "guaranteed insurability" vs. "waiver of premium") are where the exam tests precision.
- Flag and return to any question involving numeric calculations - for example, benefit periods or tax treatment scenarios - rather than losing momentum mid-exam.
To get a realistic feel for how the question style and difficulty actually play out, the How Hard Is the NELH Exam? Complete Difficulty Guide 2026 breaks down where candidates typically lose points. And running full-length timed sets on our practice test platform before test day is the closest simulation you'll get to the real 150-question, 150-minute format.
After You Pass: Filing and Renewal
Passing at 105 correct answers or higher is only step one. Here's the full lifecycle:
- File within one year: Submit your producer license application to the Nebraska Department of Insurance before your pass date's one-year anniversary.
- Renew every two years: Once licensed, Nebraska producers renew every two years.
- Complete 24 CE hours per cycle: Continuing education is required for renewal, and it must include 3 hours specifically on ethics.
Understanding exactly what counts as a passing score - and how close a "safe" score really is versus the bare 105 minimum - is worth reviewing separately in the NELH Passing Score 2026: Exactly What You Need to Pass guide. It's also useful context if you're evaluating whether the licensing effort fits your career plans, which the Is the NELH Certification Worth It? Complete ROI Analysis 2026 article addresses in more depth.
Final-Week Review Schedule
If you're within seven days of your test date, don't restart your studying - triage it. This schedule assumes you've already covered material once and are now reinforcing weak spots by domain weight.
Insurance Regulation + Life Insurance Policies
- Drill producer licensing rules, unfair trade practices, and replacement requirements
- Review policy types and how nonforfeiture options differ
Policy Provisions, Riders, and General Insurance
- Memorize standard provisions: grace period, incontestability, reinstatement
- Confirm you can distinguish common riders by function, not just name
Health Domains: Underwriting, Medical Plans, Group Plans
- Review risk classification categories and waiting/elimination periods
- Compare individual vs. group plan mechanics side by side
Timed Full Practice Run + Low-Weight Domain Sweep
- Take a full 150-question timed set to confirm pacing under real conditions
- Do a fast pass on Dental Insurance, Disability, and Customer Relations and Privacy
This isn't a generic weekly template - it's sequenced specifically around the NELH domain weights, front-loading the highest-value content (Regulation, Policies, Provisions) before spending the final stretch on smaller domains that still contribute meaningful points. Run at least one full simulated exam on our timed practice platform before test day so the 150-minute clock isn't a surprise.
Once you're licensed, it's also worth understanding where this credential actually leads professionally - the NELH Salary Guide 2026: Complete Earnings Analysis and NELH Jobs resources cover typical roles and hiring paths for licensed life and health producers in Nebraska.
Frequently Asked Questions
The combined exam has 150 scored multiple-choice questions. You need 105 correct (70%) to pass.
No. Nebraska uses open eligibility, meaning there's no state-approved prelicensing education requirement to sit for the exam.
You can retake it. Attempts are unlimited, so you can register again through PSI and try again after further review.
You must file your license application with the Nebraska Department of Insurance within one year of your pass date.
Start with Insurance Regulation (15%), the largest single domain, followed by Life Insurance Policies and Policy Provisions, Options and Riders, which together carry 18% of the exam.