- NELH is Nebraska's Series 13-03 combined Life and Annuities, Accident and Health exam, run through PSI.
- The exam has 150 scored questions in 150 minutes; you need 105 correct (70%) to pass.
- The combined exam costs $47, and Nebraska has open eligibility with no mandatory prelicensing course.
- Insurance Regulation is the heaviest domain at 15% of the exam.
What Is NELH Certification?
NELH stands for the Nebraska Life & Health Insurance Producer Exam. It's the state licensing test that anyone who wants to sell life insurance, annuities, or accident and health/sickness insurance products in Nebraska must pass before applying for a producer license. This isn't a voluntary professional credential you add to a resume for prestige - it's a mandatory regulatory checkpoint. Without passing it, you legally cannot solicit, negotiate, or sell the covered insurance products in the state.
Officially administered by PSI as Series 13-03: Life and Annuities, Accident and Health or Sickness Insurance, the exam bundles two lines of authority into one test. That combined structure is one of the first things newcomers misunderstand - you're not choosing between a "life exam" and a "health exam." You sit for both bodies of content in a single 150-minute session, which is why the domain breakdown spans everything from life insurance policy provisions to dental insurance and group plans.
Who Regulates and Administers the Exam
The Nebraska Department of Insurance sets the licensing rules and standards, while PSI handles the actual test delivery. This is a common structure across states: the regulator defines what must be tested and who is eligible, and a third-party testing vendor builds the exam engine, schedules sessions, and reports results.
Because PSI administers the exam at physical testing centers, candidates schedule an appointment, show up with valid identification, and sit for the test under proctored conditions. There is no remote or online-proctored option built into the standard process described by the state - you go to a PSI site. If you're mapping out logistics, the NELH Exam Dates 2026: Testing Windows, Deadlines & Scheduling guide walks through how PSI scheduling windows typically work and what to expect on test day.
Key Takeaway
Two entities matter here: the Nebraska Department of Insurance sets the rules, and PSI runs the exam. Confusing the two - or assuming a national credentialing body issues this test - will send you down the wrong prep path.
Exam Format, Fees, and Scoring
The NELH combined exam is built around a few fixed numbers that every candidate should memorize before they even open a study guide:
- 150 scored multiple-choice questions
- 150 minutes to complete the exam
- 70% passing score, which equals 105 correct answers
- $47 exam fee for the combined test
- Unlimited retake attempts if you don't pass on the first try
The one-minute-per-question pacing is generous compared to many licensing exams, but it can still feel tight once you hit dense scenario questions in domains like Life Insurance Policy Provisions, Options and Riders or Group Plans, where you have to parse multi-part contract language before selecting an answer. If you want a granular breakdown of how the fee stacks up against other costs in the licensing process - background checks, application fees, and so on - see NELH Certification Cost 2026: Complete Pricing Breakdown.
Because the passing threshold is a hard 70%, there's no partial credit or curve. For a deeper look at exactly how the scoring works and why 105 out of 150 is the number to plan around, check NELH Passing Score 2026: Exactly What You Need to Pass.
The 16 NELH Exam Domains
The exam content is organized into 16 domains, each weighted by how much of the 150-question exam it typically represents. Understanding these weights is the single most useful thing you can do before you start studying, because it tells you where to spend your limited prep hours.
Domain 1: Insurance Regulation (15%)
The largest domain on the exam. Covers licensing rules, producer conduct, unfair trade practices, and how the Nebraska Department of Insurance oversees producers.
- Highest point value - master this before anything else
Domain 2: General Insurance (10%)
Foundational insurance concepts that apply across life, health, and annuity products - contract law basics, insurable interest, and policy structure.
Domains 3-5: Life Insurance Basics, Policies, and Provisions/Riders (8% + 9% + 9% = 26%)
Combined, these three domains make up over a quarter of the exam. Expect questions on policy types (term, whole, universal), riders, nonforfeiture options, and settlement provisions.
Domain 6: Annuities (6%)
Fixed, variable, and indexed annuity structures, along with payout options and surrender features.
Domain 9: Sickness and Accident Risk and Underwriting (8%)
Underwriting principles specific to health and disability products, including risk classification.
Domains 12-13: Medical Plans and Group Plans (6% + 6% = 12%)
Individual and employer-sponsored health coverage structures, including HMOs, PPOs, and group eligibility rules.
The remaining domains - Federal Taxation of Life Insurance and Annuities (4%), Customer Relations and Privacy (1%), Individual Accident and Sickness Policy Provisions (6%), Disability (3%), Dental Insurance (2%), Insurance for Senior Citizens and Individuals with Special Needs (5%), and Federal Tax Considerations for Sickness and Accident Insurance (2%) - each carry smaller weights individually, but together they still account for a meaningful share of scored questions. Skipping any of them entirely is risky because the exam draws from all 16 areas.
