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What Is TN-LH Certification?

TL;DR
  • TN-LH covers two separately scored exams: Life and Accident and Health, each with 77 questions (68 scored, 9 pretest).
  • You get 1 hour 45 minutes per exam and need a scaled score of 70 to pass each one.
  • Test-center appointments cost $55 per exam; the OnVUE combination for both lines costs $80.
  • No prelicensing course is required, but current outlines effective October 15, 2025 govern all 13 domains.

What TN-LH Certification Actually Means

TN-LH stands for the Tennessee Life & Health Insurance Producer Exam, the state-mandated credential that authorizes individuals to sell life insurance, accident insurance, and health insurance products in Tennessee. It isn't a single test - it's actually two separately scored examinations covering the Life line and the Accident and Health line. Passing both, then completing the post-exam licensing steps, is what allows someone to legally act as a producer in these lines within the state.

If you're just starting to research this credential, it helps to first understand the terminology and scope before diving into study materials. For a broader orientation, see What Is TN-LH? and TN-LH Meaning, which unpack the acronym and its purpose in more general terms.

Not a Federal Credential: TN-LH is issued and regulated at the state level by Tennessee, not by a national board. Your license authorizes you to sell within Tennessee, and the exam content reflects Tennessee-specific statutes and departmental rules alongside general insurance principles.

Who Governs and Administers the Exam

The Tennessee Department of Commerce and Insurance sets the licensing requirements and exam content outlines for TN-LH, while Pearson VUE administers the actual testing - either at a physical test center or remotely through Pearson's OnVUE online proctoring platform. This division of responsibility matters practically: the state defines what you need to know, and Pearson VUE controls how, when, and where you sit for the test.

Because Pearson VUE runs both in-person and remote testing, candidates have real flexibility in how they schedule their attempt. Details on available windows and appointment logistics are covered in TN-LH Exam Dates 2026: Testing Windows, Deadlines & Scheduling.

Exam Format: Two Separate Scored Tests

Candidates pursuing the full Life & Health credential must pass two distinct exams:

  • Life exam: 77 questions total (68 scored, 9 unscored pretest items), with 1 hour 45 minutes allotted.
  • Accident and Health exam: 77 questions total (68 scored, 9 unscored pretest items), also with 1 hour 45 minutes allotted.

The pretest questions are mixed in with scored questions and are not identifiable during the test, so every question should be treated as if it counts. Each exam requires a scaled score of 70 to pass, and the two exams are scored independently - passing one does not carry over to the other.

FeatureLife ExamAccident and Health Exam
Total Questions77 (68 scored + 9 pretest)77 (68 scored + 9 pretest)
Time Allowed1 hour 45 minutes1 hour 45 minutes
Passing ScoreScaled score of 70Scaled score of 70
Test Center Fee$55$55
OnVUE Combination Fee (both exams)$80

Notice that taking both exams together via OnVUE ($80) is less expensive than paying separately for two test-center appointments ($55 each, or $110 total). For a full cost breakdown including licensing fees, read TN-LH Certification Cost 2026: Complete Pricing Breakdown.

The 13 Domains You'll Be Tested On

Domain weights represent the combined shares of the 136 total scored questions across both the Life and Accident and Health exams. Six domains belong to the Life exam and seven belong to the Accident and Health exam. Understanding these weights helps you prioritize study time realistically instead of spreading effort evenly across topics that carry very different point values.

Domain 1: Life - Types of Policies (11.0%)

Covers term, whole, universal, and variable life products, along with how each policy type functions for the policyholder.

  • Distinguishing permanent vs. term coverage mechanics

Domain 2: Life - Policy Riders, Provisions, Options, and Exclusions (11.0%)

Tests knowledge of add-ons and contract clauses that modify standard life policies.

  • Waiver of premium, accelerated death benefit, and exclusion clauses

Domain 3: Life - Completing the Application, Underwriting, and Delivering the Policies (8.8%)

Focuses on the producer's role in application accuracy, underwriting classifications, and policy delivery requirements.

