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Health Insurance Producer (Texas)

First published: September 2, 2026Last verified: September 2, 2026Reviewed by the CertQuestUSA team
TL;DR

Health Insurance Producer (Texas): a 185-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 (45%) and Tex. Ins. Code (16%) of this exam's citations.

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3
full papers, no repeats
50
questions per paper
185
questions in the bank
What this exam covers
5 real sample questions
Under §1301.103, an insurer must determine whether a non-electronically (paper) submitted clean claim from a preferred provider is payable within:
A. 45 days
B. 30 days
C. 90 days
D. 60 days
Source: Tex. Ins. Code §1301.103
Under §1301.104, a non-electronically submitted pharmacy claim must be paid, once affirmatively adjudicated, within:
A. 45 days
B. 21 days
C. 30 days
D. 10 days
Source: Tex. Ins. Code §1301.104
When an insurer subject to the Texas Prompt Pay Act fails to pay a clean claim within the applicable statutory deadline, the statute imposes, in addition to the claim amount, a penalty plus interest calculated at an annual rate of:
A. 6%
B. 10%
C. 18%
D. 25%
Source: Tex. Ins. Code §1301.137
Which single state agency has regulatory jurisdiction over both HMOs and traditional (indemnity/PPO) health insurers in Texas?
A. Texas Department of Insurance (TDI)
B. Texas Department of Managed Health Care
C. Texas Health and Human Services Commission
D. Office of Public Insurance Counsel
Source: Tex. Ins. Code Ch. 843; TDI organizational authority
A Texas health insurance producer accustomed to California's dual DMHC/CDI managed-care regulatory split should understand that in Texas:
A. HMOs are regulated by a separate Texas Department of Managed Health Care while TDI regulates only indemnity plans
B. TDI regulates both HMOs (under Ch. 843) and traditional insurers within one agency
C. HMOs in Texas are unregulated at the state level and overseen only by CMS
D. HMO regulation in Texas is delegated to county insurance boards
Source: Tex. Ins. Code Ch. 843
Same exam, other states
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Real-world data for this exam
Insurance Sales Agents: real median wage (TX)May 2025$51,180/yr

Frequently asked questions

How many questions are on the CertQuestUSA Health Insurance Producer (Texas) practice test?
185 questions total, split into 3 full papers of 50 each with no repeats across papers.
What topics does the Health Insurance Producer (Texas) test cover?
19 domains, with the heaviest weight on Health Insurance Basics and Policy Types (14%), Medical Expense, Managed Care, and Cost-Sharing (14%), and Policy Provisions, Renewability, Riders, and Exclusions (14%).
Where do CertQuestUSA's Health Insurance Producer (Texas) questions come from?
Primarily content.naic.org (45%) and Tex. Ins. Code (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 (Texas)?
Yes -- 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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