How do I become a Medicare insurance agent?
You first need a health-related line of authority on your state insurance license; agents without one cannot assist consumers with Marketplace enrollment. Agents selling Medicare Advantage must be licensed and appointed under state law where required, pass annual testing with a score of 85% or higher, and document a Scope of Appointment before any personal marketing appointment. To sell Marketplace plans, you must also complete annual registration and training through the CMS Marketplace Learning Management System (MLMS).
Selling Medicare plans requires an Accident & Health producer license in Colorado. Complete 50 hours of prelicensing education, pass the Pearson VUE Accident & Health exam (the $41 exam fee covers up to two exams in one session), and apply online at www.nipr.com or www.sircon.com/colorado; the resident license fee is $44. Passing scores are valid for 12 months, so apply within that window.
Sources: Colorado Division of Insurance, Regulation 1-2-5: Insurance Producer Prelicensing Education Requirements for Residents (3 CCR 702); Pearson VUE: Colorado Insurance Licensing Candidate Handbook (July 2026, #120600); NIPR: Colorado state information (overview).
Medicare is a health product, so the state requirement is an Accident & Health or Sickness producer license. Complete 20 hours of pre-licensing education, pass the Pearson exam ($65), wait 1-2 business days for the results to upload, then apply through NIPR with the $140 fee. You also need an appointment from an insurer before you can sell, and only insurance companies can add appointments.
Sources: Connecticut CID: Exam testing and pre-licensing FAQ; Connecticut CID: Public adjuster license; Connecticut CID: Producer (individual) license.
You first need a state-approved health-related line of authority on your insurance license, because agents without one cannot access federal Marketplace systems or assist consumers with enrollment, according to the Centers for Medicare & Medicaid Services (CMS). You must then complete annual registration and training through the Marketplace Learning Management System before selling Marketplace plans. Registered agents are validated against state licensing records and become eligible for consumer referrals through CMS's Help On Demand service.
Sources: D.C. Code 31-1131.05: Examination prior to licensure; D.C. Code 31-1131.05a: Pre-licensing education.
To sell Medicare-related products in Idaho, you need a producer license with the Accident, Health and Sickness line of authority, which covers Medicare supplements. You must pass the $65 licensing exam through Pearson VUE, submit fingerprints, and apply online through the National Insurance Producer Registry (NIPR) with an $80 fee. Agents selling Marketplace plans must also complete annual registration and training through the federal Marketplace Learning Management System (MLMS).
Sources: Idaho DOI: Testing and fingerprints; Idaho Department of Insurance — Testing and Fingerprints page.
Medicare products fall under the Accident & Health line, so you need an Indiana producer license with that authority. You must be at least 18, complete state-approved Accident & Health pre-licensing education, pass the Pearson VUE exam (70% passing score), and apply online through Sircon or NIPR with the $40 fee. The exam's Indiana state section covers Medicare supplement rules, and carriers must appoint you before you sell their Medicare plans.
Sources: NIPR: Indiana resident individual renewal requirements.
To sell Marketplace health plans, you must hold an approved health-related line of authority in your resident state; agents without one cannot access Marketplace systems or assist consumers with enrollment. You must also complete training and register each plan year through the Centers for Medicare and Medicaid Services (CMS) Marketplace Learning Management System (MLMS). In Kentucky, the health line requires 20 hours of prelicensing study and a passed exam before you can get there.
Sources: Kentucky DOI: Licensing Frequently Asked Questions.
Start by earning a Maine producer license with the Accident and Health line of authority: complete 16 credit hours of prelicensing education, pass the Pearson VUE exam, and apply through the National Insurance Producer Registry (NIPR) with the $25 resident fee. Agents selling through the federal Marketplace must then complete annual registration and training on the Marketplace Learning Management System; agents without a health line of authority cannot assist with Marketplace enrollment.
Sources: Maine Rule 02-031 C.M.R. ch. 542, § 4 (Minimum Educational Requirements), as published by Cornell Legal Information Institute; Maine BOI: Producer frequently asked questions.
To sell Medicare and other health coverage in Massachusetts, you need the Accident and Health or Sickness line of authority on a producer license. Pass the Pearson producer exam ($37, 80 scored questions, passing scaled score of 70), then apply through the National Insurance Producer Registry (NIPR). The Division of Insurance reviews each application and issues the license upon approval.
Sources: Pearson VUE: Massachusetts insurance candidate handbook.
Missouri has no separate Medicare license; you sell Medicare products under an Accident and Health or Sickness producer license. You must be at least 18, pass the $32 Pearson VUE exam (or the $40 combined Life, Accident and Health exam), and apply with a $100 fee within one year of passing. Missouri requires no prelicensing education, and an insurer must appoint you before you can solicit or sell policies.
Sources: Pearson VUE: Missouri insurance candidate handbook (March 2026); Missouri DCI: Resident producer licensing requirements.
First obtain an accident and health producer license: pass the $43 PSI exam, wait 2-3 business days for results to upload, and apply online at NIPR.com. To sell Marketplace plans, you must then complete the annual CMS registration and training through the Marketplace Learning Management System. CMS validates your National Producer Number against state records, and agents without an approved health line of authority cannot assist with Marketplace enrollment.
Sources: PSI: Nebraska Insurance Licensing Examination Candidate Information Bulletin.
First obtain a health line of authority: in Nevada you pass the Pearson VUE health exam, apply for the license through Sircon or NIPR, and submit fingerprints. Then complete the federal Marketplace registration and training on the Center for Medicare & Medicaid Services' Marketplace Learning Management System. Only agents who finish that training and hold an approved health-related line of authority get access to Marketplace systems and referrals.
