- Who Can Apply for the CA-LAHS
- Core Eligibility Requirements
- Education Prerequisites: The New 12-Hour Rule
- Registration Steps and Fees
- Exam Format and What You're Qualifying For
- The 8 Domains You Must Be Ready to Answer On
- After Passing: Licensing and CE Requirements
- Mapping Your Prerequisites to a Study Timeline
- Frequently Asked Questions
- As of January 1, 2026, California eliminated the 20-hour line-specific prelicensing course requirement.
- Applicants still need 12 hours of Ethics and California Insurance Code education, including 1 hour on insurance fraud.
- Each exam attempt costs $98 total: a $55 state fee plus PSI's $43 convenience fee.
- The combined exam has 150 questions across 8 domains, split evenly between Life and Accident/Health content.
Who Can Apply for the CA-LAHS
The California Life, Accident & Health or Sickness Insurance Exam (CA-LAHS) is administered through the California Department of Insurance, with PSI handling test delivery and scheduling. It's the qualifying exam for anyone who wants to sell life insurance, health insurance, disability income coverage, or long-term care products in California as a licensed agent. Before you register, it helps to understand exactly what CA-LAHS is and how the license it unlocks differs from other insurance credentials that share similar acronyms elsewhere in the country.
Unlike some professional certifications that require years of work experience or a sponsoring employer, the path to sit for the CA-LAHS is comparatively lean. California doesn't require a college degree, industry experience, or an existing insurance license to apply. What it does require is completion of specific education hours and passing the exam itself. If you're still getting oriented, our overview of what a CA-LAHS credential actually represents is a good starting point before you dive into paperwork.
Core Eligibility Requirements
At a baseline level, the requirements to sit for the CA-LAHS are straightforward:
- Be at least 18 years old.
- Complete the required pre-exam education (detailed below).
- Register with PSI and pay the exam fee.
- Pass the combined exam with a score of 60% or higher.
- Submit a license application to the California Department of Insurance after passing.
There is no requirement to hold a prior insurance license, and California does not mandate a specific number of practice attempts or waiting periods between attempts beyond standard rescheduling rules. That said, the repeat-attempt pass rate is meaningfully lower than the first-attempt rate, so treating your first sitting as the one that counts matters more than it might seem on paper.
Education Prerequisites: The New 12-Hour Rule
This is the area where the requirements changed most significantly heading into 2026, and it's worth understanding clearly because outdated information is common online. Previously, applicants had to complete a 20-hour line-specific prelicensing course covering life and health topics before they could even sit for the exam. Effective January 1, 2026, California eliminated that 20-hour prelicensing requirement entirely.
In its place, applicants still must complete 12 hours of Ethics and California Insurance Code education, which includes 1 hour specifically dedicated to insurance fraud, before the license is issued. This is a leaner prerequisite than the old system, but it is not optional - you cannot receive your license without it, even if you've already passed the exam.
Key Takeaway
You can technically sit for the exam without having completed the 12-hour Ethics and Insurance Code course, but you cannot receive your license until that education is done. Many candidates complete the coursework first so there's no delay between passing and applying.
Because the current examination objectives are effective January 1, 2026, make sure any prep materials you use - including our own CA-LAHS Study Guide 2026 - are aligned to the updated objectives rather than a prior version of the exam blueprint.
Registration Steps and Fees
Once your education prerequisites are handled (or in progress), registration follows this general sequence:
- Create an account and schedule your exam through PSI.
- Choose between an in-person test center or remote online-proctored delivery - both options carry the same fee structure.
- Pay the $55 California examination fee plus PSI's $43 convenience fee, for a total of $98 per attempt.
- Bring required identification to your session (or complete remote proctoring setup checks if testing online).
- After passing, submit your license application to the California Department of Insurance along with proof of your 12-hour Ethics and Insurance Code education.
If you fail and need to retake the exam, you'll pay the full $98 again - there's no discounted retake fee. That's one more reason a solid first attempt is worth the extra preparation time. For a full accounting of what you'll spend from registration through licensing and renewal, see our CA-LAHS Certification Cost breakdown.
Exam Format and What You're Qualifying For
The CA-LAHS is a combined exam: 150 multiple-choice questions, a 3-hour time limit, and a 60% passing threshold. It's not two separate tests - Life and Accident/Health content are blended into one sitting, though internally the exam is built from two 75-question components. Understanding this structure matters for pacing: with 3 hours for 150 questions, you have roughly 1.2 minutes per question on average, which is generous if you know the material but punishing if you're guessing on foundational definitions.
Passing this exam qualifies you to apply for a California resident life and accident/health agent license, which opens roles at insurance carriers, independent agencies, brokerages, and financial services firms that sell life, health, disability, and long-term care products. If you're weighing whether this is a career path worth pursuing before you commit to the prep time, our ROI analysis and salary guide both dig into that question with real numbers.
The 8 Domains You Must Be Ready to Answer On
The 150 questions are organized into 8 domains, split evenly between the Life component and the Accident and Health or Sickness component - 75 questions each, giving both halves equal weight in your overall score. Knowing this split changes how you allocate study time, because a weak spot in either half carries the same statistical risk to your passing score.
