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NMLH Exam Domains 2026: Complete Guide to All 13 Content Areas

TL;DR
  • The NMLH exam (PSI Series 18-27) covers 13 domains across 150 scored plus up to 10 unscored items.
  • Life, Accident and Health Insurance Basics is the single largest domain at 16% of the exam.
  • You need 70% correct within the 150-minute window to pass, with no prelicensing course required.
  • Regulation, federal law, and tax content (Domains 1, 2, and 13) together account for a meaningful chunk of scored items.

Understanding the NMLH Exam Blueprint

The New Mexico Life & Health Insurance Producer Exam, administered through PSI as Series 18-27 for the New Mexico Office of Superintendent of Insurance, is built around a fixed 13-domain content outline. Every one of the 150 scored questions on the official exam maps back to one of these domains, and PSI may quietly slip in 5-10 additional unscored experimental items that look identical to the rest. You will not know which questions count and which don't, so every domain deserves genuine preparation rather than a quick skim.

Unlike some licensing paths, New Mexico does not require a prelicensing course before you sit for the exam, which means the domain outline is effectively your entire syllabus. If you're still mapping out what the credential involves before diving into content, our overview of what NMLH is and the companion piece on NMLH certification are good starting points before you tackle domain-level study.

Why the Domain Breakdown Matters: With only 150 minutes to answer 150-160 questions, you have roughly one minute per question. Knowing which domains carry the most weight lets you allocate study hours proportionally instead of spreading effort evenly across topics that matter unevenly on test day.

How the 13 Domains Are Weighted

The table below shows the official weighting for each domain. Notice how four domains - Life, Accident and Health Insurance Basics, Life Insurance Policy Provisions/Options/Riders, Insurance Regulation, and Medical Plans - together make up nearly half the exam.

DomainWeight
1. Insurance Regulation10%
2. Federal Laws and Regulations2%
3. General Insurance Concepts5%
4. Life, Accident and Health Insurance Basics16%
5. Types of Life Insurance Policies9%
6. Life Insurance Policy Provisions, Options, and Riders13%
7. Annuities8%
8. Accident and Health Insurance Policy Provisions7%
9. Disability Income and Related Insurance4%
10. Medical Plans10%
11. Group Health Insurance6%
12. Specialized Health Insurance for Qualified Individuals5%
13. Federal Tax Considerations for Life and Health Insurance5%

For a deeper look at how these weights translate into a required raw score, see our breakdown of the NMLH passing score.

Domains 1-3: Regulation, Federal Law & General Concepts

These three domains combine for 17% of the exam and form the regulatory backbone every producer must know before selling a single policy in New Mexico.

Domain 1: Insurance Regulation (10%)

Covers the licensing authority of the state insurance department, producer licensing requirements, appointments, unfair trade practices, and grounds for license suspension or revocation.

  • Roles and powers of the New Mexico Office of Superintendent of Insurance
  • Producer duties, unfair claims practices, and replacement rules
  • Penalties for violations, including fines and license actions

Domain 2: Federal Laws and Regulations (2%)

The smallest domain by weight, but it still shows up on every exam form. Focus on federal statutes that intersect with state-regulated insurance sales.

  • Privacy and information-sharing rules affecting producers
  • Federal fraud and disclosure requirements

Domain 3: General Insurance Concepts (5%)

Foundational vocabulary and risk principles that underpin every later domain.

  • Risk, peril, hazard, and indemnity definitions
  • Insurable interest and the elements of a valid insurance contract
  • Underwriting basics and adverse selection

Domain 4: Life, Accident and Health Insurance Basics

At 16%, this is the largest single domain on the entire exam - roughly one in six scored questions will draw from this content area. Treat it as the anchor of your study plan rather than an afterthought.

Domain 4: Life, Accident and Health Insurance Basics (16%)

Blends core life insurance mechanics with the fundamentals of accident and health coverage, since New Mexico issues a combined life and health producer license.