Domain 4: Life - Retirement and Other Insurance Concepts (5.9%)

Covers annuities and retirement-related insurance concepts tied to life products.

Domain 5: Life - Tennessee Laws and Departmental Rules Common to Life, Accident and Health, Property and Casualty Insurance (10.3%)

Shared statutory content that applies broadly across multiple insurance lines in Tennessee.

Domain 6: Life - Tennessee Laws and Departmental Rules Pertinent to Life Insurance Only (2.9%)

Life-specific state regulations not covered under the shared law domain.

Domain 7: Accident and Health - Types of Policies (11.8%)

The single highest-weighted domain across both exams, covering major medical, disability, and other A&H product categories.

Domain 8: Accident and Health - Policy Provisions, Clauses, and Riders (11.0%)

Contractual language and modifications specific to health and accident policies.

Domain 9: Accident and Health - Social Insurance (4.4%)

Public programs like Medicare and Medicaid as they intersect with private A&H coverage.

Domain 10: Accident and Health - Other Insurance Concepts (3.7%)

Supplementary A&H concepts outside the main policy-type and provision domains.

Domain 11: Accident and Health - Field Underwriting Procedures (5.9%)

The producer's underwriting responsibilities when writing A&H business.

Domain 12: Accident and Health - Tennessee Laws and Departmental Rules Common to Life, Accident and Health, Property and Casualty Insurance (10.3%)

Mirrors Domain 5's shared law content, tested again from the A&H exam side.

Domain 13: Accident and Health - Tennessee Laws and Departmental Rules Pertinent to Accident and Health Insurance Only (2.9%)

A&H-specific state regulations.

For a deeper breakdown of each domain with example concepts and sub-topics, see TN-LH Exam Domains 2026: Complete Guide to All 13 Content Areas. If you're wondering how these domains translate into actual exam difficulty, How Hard Is the TN-LH Exam? Complete Difficulty Guide 2026 walks through what makes certain domains harder to master than others.

Registration, Fees, and Scheduling Mechanics

One notable feature of TN-LH is that no prelicensing course is required for the Life or Accident and Health lines - candidates can register and sit for the exam without completing mandatory coursework first, though self-study is still essential given the volume of tested material.

Exam outlines currently in effect began October 15, 2025, so any study materials should be checked against that effective date to make sure content wasn't pulled from an outdated outline version.

Fee Structure: Each individual exam at a Pearson VUE test center costs $55. If you choose to take both the Life and Accident and Health exams together through OnVUE remote proctoring, the combined fee is $80 - a savings compared to scheduling them separately at a physical center.

Passing Score and What Happens on Retakes

Each exam - Life and Accident and Health - requires a scaled score of 70 to pass. Scaled scores aren't the same as a raw percentage of questions answered correctly, since pretest items and scoring adjustments factor in, but 70 is the number you need to see on your results.

If you don't pass on your first attempt, Tennessee imposes a 10-day waiting period before you can retest. Any subsequent failed attempts carry a longer 30-day wait. Additionally, candidates are limited to two OnVUE attempts per exam line before they must switch to an in-person test center for further attempts. This limit makes it worth treating your first OnVUE attempt seriously rather than as a low-stakes trial run.

For a precise explanation of how scaled scoring works and how to interpret your score report, see TN-LH Passing Score 2026: Exactly What You Need to Pass.

Key Takeaway

Because OnVUE attempts are capped at two per exam line, don't burn both remote attempts without a real study plan in between - the 10-day wait after a first failure is meant for targeted review, not just a scheduling formality.

After You Pass: Licensing Steps

Passing both exams is not the final step - it's the trigger for the licensing process. After a passing result, applicants must complete fingerprinting as part of the background check process. There's also a mandatory 48-hour wait before you can file your license application electronically, and the application itself carries a $50 fee.

These sequential steps mean the timeline from "passed the exam" to "actively licensed" spans several days at minimum, so it's worth planning around fingerprinting appointment availability rather than assuming same-day processing. A full walkthrough of eligibility requirements and this post-exam sequence is available at TN-LH Requirements 2026: Eligibility, Prerequisites & How to Qualify.