Domain 1 & 4: General Insurance
These appear in both the Life and Accident/Health components and cover foundational concepts: contract law basics, insurable interest, policy provisions, and regulatory fundamentals that apply across product lines.
- Know how general insurance principles apply differently to life versus health contracts
Domain 2: Life Insurance
This is the single largest domain on the exam at 32.5% of the displayed weighting. Expect deep coverage of policy types, death benefits, premium structures, and settlement options.
- Master term, whole, universal, and variable life distinctions
- Understand nonforfeiture options and policy loan mechanics
Domain 3: Life Policy Riders
Riders modify base life policies - waiver of premium, accidental death benefit, guaranteed insurability, and similar add-ons are fair game.
- Be able to match rider names to what they actually do, not just define them
Domain 5: General Concepts of Medical and Disability Insurance
This sets up the health-side vocabulary and structural concepts you'll need for the domains that follow - deductibles, coinsurance, underwriting basics.
Domain 6: Medical Expense Insurance
The second-largest domain at 30% of the displayed weighting. Combined with Life Insurance at 32.5%, these two domains alone account for well over half the exam's emphasis.
- Study HMO, PPO, and indemnity plan structures closely
- Know how COBRA and group-to-individual conversion concepts are tested
Domain 7: Disability Income Insurance
Covers benefit periods, elimination periods, definitions of disability, and how income replacement policies are structured and priced.
Domain 8: Long-Term Care Insurance
Focuses on LTC triggers, benefit periods, inflation protection options, and how LTC policies interact with other coverage types.
For a question-by-question breakdown of how these eight areas are tested, including sample scenario styles, our complete domains guide goes deeper than the summary here. And if you want a sense of how difficult candidates generally find each domain in practice, our difficulty guide breaks that down too.
| Component | Questions | Domains Covered | Weight |
|---|---|---|---|
| Life | 75 | Domains 1-3 | 50% of exam |
| Accident & Health or Sickness | 75 | Domains 4-8 | 50% of exam |
After Passing: Licensing and CE Requirements
Passing the exam is a milestone, not the finish line. Once you clear the 60% threshold, you'll need to finalize your license application with the California Department of Insurance, submit proof of your 12-hour Ethics and Insurance Code education, and pay the $188 filing fee. This fee recurs at renewal, so budget for it every two years, not just at initial licensing.
Once licensed, resident licensees must complete 24 continuing education hours each two-year term, including 3 hours of ethics with 1 hour specifically on insurance fraud. This is separate from - and more extensive than - the 12-hour pre-licensing education requirement, so don't confuse the two when planning your ongoing compliance calendar.
Key Takeaway
Pre-licensing education (12 hours) and continuing education (24 hours per two-year term) are two different obligations. Passing the exam only satisfies the testing requirement - education requirements exist on both sides of that milestone.
Mapping Your Prerequisites to a Study Timeline
Because the exam is evenly split between Life and Accident/Health content, and because Life Insurance (32.5%) and Medical Expense Insurance (30%) are individually the two heaviest domains, a sensible prep sequence front-loads those two before moving to the narrower domains.
Life Insurance Foundations
- Study Domain 2 policy types, benefits, and settlement options in depth
- Layer in Domain 1 general insurance concepts as they relate to life contracts
Riders and Health Fundamentals
- Finish Domain 3 life policy riders
- Begin Domain 5 general medical and disability concepts to build vocabulary for the heavier health domains
Medical Expense Deep Dive
- Focus heavily on Domain 6, the second-largest domain on the exam
- Cross-reference Domain 4 general insurance concepts as they apply to health products
Disability, Long-Term Care, and Timed Practice
- Cover Domains 7 and 8
- Run full 150-question timed practice sessions to build 3-hour pacing endurance
This is a framework, not a rigid formula - adjust the pace based on how quickly you absorb each domain. If you want a more granular breakdown of study techniques mapped to each content area, the CA-LAHS Study Guide 2026 covers that in detail, and our one-page cheat sheet is useful for final-week review once you've built the underlying knowledge. You can also run full-length timed sessions on our practice test platform to simulate exam-day pacing before you commit to a scheduled date.
Frequently Asked Questions
No. California does not require a sponsoring insurance company or agency to register for or take the exam. You can complete the education requirement, register with PSI, and sit for the exam independently.
No. Effective January 1, 2026, California eliminated the former 20-hour line-specific prelicensing requirement. Applicants now complete 12 hours of Ethics and California Insurance Code education, including 1 hour on insurance fraud, before license issuance.
Each attempt costs $98 total, made up of a $55 California examination fee and PSI's $43 convenience fee. This applies whether you test at a physical center or through remote online proctoring. See our cost breakdown for the full picture including licensing and renewal fees.
You need 60% correct across the 150 multiple-choice questions, completed within the 3-hour time limit. For more detail on how scoring works, see our passing score guide.
Yes. PSI offers both in-person, test-center delivery and remote online-proctored delivery, and both carry the same $98 total fee. Availability and scheduling windows are covered in our exam dates guide.