- What TN-LH Actually Stands For
- Who Governs the Exam and Who Administers It
- Why "TN-LH" Really Means Two Separate Exams
- Exam Format, Timing, and Fees
- The 13 Domains Behind the Acronym
- What Happens After You Pass
- Who Actually Needs the TN-LH
- Mapping Your Prep to the Acronym's Two Halves
- Frequently Asked Questions
- TN-LH stands for the Tennessee Life & Health Insurance Producer Exam, regulated by the Tennessee Department of Commerce and Insurance.
- It's actually two separately scored exams - Life and Accident and Health - each with 77 questions and 1 hour 45 minutes.
- Pearson VUE administers testing; a single test-center appointment costs $55, while an OnVUE combination sitting costs $80.
- Passing requires a scaled score of 70 on each exam, followed by fingerprinting and a $50 license application fee.
What TN-LH Actually Stands For
TN-LH stands for the Tennessee Life & Health Insurance Producer Exam - the state licensing test that anyone selling life insurance or accident and health insurance in Tennessee must pass. It's easy to see this acronym elsewhere online attached to unrelated certifications, but on this site TN-LH refers exclusively to the producer licensing exam overseen by Tennessee's insurance regulator. If you're comparing sources, make sure whatever you're reading matches the facts in this article, not a different credential that happens to share the same four letters.
Understanding what the letters mean is only step one. The more useful question is what the exam actually tests, how it's structured, and what it costs to sit for it - all of which we break down below. For a broader orientation, see What Is TN-LH? and TN-LH Meaning.
Who Governs the Exam and Who Administers It
The Tennessee Department of Commerce and Insurance sets the licensing requirements and content standards for the TN-LH exams, while Pearson VUE handles the actual test delivery - either at a physical test center or through its OnVUE online proctoring platform. This split matters for candidates because the state defines what you need to know (the domains and passing score), while Pearson VUE controls scheduling, fees, and the day-of testing experience.
No prelicensing course is required to sit for either the Life or Accident and Health exam, which is somewhat unusual compared to states that mandate hours of coursework before you can register. That doesn't mean the exam is easy - it means the responsibility for preparation shifts almost entirely onto the candidate. That's a big reason structured resources like a TN-LH Study Guide or a dedicated TN-LH Cheat Sheet tend to matter more here than in states with built-in prelicensing hours.
Why "TN-LH" Really Means Two Separate Exams
One of the most misunderstood parts of the acronym is that "TN-LH" covers two distinct, separately scored exams - Life, and Accident and Health. Candidates pursuing both lines of authority take both tests. Each exam has its own 77 questions (68 scored, 9 unscored pretest items), its own 1 hour 45 minute time limit, and its own required scaled score of 70.
This structure explains why the domain list you'll see for TN-LH has 13 entries instead of, say, six or seven - the first six domains belong to the Life exam and the remaining seven belong to Accident and Health. If you only need one line of authority, you only need to master the domains tied to that exam. If you're going for both, you'll want a plan that treats them as related but separate study tracks. Our TN-LH Exam Domains Guide walks through all 13 areas in depth.
Key Takeaway
Don't study for "the TN-LH exam" as a single event. Plan for two distinct exams with their own content, their own appointment, and their own passing threshold.
Exam Format, Timing, and Fees
Both exams share the same basic format: 77 multiple-choice questions, 68 of which count toward your score and 9 of which are unscored pretest items used to evaluate future exam content. You won't know which questions are pretest items, so every question deserves your full attention. You get 1 hour 45 minutes per exam, which is a reasonable pace if you've studied the material - roughly 1.4 minutes per question if you used every second, though most prepared candidates finish with time to review flagged items.
| Detail | Life Exam | Accident and Health Exam |
|---|---|---|
| Total Questions | 77 (68 scored + 9 pretest) | 77 (68 scored + 9 pretest) |
| Time Allowed | 1 hour 45 minutes | 1 hour 45 minutes |
| Passing Score | Scaled score of 70 | Scaled score of 70 |
| Test-Center Fee | $55 | $55 |
| OnVUE Combo Fee (both exams) | $80 | |
Notice the pricing structure: sitting for each exam separately at a test center costs $55 per exam, but if you're eligible to take both through OnVUE in one combination sitting, the total is $80 - a meaningful difference if you're pursuing both lines of authority. For a full cost breakdown including licensing fees, see TN-LH Certification Cost.
If you don't pass on your first attempt, you'll wait 10 days before retesting. A second failure (and any after that) triggers a 30-day wait. There's also a practical limit worth planning around: candidates get two OnVUE attempts per exam line before they're required to move to an in-person test center for subsequent attempts. That's a strong incentive to prepare thoroughly before your first sitting rather than treating early attempts as practice runs. Details on scheduling windows are covered in TN-LH Exam Dates, and the exact score mechanics are explained in TN-LH Passing Score.