  • Mortality, morbidity, and how insurers price risk
  • Beneficiary designations and ownership rights
  • Basic contract structure shared across life and health products
  • Fundamental terms candidates confuse most often on the exam

Key Takeaway

Because Domain 4 spans both life and health fundamentals, don't study it in isolation - review it again after you finish Domains 5-6 and Domains 8-10, since the terminology overlaps heavily.

Domains 5-6: Life Insurance Policies, Provisions & Riders

Together these two domains represent 22% of the exam - more than a fifth of your score depends on knowing life insurance products cold.

Domain 5: Types of Life Insurance Policies (9%)

  • Term, whole life, universal life, and variable life distinctions
  • Group versus individual life contracts
  • Endowment and specialty policy variations

Domain 6: Life Insurance Policy Provisions, Options, and Riders (13%)

The second-largest domain overall. Expect scenario-based questions testing how provisions actually apply to a policyholder's situation.

  • Grace periods, reinstatement, and nonforfeiture options
  • Settlement options and dividend options
  • Common riders: waiver of premium, accidental death, guaranteed insurability

Domains 7-9: Annuities, A&H Provisions & Disability Income

These three domains total 19% and shift focus from life protection products to income and health-related coverage.

Domain 7: Annuities (8%)

  • Fixed, variable, and indexed annuity structures
  • Accumulation versus annuitization phases
  • Surrender charges and free-look provisions

Domain 8: Accident and Health Insurance Policy Provisions (7%)

  • Mandatory and optional policy provisions in A&H contracts
  • Elimination periods, coordination of benefits, and coinsurance

Domain 9: Disability Income and Related Insurance (4%)

  • Own-occupation versus any-occupation definitions of disability
  • Benefit periods and residual disability benefits

Domains 10-12: Medical Plans, Group Health & Specialized Coverage

Combined, these three domains make up 21% of the exam, reflecting how much of a New Mexico producer's real-world book involves health-related products.

Domain 10: Medical Plans (10%)

  • HMO, PPO, POS, and indemnity plan structures
  • Managed care concepts and provider networks

Domain 11: Group Health Insurance (6%)

  • COBRA continuation and conversion privileges
  • Employer group eligibility and underwriting basics

Domain 12: Specialized Health Insurance for Qualified Individuals (5%)

  • Medicare Parts A, B, C, and D distinctions
  • Medicaid coordination and long-term-care coverage basics

Note that New Mexico's continuing education rules require specialized training for producers who sell long-term-care or annuity products after licensure, so what you learn in Domains 7 and 12 has ongoing relevance beyond exam day.

Domain 13: Federal Tax Considerations for Life and Health Insurance

Domain 13: Federal Tax Considerations for Life and Health Insurance (5%)

Rounds out the exam by testing how federal tax law treats premiums, benefits, and cash values.

  • Taxation of life insurance death benefits and cash value withdrawals
  • Tax treatment of disability income and health insurance premiums
  • Annuity taxation, including exclusion ratios

Many candidates underestimate this domain because it's only 5%, but it frequently appears in multi-part scenario questions that also touch Domains 5, 6, and 7 - so weak tax knowledge can quietly cost points across several domains at once.

Question Style & Format on the PSI Series 18-27 Exam

The exam is delivered as a closed-book, computer-based test, either at a PSI test center or via remote proctoring. You'll face 150 scored multiple-choice questions plus possibly 5-10 unscored experimental items, all within a single 150-minute session - no separate breaks are built in, so pace yourself against the roughly one-minute-per-question benchmark.

Question styles across all 13 domains generally fall into three categories: direct definition recall (identify a term or provision), regulatory application (apply a New Mexico rule to a licensing scenario), and product scenario questions (determine which policy provision, rider, or tax treatment applies to a described client situation). Domains 4, 6, and 10 tend to lean heavily on scenario-style items, while Domains 1, 2, and 13 skew toward more direct recall. If you want a candid assessment of how tough this mix actually is in practice, read our detailed breakdown of how hard the NMLH exam really is.

