- CO-LH refers to the Colorado Life & Health Insurance Producer Exam, administered by Pearson VUE.
- Candidates can sit for both the Life and Health exams in one session for a single $41 fee.
- The combined outlines total 181 questions (160 scored, 21 pretest) across four hours of testing.
- Colorado-specific law makes up 50 of the 160 scored questions - nearly a third of your score.
What CO-LH Actually Means
CO-LH stands for the Colorado Life & Health Insurance Producer Exam - the state-mandated licensing test that anyone who wants to sell life insurance, health insurance, or both in Colorado must pass. It's not a designation you add after your name like a professional certification; it's the gateway credentialing exam regulated by the Colorado Division of Insurance and delivered through Pearson VUE testing centers or online proctoring.
Because "CO-LH" is a generic-sounding acronym, it's easy to confuse with other credentials that happen to share the same letters in other states or industries. On this site, and throughout this article, CO-LH means exactly one thing: the Colorado producer exam covering life insurance and accident and health insurance. If you're researching this exam for the first time, our overview of What Is CO-LH? and the companion piece What Does CO-LH Stand For? both dig deeper into the naming and scope.
Two Exams, One Fee: How the Structure Works
Colorado doesn't issue one monolithic "Life and Health" test. Instead, it maintains distinct Life and Accident and Health exam outlines, each built from the January 1, 2024 content specifications. Candidates have the option to schedule both exams back-to-back in the same Pearson VUE session and pay a single $41 fee that covers both.
Here's how the mechanics break down:
- Total items: 181 multiple-choice questions across both exams combined - 160 are scored, and 21 are unscored pretest items mixed in without identification.
- Time allotted: Two hours per exam, for four hours of total seat time if you take both in one visit.
- Delivery format: Available at physical Pearson VUE test centers or via online proctoring, giving candidates flexibility on exam day.
- Language options: Spanish-language exams are offered, and test-takers can switch between Spanish and English during the session.
Because pretest items are unmarked, you won't know which of the 181 questions actually count toward your score - treat every question as if it matters. For a full breakdown of exactly how scoring works, see CO-LH Passing Score 2026: Exactly What You Need to Pass.
Key Takeaway
If your goal is a Life and Health combo license, schedule both exams together - the $41 fee applies whether you sit for one exam or both, so testing them in the same session is the more efficient path.
What the 13 Domains Cover
The letters "CO-LH" compress a surprisingly detailed content map into two exams. Between the Life exam and the Accident and Health exam, the official outlines are organized into 13 domains. Six domains sit under the Life exam, and seven sit under the Accident and Health exam, with Colorado-specific law woven into both halves.
Life Exam Domains (1-6)
These domains build your general life insurance knowledge before narrowing into Colorado-specific statutes.
- Domain 1: Types of Policies
- Domain 2: Life Provisions, Riders, Options, and Exclusions
- Domain 3: Completing the Application, Underwriting, and Delivering the Policies
- Domain 4: Retirement, and Other Insurance Concepts
- Domain 5: Colorado Statutes, Rules, and Regulations Common to Life, Sickness and Accident, Property (Fire), and Casualty Insurance
- Domain 6: Colorado Statutes, Rules, and Regulations Pertinent to Life Insurance Only
Accident and Health Exam Domains (7-13)
The Health side widens into social insurance programs and field procedures before circling back to state-specific rules.
- Domain 7: Types of Policies
- Domain 8: Policy Provisions, Clauses, and Riders
- Domain 9: Social Insurance
- Domain 10: Other Insurance Concepts
- Domain 11: Field Underwriting Procedures
- Domain 12: Colorado Statutes, Rules, and Regulations Common to Life, Sickness and Accident, Property (Fire), and Casualty Insurance
- Domain 13: Colorado Statutes, Rules, and Regulations Pertinent to Sickness and Accident Insurance Only
Notice that Domains 5 and 12, along with Domains 6 and 13, are Colorado-specific law domains that appear on both exams. Collectively, Colorado law accounts for 50 of the 160 scored questions across the two exams - meaning nearly one in three scored questions tests state statutes and regulations rather than general insurance concepts. For a question-by-question weighting breakdown of every domain, read CO-LH Exam Domains 2026: Complete Guide to All 13 Content Areas.
Prelicensing Education Behind the Letters
Before you can even sit for the CO-LH exams, Colorado requires resident candidates to complete approved prelicensing education:
- 50 hours for the Life line
- 50 hours for the Health line
- 3 ethics hours, which only need to be completed once even if you're applying for multiple lines of authority
Once you finish your prelicensing coursework, the clock starts running: both your prelicensing certificate and any passing exam score remain valid for one year. If you let that window lapse before completing licensure, you'll need to retake the coursework or the exam again. Applicants must also be at least 18 years old, a Colorado resident, and demonstrate trustworthiness, competence, financial responsibility, and good reputation to the Division of Insurance's satisfaction.
