Health Insurance Producer (Pennsylvania)

First published: September 1, 2026Last verified: September 2, 2026Reviewed by the CertQuestUSA team

TL;DR

Health Insurance Producer (Pennsylvania): a 165-question practice bank for the real Professional Licensing (Real Estate & Insurance) standard, 3 full papers of 50 questions each with no repeats, every question citing the real regulation it comes from.

Where these questions come from

Every question in this bank cites a real source -- primarily content.naic.org (53%) and healthcare.gov (16%) of this exam's citations.

Not sure where you stand? Take the free diagnostic — 10 real questions across the exam's domains, no sign-up required, with a domain-by-domain breakdown at the end.

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3

full papers, no repeats

50

questions per paper

165

questions in the bank

What this exam covers

Applications, Underwriting, Ethics, and Producer Responsibilities6%
Disability Income and Related Coverages12%
Government Programs, LTC, Tax, and Consumer Accounts12%
Health Insurance Basics and Policy Types15%
Medical Expense, Managed Care, and Cost-Sharing15%
PA External Review (Act 146 of 2022)4%
PA Long-Term Care Insurance (31 Pa. Code Ch. 89A)4%
PA Mandated Health Benefits (autism, mammography, diabetes, maternity, MHPAEA)7%
PA Medicare Supplement (31 Pa. Code Ch. 89 Subch. K)3%
PA Prompt Pay (40 P.S. 991.2166; 31 Pa. Code 154.18)4%
PA STLDI (defers to federal 3-mo/4-mo rule, eff. 2024-09-01)2%
Policy Provisions, Renewability, Riders, and Exclusions15%

5 real sample questions

Pennsylvania's autism spectrum disorder coverage mandate at 40 P.S. § 764h requires diagnostic assessment and treatment coverage for covered individuals up to what age?

A. 18

B. under 21

C. 19

D. 26

Source: 40 P.S. § 764h

40 P.S. § 764h's autism spectrum disorder coverage requirement applies to Pennsylvania health insurance policies issued or renewed on or after July 1, 2009 to employer groups of what minimum size?

A. 2 or more employees

B. 25 or more employees

C. 51 or more employees

D. 100 or more employees

Source: 40 P.S. § 764h

Under 40 P.S. § 764c, a Pennsylvania hospital/medical-surgical policy must cover mammographic examinations for women age 40 and older at what minimum frequency?

A. Every 2 years

B. Only when clinically indicated by symptoms

C. Every 18 months

D. Every year

Source: 40 P.S. § 764c

Under 40 P.S. § 764h, a Pennsylvania group health insurance policy (issued to a group of 51 or more employees) that provides autism spectrum disorder treatment coverage may set the annual benefit cap at no less than what amount, subject to annual CPI adjustment by the Insurance Commissioner?

A. $36,000

B. $25,000

C. $50,000

D. $100,000

Source: 40 P.S. § 764h

Before paying for a screening mammogram under 40 P.S. § 764c, a Pennsylvania insurer must verify what about the service provider?

A. That the provider is licensed under the Mammography Quality Assurance Act

B. That the provider accepts Medicare assignment

C. That the provider is a network in-house facility

D. That the provider has malpractice coverage of at least $1 million

Source: 40 P.S. § 764c

Same exam, other states

AL AR AZ CA CO CT DC FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS NC NE NH NJ NM NV NY OH OK OR SC TN TX UT VA WA WI WV

Real-world data for this exam

Insurance Sales Agents: real median wage (PA)May 2025$73,370/yr

Frequently asked questions

How many questions are on the CertQuestUSA Health Insurance Producer (Pennsylvania) practice test?

165 questions total, split into 3 full papers of 50 each with no repeats across papers.

What topics does the Health Insurance Producer (Pennsylvania) test cover?

12 domains, with the heaviest weight on Health Insurance Basics and Policy Types (15%), Medical Expense, Managed Care, and Cost-Sharing (15%), and Policy Provisions, Renewability, Riders, and Exclusions (15%).

Where do CertQuestUSA's Health Insurance Producer (Pennsylvania) questions come from?

Primarily content.naic.org (53%) and healthcare.gov (16%) of this bank's citations -- computed directly from this exam's own question sources, not a generic description.

Is there a free diagnostic for Health Insurance Producer (Pennsylvania)?

Yes -- 10 real questions across the exam's domains, no sign-up required, with a domain-by-domain breakdown at the end.