اختبار CPHQ

اختبار CPHQ

1 / 5

Match the risk mitigation technique with its MOST accurate application within a healthcare setting:

Risk Avoidance = Prohibiting a high-risk surgical procedure that, while potentially life-saving, presents an unacceptably high probability of severe, irreversible complications.

Loss Prevention = Implementing rigorous protocols for medication reconciliation to minimize the incidence of adverse drug interactions and prescription errors.

Risk Transfer = Securing medical professional liability insurance to deflect the economic repercussions of medical negligence claims.

Loss Reduction = Deploying rapid-response teams skilled in cardiopulmonary resuscitation to diminish the morbidity associated with cardiac arrests in the inpatient unit.

2 / 5

Match each term with its corresponding legal or regulatory context relevant to insurance operations:

Admitted Insurer = An insurer sanctioned to operate within a specific jurisdiction, governed by that locale’s solvency standards and consumer protection statutes.

Non-admitted Insurer = An insurer authorized to furnish coverage in a jurisdiction without being formally licensed there, typically for specialized or hard-to-place risks.

Surplus Lines Market = A market designated for risks unable to procure coverage from admitted insurers, thereby accessing non-admitted carriers under stringent parameters.

Reinsurance = A mechanism by which insurers transfer a segment of their risk to another insurer, enabling risk distribution and amplified underwriting capacity.

3 / 5

Match the appropriate element with its correct description pertaining to insurance policy construction:

Declarations Page = The section that delineates key policy components such as the named insured, policy duration, coverage limitations, and applicable deductibles.

Insuring Agreement = The core contractual provision wherein the insurer pledges to indemnify the insured for covered losses subject to policy terms and conditions.

Conditions = The stipulated duties and prerogatives vested in both the insured (e.g., notifications) and the insurer (e.g., subrogation) for proper policy administration.

Exclusions = The explicit enumeration of risk categories (e.g., acts of war) or event types that are expressly outside of the policy’s protective aegis.

4 / 5

Match each risk financing technique with the appropriate characteristic:

Self-Insurance = Optimal for organizations with predictive and stable loss histories, enabling assumption of risk and operational control.

Captive Insurance = Offers bespoke coverage, risk management integration, and potential profit retention, but demands substantial capital and regulatory navigation.

Large Deductible Programs = Transfers the bulk of risk while retaining a substantial first-dollar obligation, incentivizing rigorous loss control.

Risk Retention Groups (RRGs) = Provides liability coverage for similar or related businesses, allowing member companies to manage shared liability exposure collectively.

5 / 5

Match the term with its precise definition within the context of retrospective insurance rating:

Incurred Losses = The total of paid losses and outstanding reserves directly attributable to the insured during the policy term, often inclusive of allocated loss adjustment expenses.

Ultimate Net Loss = The total sum the insured is obligated to pay, encompassing paid losses, loss adjustment expenses, and potentially a component for incurred but not reported (IBNR) losses, subject to policy limits.

Stabilization Factor = A numerical value used to modulate or limit the retrospective premium adjustment, mitigating extreme premium fluctuations due to unusually high or low loss experiences.

Retrospective Premium = The final premium amount determined at the close of the retrospective rating period, calculated using a formula that considers the basic premium, converted losses, and the stabilization factor.

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