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North Carolina Health Insurance Practice Exam Free - 2026

North Carolina eliminated its prelicensing education requirement in October 2025, which means self-directed practice now decides who passes the NCDOI's Pearson VUE exams. These free practice tests are built for exactly that. Access 314+ free Health Insurance questions with detailed explanations.

Exam quick facts. The North Carolina Health Insurance exam: 60 questions in 75 minutes; passing score 70 (scaled); exam fee $45; administered by Pearson VUE; no prelicensing course required. Verified July 2026 against the official candidate handbook. Full details and source

314+ Questions
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North Carolina Specific

How the North Carolina Health Insurance exam compares

The North Carolina Health exam is 60 questions, 75 minutes, a scaled passing score of 70. The examination fee is $45 per examination attempt.

It is shorter than the typical Health exam of about 100 questions, so each item carries more weight.

North Carolina requires no prelicensing course, so you can sit as soon as you are ready. That puts the whole burden of preparation on self-study and practice testing.

Because a large share of the real exam is North Carolina law, this practice bank includes 14 questions written specifically on North Carolina statutes and regulations, each citing the provision it comes from.

Health Insurance questions reviewed by Jennifer Collins — Health & Accident, 9 years' experience, Columbus, OH.

Figures above are taken from Pearson VUE North Carolina Insurance Licensing Candidate Handbook (October 2025, #123400) and were verified in July 2026. Requirements change - confirm current details with your state insurance department before you book.

The North Carolina Health producer exam: general and state parts

North Carolina splits the Health Insurance licensing exam into a general (national) part and a state-specific part on North Carolina law: 60 questions (55 scored + up to 5 pretest); two-part exam (general + NC state law) scored together. Time limit: 75 minutes. Passing: Scaled score of 70 (0-100 scale; not a raw percentage). The general part is what the practice tests on this page drill - policy types, provisions and riders, underwriting, and federal rules - while the state part comes from North Carolina's own statutes and regulations, listed in the official content outline.

Candidates who pass the general part but fail the state part usually studied a national textbook and skipped their state's law chapter. Read the outline's state section, note every statute it cites, and confirm the details with the North Carolina Department of Insurance.

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Mock Exam
Simulate the real exam experience with timed questions
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  • 50-150 questions
  • No answer hints
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Practice with immediate feedback on each question
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Review Mode
Study all questions with answers visible
  • All answers shown
  • Full explanations
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Make Your Own Test
Pick your topics and question count to drill exactly what you need
  • Focus on just your weakest topics
  • 5-150 questions, timed or untimed
  • Keeps your North Carolina selection
North Carolina Health Exam Info
  • Vendor: Pearson VUE
  • Questions: 60 questions (55 scored + up to 5 pretest); two-part exam (general + NC state law) scored together
  • Time limit: 75 minutes
  • Passing: Scaled score of 70 (0-100 scale; not a raw percentage)
  • Exam fee: $45 per examination attempt
  • Prelicensing: None - repealed effective October 1, 2025

Verified July 2026 from the Pearson VUE North Carolina Insurance Licensing Candidate Handbook (October 2025, #123400). Always confirm with the current official candidate handbook.

North Carolina Department of Insurance

Study Tip

Study the explanation, not the answer. The real exam words questions differently than any practice bank, so understanding why an answer is correct matters far more than memorizing which letter it was.

North Carolina Health Insurance Exam Topics

Affordable Care Act
Coordination & Other Concepts
Disability Income Insurance
Ethics & Regulations
Field Underwriting & Applications
General Principles & Contract Law
Group Health Insurance
Health Insurance Basics
HIPAA & Privacy
Managed Care (HMO/PPO/POS)
Medical Expense Insurance
Medicare & Medicaid
Medicare Supplement & Advantage
Policy Provisions
Prescription Drug Coverage
State Health Programs
Taxation of Health Insurance
Types of Health Policies
Underwriting & Risk
Uniform Policy Provisions
State Insurance Law

Free North Carolina Health Practice Questions with Answers

12 sample questions from the 314-question Health bank behind the interactive tests. Expand a question to check the answer and the reasoning behind it.

Want to study offline? Download the free Health questions & answers PDF.

Frequently Asked Questions

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