SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2009 Supplemental Data for

Accident & Health

Group Comprehensive Medical Expense - Large Employer

Market_Share Number of Insureds Direct Premium Written Direct Premium Earned Dividends Paid Direct Losses Paid Direct Losses Incurred Loss Ratio
Company Total 0.04% 539 $879,593.00 $879,593.00 $0.00 $523,187.00 $380,500.00 43.26%
Missouri Total 100.00% 663,158 $2,055,332,127 $2,050,451,124 $0 $1,775,423,333 $1,775,691,917 86.60%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2009 Supplemental Data for

Accident & Health

Group Medicare Part D

Market_Share Number of Insureds Direct Premium Written Direct Premium Earned Dividends Paid Direct Losses Paid Direct Losses Incurred Loss Ratio
Company Total 0.00% 0 $2,691.00 $2,691.00 $0.00 $8,140.00 $-11,500.00 -427.35%
Missouri Total 100.00% 108,638 $106,956,816 $106,128,407 $0 $80,516,030 $81,296,585 76.60%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2009 Supplemental Data for

Accident & Health

Total Accident & Health

Market_Share Number of Insureds Direct Premium Written Direct Premium Earned Dividends Paid Direct Losses Paid Direct Losses Incurred Loss Ratio
Company Total 0.01% 539 $882,284.00 $882,284.00 $0.00 $531,327.00 $369,000.00 41.82%
Missouri Total 100.00% 12,713,587 $7,312,311,563 $7,274,695,579 $5,294,698 $5,673,688,510 $5,715,495,860 78.57%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2009 Supplemental Data for

Accident & Health

Total Group Accident & Health

Market_Share Number of Insureds Direct Premium Written Direct Premium Earned Dividends Paid Direct Losses Paid Direct Losses Incurred Loss Ratio
Company Total 0.02% 539 $882,284.00 $882,284.00 $0.00 $531,327.00 $369,000.00 41.82%
Missouri Total 100.00% 10,514,539 $5,121,340,548 $5,112,068,597 $209,111 $4,073,597,987 $4,087,892,605 79.97%



Additional data is available for this company for the following year(s):