Hawaii Insurance License Practice Exam

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What is the part of the insurance policy that removes certain coverage?

Addendum

Exclusion

The correct response identifies an exclusion as the component of an insurance policy that specifies what is not covered under the policy. Exclusions are critical as they clearly outline the limitations of the coverage, indicating scenarios, events, or specific types of loss that the insurer will not be liable for. This helps both the insurer and the insured understand the boundaries of the coverage provided.

For instance, a standard health insurance policy might exclude coverage for certain pre-existing conditions, meaning any associated treatments would not be covered. This clarity helps avoid confusion and disputes when a claim is made.

Other terms relate to aspects of an insurance policy but do not specifically remove coverage. An addendum typically refers to an additional document that modifies or adds to the original policy but does not inherently limit coverage. An endorsement is also a modification but can either add or remove coverage depending on its specific terms. A deductible is the amount the insured must pay out of pocket before the insurance company begins to pay, which is different from exclusion as it does not remove coverage but rather sets a threshold for cost-sharing.

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Endorsement

Deductible

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