For a full walkthrough of every domain with sample topics and study priorities, the NELH Exam Domains 2026: Complete Guide to All 16 Content Areas resource breaks each one down in detail.
| Domain Group | Combined Weight | Priority Level |
|---|---|---|
| Insurance Regulation (Domain 1) | 15% | Highest |
| Life Insurance Basics, Policies, Provisions (Domains 3-5) | 26% | Highest |
| Medical & Group Plans (Domains 12-13) | 12% | High |
| General Insurance (Domain 2) | 10% | High |
| Sickness/Accident Risk & Underwriting (Domain 9) | 8% | Medium |
| Annuities (Domain 6) | 6% | Medium |
| Customer Relations and Privacy (Domain 8) | 1% | Low |
Eligibility and Licensing Requirements
One of the more candidate-friendly aspects of NELH is Nebraska's open eligibility policy. Unlike states that mandate a set number of hours in state-approved prelicensing education before you can even schedule the exam, Nebraska doesn't require completion of a prelicensing course to sit for the test. That said, "not required" doesn't mean "not helpful" - most candidates still study intensively because the exam content itself is unforgiving regardless of whether a course was mandatory.
After you pass, the clock starts on a separate deadline: you must file your license application within one year of passing the exam. Miss that window and your passing score effectively expires, meaning you'd need to retest. Once licensed, producers must renew their license every two years, completing 24 hours of continuing education, including 3 hours of ethics content, to keep the license active.
If you want the complete eligibility checklist - including what counts as valid ID at the PSI testing center and how the application-filing window interacts with your exam date - see NELH Requirements 2026: Eligibility, Prerequisites & How to Qualify.
Who Pursues NELH Certification
The NELH exam is the entry point for anyone entering insurance sales in Nebraska across life and health lines. That includes people starting careers as independent producers, agents joining captive insurance agencies, financial services professionals adding insurance products to their offering, and career-changers moving into insurance from adjacent fields like banking or benefits administration. Because the exam combines life, annuity, and accident/health authority into one test, it's efficient for anyone who wants to be able to sell across all of those product lines rather than sitting for separate exams.
Employers that hire newly licensed producers typically look for the license itself as the baseline qualification - the exam result isn't usually listed on a resume the way a professional certification acronym might be, but the underlying producer license is the credential that opens the door to captive agent roles, independent agency positions, and brokerage opportunities. If you're weighing whether the time and $47 fee investment pays off relative to the career paths it opens, Is the NELH Certification Worth It? Complete ROI Analysis 2026 and NELH Salary Guide 2026: Complete Earnings Analysis both dig into that question in more depth. There's also a running list of entry points at NELH Jobs for candidates mapping out what comes after licensing.
How to Prepare Without Wasting Time
Because Nebraska doesn't require a prelicensing course, some candidates try to wing it with a light skim of the material. Given the 70% passing bar spread across 16 domains, that's a risky strategy - especially in the heavily weighted domains covering regulation and life insurance products, which together account for over 40% of the scored questions.
A more disciplined approach allocates study time proportionally to domain weight, then layers in active recall through practice questions rather than passive rereading. Spend the earliest study sessions on Insurance Regulation and the life insurance domain cluster since they carry the most points, then move into the health, accident, and group plan material, and finish with a review pass across the lighter-weighted domains like Dental Insurance and Customer Relations and Privacy so nothing is left completely untouched.
Insurance Regulation + General Insurance
- Build the regulatory foundation before layering on product knowledge
- Drill licensing rules and unfair trade practice scenarios
Life Insurance Basics, Policies, Provisions/Riders
- These three domains combine for roughly a quarter of the exam
- Practice distinguishing policy types and rider functions with scenario questions
Annuities, Underwriting, Medical & Group Plans
- Cover annuity payout structures and health underwriting risk factors
- Compare individual vs. group plan eligibility rules
Remaining Domains + Full Practice Exams
- Cover disability, dental, senior/special needs coverage, and federal tax topics
- Simulate full 150-question, 150-minute sessions under timed conditions
For a structured week-by-week plan with specific resources and drilling techniques, the NELH Study Guide 2026: How to Pass on Your First Attempt expands on this timeline. And if you're still calibrating how much total prep time you personally need, How Hard Is the NELH Exam? Complete Difficulty Guide 2026 and NELH Pass Rate 2026: What the Data Shows offer useful context for setting realistic expectations.
Running full-length timed practice sessions on our practice test platform is one of the most direct ways to simulate the real 150-question, 150-minute format before test day. Because the passing line is a fixed 105 correct answers, practicing under real time pressure on realistic NELH-style questions helps you find out where your pacing breaks down long before it costs you an actual attempt. Keeping a condensed reference nearby - like the NELH Cheat Sheet 2026: One-Page Review of Must-Know Facts - during final review can also help lock in the fixed numbers (150 questions, 150 minutes, 70%, $47) that anchor the whole exam.
Key Takeaway
Study time should mirror domain weight. Insurance Regulation and the life insurance domain cluster deserve the most hours; Customer Relations and Privacy at 1% deserves a light final review, not a dedicated week.
Frequently Asked Questions
It's a single combined exam. PSI administers it as Series 13-03, covering Life and Annuities plus Accident and Health or Sickness Insurance in one 150-question, 150-minute session.
No. Nebraska uses open eligibility, meaning state-approved prelicensing education is not a requirement to sit for the exam.
You can retake the exam - attempts are unlimited. Each attempt requires paying the $47 fee again and scheduling a new session at a PSI testing center.
You must file your license application within one year of passing the NELH exam, or your passing result will no longer be valid for licensing purposes.
Licenses renew every two years and require 24 hours of continuing education, including 3 hours specifically focused on ethics.