SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2010 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 0.05% 557 $924,445.00 $924,445.00 $0.00 $562,792.00 $823,222.00 89.05%
Missouri Total 100.00% 529,308 $2,002,684,307 $2,001,689,869 $0 $1,647,874,254 $1,634,484,226 81.66%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2010 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 $64.00 $64.00 $0.00 $-3,787.00 $-3,787.00 -5,917.19%
Missouri Total 100.00% 112,067 $136,607,610 $137,271,715 $0 $101,688,678 $102,380,472 74.58%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2010 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% 557 $924,509.00 $924,509.00 $0.00 $559,005.00 $819,435.00 88.63%
Missouri Total 100.00% 11,102,573 $7,586,272,242 $7,567,880,063 $6,265,933 $5,759,414,503 $5,811,825,025 76.80%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2010 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% 557 $924,509.00 $924,509.00 $0.00 $559,005.00 $819,435.00 88.63%
Missouri Total 100.00% 8,926,271 $5,277,397,178 $5,271,709,298 $335,774 $4,103,463,028 $4,123,830,018 78.23%



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