The 13 Domains Behind the Acronym
The letters "L" and "H" in TN-LH map directly onto the two halves of the domain outline. Life-related domains cover policy types, riders, underwriting, and Tennessee-specific law; Accident and Health domains mirror that structure for health-related products. Weights below reflect each domain's share of the 136 combined scored questions across both exams.
Domain 1: Life - Types of Policies (11.0%)
Covers term, whole, universal, and variable life products, along with how each is structured and marketed.
- Distinguishing permanent vs. term coverage mechanics
Domain 2: Life - Policy Riders, Provisions, Options, and Exclusions (11.0%)
Tests knowledge of add-ons and contract language that modify a base life policy.
- Common riders like waiver of premium and accelerated death benefits
Domain 3: Life - Completing the Application, Underwriting, and Delivering the Policies (8.8%)
Focuses on the producer's role from application through policy delivery.
- Field underwriting responsibilities and required disclosures
Domain 7: Accident and Health - Types of Policies (11.8%)
The largest single domain on the A&H exam, covering major medical, disability, and specialty health products.
- Differences between individual and group health contract structures
Domains 5 & 12: Tennessee Laws and Departmental Rules Common to Life, A&H, and P&C (10.3% each)
These two domains - one for each exam - carry identical weight and test the same body of state regulatory knowledge from each exam's perspective.
- Producer licensing rules, unfair trade practices, and consumer protections
The remaining domains - Retirement and Other Insurance Concepts, Tennessee Laws Pertinent to Life Only, Social Insurance, Other Insurance Concepts, Field Underwriting Procedures, and Tennessee Laws Pertinent to Accident and Health Only - round out the outline with smaller but still testable weights. A full breakdown of all 13 areas, including how to sequence your review, is available in the TN-LH Exam Domains Guide.
What Happens After You Pass
Passing the exam is not the same as holding a license. After a passing score, candidates must complete fingerprinting, then wait 48 hours before filing their license application electronically. There's also a $50 license application fee separate from the exam fees themselves. Skipping or rushing this sequence is a common source of delay, so treat it as part of the exam process rather than an afterthought. The full eligibility and process checklist is covered in TN-LH Requirements.
Who Actually Needs the TN-LH
Because "TN-LH" specifically denotes life and accident/health lines of authority, it's relevant to a fairly specific slice of the insurance workforce: independent agents, captive agents for carriers writing life or health products, and brokers who need Tennessee authority to sell these product lines to residents. It is not a general insurance credential and doesn't cover property, casualty, or other lines.
If you're weighing whether pursuing this license fits your career plans, Is the TN-LH Certification Worth It? and TN-LH Salary Guide go into more depth on career fit and earnings context. For a look at where TN-LH license holders typically work, see TN-LH Jobs.
Mapping Your Prep to the Acronym's Two Halves
Because TN-LH splits cleanly into a Life exam and an Accident and Health exam, the most efficient prep plan treats them as two connected but separate study blocks rather than one blended review. Tennessee law domains overlap conceptually between the two exams, so it often makes sense to study those together even though they're scored separately.
Life Domains 1-3
- Policy types, riders/provisions, and application/underwriting fundamentals
Life Domains 4-6 + Shared Law Concepts
- Retirement concepts and Tennessee-specific life law, previewing common regulatory themes
Accident and Health Domains 7-9
- Health policy types, provisions/clauses, and social insurance basics
A&H Domains 10-13 + Full Review
- Field underwriting, other insurance concepts, and both sets of Tennessee law domains, followed by timed practice under real exam conditions
Whichever pace you use, spend extra time on the domains with the highest weights - Types of Policies for both Life and A&H, Policy Riders/Provisions, and the two Tennessee law domains together account for a large share of the 136 scored questions. For difficulty context and where candidates tend to struggle, see How Hard Is the TN-LH Exam? and check current pass trends in TN-LH Pass Rate. You can also build familiarity with the question style using timed practice sets on our practice test platform before your OnVUE or test-center appointment.
Key Takeaway
Study Tennessee's two law domains together even though they belong to different exams - the regulatory concepts overlap heavily and reinforcing them once saves review time later.
Frequently Asked Questions
It refers to two separately scored exams - Life, and Accident and Health - each with its own 77 questions, time limit, and passing score of 70.
No. Neither the Life exam nor the Accident and Health exam requires a prelicensing course in Tennessee, which places more responsibility on self-directed study.
Each exam costs $55 individually at a test center. If you qualify to take both through the OnVUE combination option, the combined cost is $80.
A first failure carries a 10-day waiting period before retesting; subsequent failures require a 30-day wait. Candidates also get only two OnVUE attempts per exam line before needing to test at a physical center.
You'll need to complete fingerprinting, wait 48 hours before filing your license application electronically, and pay a $50 license application fee to finalize licensure.