Who Pursues TN-LH Certification and Why

Candidates for TN-LH certification typically fall into a few categories: career-change professionals entering insurance sales, existing property and casualty producers adding life and health lines to their book of business, and new hires at insurance agencies who need licensure before they can legally sell policies. Because the Life exam and the Accident and Health exam are scored separately, some producers choose to pursue just one line initially and add the other later, depending on what their employer or business plan requires.

Insurance agencies, independent brokerages, and financial services firms operating in Tennessee generally require this license before a producer can write life, health, disability, or related policies for state residents. If you're evaluating what roles this credential opens up, TN-LH Jobs covers the kinds of positions that typically list this license as a requirement.

Building a Study Plan Around the Domain Weights

Rather than studying all 13 domains in the order they're listed, it makes more sense to sequence your review by weight and by exam. Since Domain 7 (Accident and Health - Types of Policies) carries the single highest weight at 11.8%, and Domains 1, 2, and 8 each carry 11.0%, these four domains alone account for a large share of the 136 scored questions across both exams.

Week 1

Life Foundations

  • Domain 1: Types of Policies
  • Domain 2: Riders, Provisions, Options, and Exclusions
Week 2

Life Application & Concepts

  • Domain 3: Application, Underwriting, and Delivery
  • Domain 4: Retirement and Other Insurance Concepts
Week 3

Tennessee Law (Life Side) & A&H Policy Types

  • Domains 5 and 6: Tennessee Laws for Life
  • Domain 7: Accident and Health Types of Policies
Week 4

A&H Depth & Final Law Review

  • Domains 8-11: Provisions, Social Insurance, Concepts, Underwriting
  • Domains 12 and 13: Tennessee Laws for A&H

This sequencing front-loads the heaviest-weighted domains while grouping the lighter law-focused domains (2.9% each) into efficient review sessions near the end, since the shared law content in Domains 5 and 12 overlaps significantly. For a structured week-by-week plan with practice question targets, see TN-LH Study Guide 2026: How to Pass on Your First Attempt.

Running timed practice questions that mirror the real 1 hour 45 minute format is one of the most direct ways to gauge readiness - you can start testing your current knowledge with practice questions on the main TN-LH practice test site before committing to a full study schedule.

Is the Investment Worth It?

Given the relatively modest combined exam and licensing fees, many candidates find the upfront cost of TN-LH certification low compared to the earning potential it unlocks. For a more complete look at how this credential affects long-term career and income prospects, review Is the TN-LH Certification Worth It? Complete ROI Analysis 2026 and TN-LH Salary Guide 2026: Complete Earnings Analysis.

You can also gauge how consistently candidates clear the scaled score of 70 by reviewing TN-LH Pass Rate 2026: What the Data Shows, and keep a condensed reference of must-know facts handy using the TN-LH Cheat Sheet 2026: One-Page Review of Must-Know Facts as you get closer to your test date. When you're ready to validate your prep with realistic questions, practice tests modeled on the real exam format are the most direct way to confirm you're ready before paying the test-center fee.

Frequently Asked Questions

Is TN-LH one exam or two?

It's two separately scored exams - Life, and Accident and Health - each with 77 questions (68 scored, 9 pretest) and a 1 hour 45 minute time limit.

Do I need to take a prelicensing course before sitting for TN-LH?

No. No prelicensing course is required for the Life or Accident and Health lines in Tennessee, though self-study is still necessary to cover the tested domains.

How much does it cost to take both exams?

A single exam at a Pearson VUE test center costs $55. Taking both the Life and Accident and Health exams together via OnVUE costs $80 combined.

What happens if I fail an exam attempt?

A first failed attempt requires a 10-day wait before retesting; subsequent failures require a 30-day wait. Candidates are also limited to two OnVUE attempts per exam line before needing to test at a physical center.

What do I need to do after passing both exams?

You'll need to complete fingerprinting, wait 48 hours, then file your license application electronically along with a $50 application fee.

Ready to pass your TN-LH exam?

Put this into practice with free TN-LH questions across every exam domain.