Exams / Guides / Montana Health Insurance License – Requirements & Exam

PassAnchor editorial teamUpdated Sep 28, 2026Written from public statutes and official exam outlines

Montana Health Insurance License – Requirements & Exam Guide

If you want to sell health insurance in Montana, you need an Accident and Disability Insurance producer license. Montana doesn't call it a "health insurance license" on the paperwork, but this is the credential that authorizes you to sell individual and group health plans, supplemental coverage, disability income policies, and more. Here's everything you need to know to get licensed, from eligibility rules to exam breakdown to the statutes you'll be tested on.

Why Montana Calls It "Accident and Disability"

Montana's insurance code uses the term "disability insurance" where many other states say "health insurance." The practical effect is the same: this license line covers medical expense policies, hospital indemnity, disability income, long-term care, Medicare supplements, and related products. If you plan to sell health maintenance organization (HMO) plans, you'll still need this license — Montana law requires that anyone acting as an insurance producer for an HMO must be licensed as a disability insurance producer by the commissioner (Mont. Code Ann. §33-31-311). There is no separate HMO-only license.

Eligibility Requirements

Montana's producer licensing statute lays out the baseline qualifications. Under Mont. Code Ann. §33-17-211, an applicant must:

  • Be at least 18 years old
  • Have a clean regulatory history — no acts that would be grounds for refusal, suspension, or revocation under §33-17-1001
  • Pay the required license fees as stated in Mont. Code Ann. §33-2-708
  • Pass the state licensing exam for the Accident and Disability line within 12 months before applying
  • Be a resident of Montana or a resident of a state that grants reciprocal privileges to Montana residents

These are non-negotiable. The commissioner verifies each item before approving your application (Mont. Code Ann. §33-17-211). If you've had a felony conviction, a license revocation in another state, or certain financial issues like unpaid child support, expect additional scrutiny or outright denial.

Pre-Licensing Education

Montana requires completion of a state-approved pre-licensing course before you sit for the exam. The course covers the same content domains tested on the exam and ensures you have a foundation in both general health insurance concepts and Montana-specific statutes. Check the Montana Commissioner of Securities and Insurance website for a current list of approved education providers.

The Licensing Exam: What to Expect

The Montana Accident and Disability Insurance exam is administered by Pearson VUE. Here are the key numbers:

Detail Value
Scored questions 92
Time limit 135 minutes
Exam fee $65
Passing score 70%

That gives you roughly 1 minute and 28 seconds per question — enough time if you've studied, but tight if you're second-guessing yourself on every item.

Content Breakdown

The exam is divided into seven sections, and the weight of each section tells you exactly where to focus your study time:

  1. Montana Statutes and Rules Common to All Lines — ~25 questions. This is the single largest section. It covers producer licensing law, unfair trade practices, the commissioner's authority, and general regulatory requirements.
  2. Montana Statutes and Rules Pertinent to Disability Insurance Only — ~17 questions. Expect questions on policy form requirements, mandated benefits, continuation and conversion rights, and Montana-specific consumer protections.
  3. Types of Health Policies — ~16 questions. Individual and group medical expense, disability income, long-term care, Medicare supplement, and other policy types.
  4. Health Policy Provisions, Clauses, and Riders — ~15 questions. Mandatory and optional provisions, renewability clauses, pre-existing condition language, and common riders.
  5. Field Underwriting Procedures — ~8 questions. The producer's role in risk selection, completing applications, and the duty to report material information accurately.
  6. Social Insurance — ~6 questions. Medicare, Medicaid, Social Security disability, and how government programs interact with private coverage.
  7. Other Health Insurance Concepts — ~5 questions. Tax treatment of health insurance, managed care concepts, and miscellaneous topics.

Notice that 42 of the 92 questions — nearly half — are Montana-specific. Generic health insurance knowledge alone won't get you to 70%. You need to know the state code.

Key Montana Statutes You'll See on the Exam

Beyond the licensing requirements in §33-17-211, several other code sections appear frequently in exam prep materials:

  • Certificate of authority for insurers: Every insurer transacting business in Montana must hold a valid certificate of authority from the commissioner (Mont. Code Ann. §33-2-101). This applies to domestic, foreign, and alien insurers alike.
  • Credit insurance delivery: Policies for credit life and credit disability insurance issued in Montana must be delivered through a licensed insurance producer (Mont. Code Ann. §33-21-207). This reinforces the principle that unlicensed sales are prohibited.
  • Privacy obligations: Montana's insurance information and privacy protections under §33-19-103 apply to producers who collect or maintain personal information in connection with insurance transactions involving Montana residents (Mont. Code Ann. §33-19-103). You're expected to understand your obligations around handling consumer data.
  • HMO producer licensing: As noted above, selling HMO products requires a disability insurance producer license and appointment by the HMO (Mont. Code Ann. §33-31-311).

Tips for Passing on the First Try

  • Study Montana law first. It's the biggest section and the content most candidates underestimate. Dedicate at least 40% of your study time to state-specific material.
  • Use practice exams. Timed practice tests build the pacing instinct you need for 92 questions in 135 minutes.
  • Don't memorize — understand. The exam tests application of concepts, not rote recall. Know why a provision exists, not just that it exists.
  • Review social insurance basics. Six questions may sound small, but missing all of them could be the difference between 69% and 72%.

Frequently Asked Questions

How much does it cost to get a Montana health insurance license?

The Pearson VUE exam fee is $65. On top of that, you'll pay state license application fees as set out in Mont. Code Ann. §33-2-708, plus the cost of your pre-licensing education course. Budget for a few hundred dollars total between education, the exam, and the license itself.

Can I sell health insurance in Montana with an out-of-state license?

Yes, if your home state has a reciprocal agreement with Montana. You would apply for a nonresident insurance producer license. Montana requires that nonresident applicants come from a state that grants similar privileges to Montana residents (Mont. Code Ann. §33-17-211). Nonresident license fees are outlined in §33-2-708.

Is the Montana health insurance exam hard?

The exam is passable with focused preparation, but it's not a formality. A 70% passing score on 92 questions means you can miss no more than 27 questions. The Montana-specific sections trip up candidates who only study general health insurance material. Targeted practice questions make a significant difference.

Start Preparing Now

PassAnchor offers resources built specifically for the Montana Accident and Disability Insurance exam. Take our free practice test to see where you stand, then dive deeper with our complete exam guide for section-by-section study strategies and additional practice questions. The sooner you start drilling Montana-specific content, the more confident you'll feel on exam day.

Practice for the real exam

Montana Accident and Disability Insurance License practice test

15 questions sampled from our 360+ question bank, built to the exam’s official content outline. Scored instantly, with a per-domain breakdown of where you’re weakest. No sign-up required.

Want the whole bank? Full access — $49 one time: every question with explanations and citations, timed exam simulations and domain drills. After you pay we email one link that opens your bank. No account, no password.