Registration and Fee Mechanics

Before you can sit for the exam, resident applicants must be at least 18 years old, complete a state and national fingerprint-based background check, and apply electronically through NIPR. No prelicensing course is mandated in New Mexico, which puts more weight on self-directed domain study.

Cost Snapshot: The exam fee is $75, and testing is available both at PSI test centers and through remote proctoring. Once licensed, resident producers renew biennially with 24 continuing-education hours - 21 general and 3 ethics hours - with additional specialized training required for long-term-care and annuity sales.

For the full administrative picture, including all eligibility steps, see our guides on NMLH requirements and NMLH certification cost. If you're mapping your timeline to a specific testing window, the NMLH exam dates guide covers scheduling logistics in detail.

Who Hires NMLH-Licensed Producers

A New Mexico Life & Health Insurance Producer license is the entry credential for selling life insurance, annuities, disability income, and health/medical products within the state. Carriers, independent agencies, brokerage general agencies, and financial services firms operating in New Mexico all look for candidates who hold this license before appointing them to sell. Because the domain outline covers both life products and Medicare/Medicaid-adjacent specialized coverage (Domain 12), the license also supports work in senior-market health sales, not just traditional life insurance.

If you're evaluating whether this career path fits your goals, our analyses of the NMLH salary guide, NMLH jobs landscape, and whether NMLH certification is worth it go into more depth on outcomes after licensure.

Building a Domain-Weighted Study Schedule

Rather than studying all 13 domains for equal amounts of time, allocate hours in rough proportion to exam weight, then add a review pass that revisits overlapping terminology between related domains.

Week 1

Foundation and Basics

  • Domains 1-3 (Regulation, Federal Law, General Concepts)
  • Begin Domain 4 (Life, Accident and Health Basics) - the 16% anchor domain
Week 2

Life Insurance Deep Dive

  • Domain 5 (Types of Life Policies)
  • Domain 6 (Provisions, Options, Riders) - second-largest domain at 13%
Week 3

Annuities and Health Provisions

  • Domain 7 (Annuities)
  • Domains 8-9 (A&H Provisions, Disability Income)
Week 4

Medical, Group, Tax & Full Review

  • Domains 10-12 (Medical Plans, Group Health, Specialized Coverage)
  • Domain 13 (Federal Tax Considerations)
  • Timed practice runs mimicking the 150-minute format

This is a domain-weighted skeleton, not a rigid script - adjust the pace based on which domains feel weakest after your first practice test. For a structured walkthrough of this approach along with active-recall techniques suited to each domain, see the NMLH Study Guide. A one-page reference like the NMLH cheat sheet is also useful for last-minute review of provisions and tax rules across Domains 6, 8, and 13.

Once you've worked through the domain content, running full-length timed simulations on our practice test platform is the best way to confirm you can apply Domain 4 through Domain 13 knowledge under real exam pacing. Repeating missed-question review on the practice site after each simulated attempt helps close domain-specific gaps before test day.

Frequently Asked Questions

Which NMLH domain should I study first?

Start with Domains 1-3 to build regulatory vocabulary, then move into Domain 4 (Life, Accident and Health Insurance Basics) early since it's the largest domain at 16% and its terminology underlies nearly every later domain.

How many questions come from each domain on the actual exam?

PSI applies the published percentages to the 150 scored questions, so a 16% domain like Domain 4 yields roughly 24 questions, while a 2% domain like Federal Laws and Regulations yields only about 3. Exact counts can shift slightly between forms because of the unscored experimental items.

Do I need a prelicensing course to learn all 13 domains?

No. New Mexico does not require a prelicensing course before the exam, so most candidates rely on self-study materials, domain-based practice tests, and resources like the NMLH Study Guide to cover the outline.

Are the smaller domains, like Federal Laws and Regulations, worth skipping?

No dom

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