Sources: Pearson VUE: Nevada Insurance Candidate Handbook (October 2024); Pearson VUE: Nevada Insurance Exam Content Outlines (effective October 1, 2024; with pre/post November 14, 2026 versions).
To sell Medicare products in New Jersey, you need a producer license with accident and health or sickness authority. That requires 20 hours of approved prelicensing education, passing the PSI licensing exam ($38 fee, 70% minimum score), Live Scan fingerprinting ($66.05), and an online application through the National Insurance Producer Registry ($170 in state fees for a major-line license).
Sources: New Jersey DOBI: Producer licensing FAQs; PSI: New Jersey insurance candidate information bulletin; New Jersey DOBI: Insurance producer licensing fees; New Jersey DOBI: Insurance licensing and education hub.
Selling Medicare products requires New Mexico's Accident and Health or Sickness producer license. No prelicensing course is required: pass the PSI exam for that line with at least 70%, complete the $67 IdentoGO background check, and apply online at NIPR for the $30 fee. A license alone does not authorize you to represent an insurer; the insurer must file your appointment with OSI within 15 days of the agency agreement or the first application you submit.
Sources: New Mexico Office of Superintendent of Insurance — Individual Licensing Instructions (PDF); New Mexico OSI: License Fees 2026; New Mexico Administrative Code 13.4.2.29, New Mexico Office of Superintendent of Insurance (via SRCA/NM Register).
To sell Medicare products in North Dakota, you need an accident and health producer license. You must pass the PSI Accident and Health exam ($64, 70% to pass), complete fingerprinting, and submit the $100 application through the National Insurance Producer Registry (NIPR). North Dakota requires no prelicensing education, so you can prepare by self-study.
Sources: North Dakota NDID / PSI: Insurance licensing examination candidate information bulletin (Dec 27, 2024); North Dakota NDID: Apply for a resident producer license.
Selling Medicare products in Oregon starts with a resident producer license that includes the health line of authority. You must complete 20 hours of prelicense training for the health line, pass the PSI exam, provide fingerprints, and apply online through NIPR.com. An insurer must also appoint you before you can act as its agent.
Sources: Oregon DFR: Producer licensing.
To sell Medicare products in South Dakota, obtain an insurance producer license with the accident and health or sickness line of authority. First-time licensees must pass the written exam for that line, then apply online through the National Insurance Producer Registry (NIPR) with a $25 licensing fee plus a service fee. If you also sell long-term care insurance, you must complete a one-time 8-hour training course before selling and 4 hours of ongoing training in every 24-month renewal period.
Sources: SDCL 58-2-29: Division of Insurance fee schedule; ARSD 20:06:21:74: Long-term care producer training; ARSD 20:06:18:03: Continuing education requirements for licensees.
The first step is a Utah accident and health producer license: pass the Prometric accident and health exam (17-02, 100 questions over 2 hours, or the combined life and health exam 17-03), apply online through SIRCON or the National Insurance Producer Registry (NIPR), and be fingerprinted. From there, agents assisting consumers with federal Marketplace plans must complete annual registration and training through the Centers for Medicare & Medicaid Services Marketplace Learning Management System, and agents selling annuities must complete a one-time four-credit training course.
Sources: Prometric: Utah Insurance Department Licensing Information Bulletin (effective September 25, 2025).
Start by earning the Accident and Health or Sickness line of authority on a Vermont producer license: pass the Prometric exam, then apply through NIPR. To sell Medicare-related products and Marketplace plans, complete the annual registration and training that the Centers for Medicare and Medicaid Services requires on the Marketplace Learning Management System. Agents without an approved health-related line of authority cannot access Marketplace systems or assist consumers with enrollment.
Sources: Vermont DFR: Producer license; Prometric: Vermont insurance licensing information bulletin.
Medicare products fall under a Virginia health insurance agent license, so you follow the standard licensing path. Virginia does not require prelicensing education; you pass the Prometric Health exam (Series 11-06, 105 total questions, 2 hours, 70% passing score), get fingerprinted at a Fieldprint site, and apply through the National Insurance Producer Registry (NIPR) for a $15 fee per line of authority. The combined Life, Annuities and Health exam also tests Medicare, Medigap, and long-term care topics, and insurers must appoint you before you can sell.
Sources: Prometric — Virginia Life and Annuities Insurance Examination Content Outline (Series 11-05), administered for the Virginia Bureau of Insurance; NIPR: Virginia resident individual licensing requirements.
To sell Medicare products in West Virginia, you need a producer license with the Accident and Health or Sickness line of authority. That means 20 hours of pre-licensing education, the Pearson exam ($84, passing score 70), fingerprinting through IdentoGo with service code 228NS5, and the $50 license application through NIPR.
Sources: West Virginia OIC: How to Apply for a Resident Producer License; West Virginia Offices of the Insurance Commissioner fee schedule and Pearson VUE West Virginia Insurance Candidate Handbook (September 2026); West Virginia OIC: Licensing and Education Fees (fee schedule, updated 8/19/2026).
Medicare plans are health insurance products, so you need Wisconsin's Accident and Health or Sickness line of authority to sell them. Complete 20 hours of prelicensing education, pass the Wisconsin Accident and Health or Sickness exam (series 22-03, $75, with a 70% passing score), submit fingerprints through Fieldprint, and apply online through NIPR. You must then be appointed by an insurer before soliciting business.
Sources: Wisconsin OCI: Prelicensing Requirements; Wisconsin OCI: Insurance License Types and Fees.