For the complete rundown of age, residency, and education prerequisites, see CO-LH Requirements 2026: Eligibility, Prerequisites & How to Qualify. If you're weighing prep course options, CO-LH Training covers what a solid prelicensing program should include.
Who Actually Earns a CO-LH Credential
Passing the CO-LH exams is the licensing step that turns an aspiring agent into someone legally authorized to sell life and health insurance products in Colorado. That includes people entering the field as:
- Independent life and health insurance agents building their own book of business
- Captive agents hired by a specific carrier to sell that company's life or health products
- Career changers moving into financial services who need life and health authority alongside other lines
- Existing property and casualty producers adding life and health lines to their license
Because Colorado's exam separates Life from Accident and Health, some candidates choose to license in only one line first and add the other later - though testing both together in one $41 session is usually the more time-efficient route if you already know you need both. To understand what employers actually look for once you're licensed, browse CO-LH Jobs, and if you're still deciding whether licensure is worth pursuing, Is the CO-LH Certification Worth It? Complete ROI Analysis 2026 and CO-LH Salary Guide 2026: Complete Earnings Analysis lay out the considerations.
Building a Study Plan Around the Format
Generic study advice - flashcards, spaced repetition, timed drills - only helps if it's mapped to the actual structure of the CO-LH exams. Because the two exams are scored separately but often taken in the same sitting, your prep schedule should treat Colorado law domains as a standing priority rather than a last-week cram topic.
Life General Knowledge (Domains 1-4)
- Policy types, riders, underwriting steps, and retirement/annuity concepts
- Build vocabulary fluency before layering in state law
Colorado Life Law (Domains 5-6)
- Statutes common to multiple insurance lines
- Rules pertinent specifically to life insurance
Accident and Health General Knowledge (Domains 7-11)
- Policy provisions, social insurance programs, field underwriting
- Practice distinguishing health-specific riders from life riders
Colorado Health Law and Full Review (Domains 12-13)
- State-specific accident and sickness statutes
- Timed practice sessions mimicking the two-hour, per-exam format
Since 21 of the 181 total items are unscored pretest questions you can't identify, build stamina for the full two-hour block per exam rather than pacing only for 160 questions. A structured six-week plan like this is covered in more depth in CO-LH Study Guide 2026: How to Pass on Your First Attempt, and if you want a quick-reference companion for the final days before your test, the CO-LH Cheat Sheet 2026: One-Page Review of Must-Know Facts condenses the highest-yield facts. Running full-length practice exams on our practice test platform is one of the most direct ways to simulate the real four-hour combined session before test day.
Key Takeaway
Schedule Colorado-specific law domains (5, 6, 12, 13) early and revisit them weekly - they represent 50 of 160 scored questions and are easy to under-study if you focus only on general insurance concepts.
After You Pass: Renewal and Continuing Education
Passing the CO-LH exams isn't the finish line - it's the entry point into an ongoing licensing cycle. Colorado producer licenses continue on a two-year renewal cycle. After your initial renewal, residents must complete 24 continuing education hours per cycle, with at least 18 of those hours in your licensed lines and 3 hours dedicated to ethics.
This CE requirement is separate from the one-time prelicensing hours you completed before your original exam. Understanding this distinction early helps you budget both time and money over the life of your license, not just for the initial test. For a full cost breakdown covering prelicensing, testing, and renewal, see CO-LH Certification Cost 2026: Complete Pricing Breakdown.
| Milestone | Requirement |
|---|---|
| Prelicensing (Life) | 50 hours |
| Prelicensing (Health) | 50 hours |
| Ethics (one-time, multi-line) | 3 hours |
| Exam format | 181 items total; 160 scored, 21 pretest; 2 hrs per exam |
| Combined testing fee | $41 for both exams in one session |
| Certificate/score validity | 1 year |
| License renewal cycle | Every 2 years |
| Ongoing CE per cycle | 24 hours (18 in licensed lines, 3 ethics) |
If you're still deciding how the CO-LH exams compare in difficulty to other paths, or want a data-informed look at outcomes, our companion pieces How Hard Is the CO-LH Exam? Complete Difficulty Guide 2026 and CO-LH Pass Rate 2026: What the Data Shows go deeper. You can also review CO-LH Exam Dates 2026: Testing Windows, Deadlines & Scheduling to plan your testing window around your prelicensing certificate's one-year validity.
Frequently Asked Questions
CO-LH refers to the Colorado Life & Health Insurance Producer Exam, which is actually administered as two separate exams - Life and Accident and Health - that candidates can schedule together in a single Pearson VUE session.
Candidates can sit for both the Life and Health exams in one session for a single $41 fee, rather than paying separately for each exam.
Combined, the two exam outlines contain 181 multiple-choice items: 160 scored questions and 21 unscored pretest questions, with two hours allotted per exam.
Colorado-specific law accounts for 50 of the 160 scored questions across both exams, making it one of the largest single content blocks to master.
Both prelicensing certificates and passing exam scores remain valid for one year, so you should plan your exam date and license application within that window.