SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2013 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 0.00% 0 $0.00 $0.00 $0.00 $0.00 $-1,771.00 0.00%
Missouri Total 100.00% 655,152 $2,050,460,682 $2,047,788,163 $0 $1,728,158,433 $1,714,039,659 83.70%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2013 Supplemental Data for

Accident & Health

Individual 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 $0.00 $-11,665.00 $0.00 $268.00 $268.00 -2.30%
Missouri Total 100.00% 290,305 $307,815,776 $301,029,937 $0 $220,070,813 $247,536,134 82.23%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2013 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 0.00% 0 $0.00 $-11,665.00 $0.00 $268.00 $-1,503.00 12.88%
Missouri Total 100.00% 13,433,428 $8,132,271,026 $8,147,875,452 $7,435,705 $6,452,592,964 $6,519,529,872 80.02%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2013 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 0.00% 0 $0.00 $0.00 $0.00 $0.00 $-1,771.00 0.00%
Missouri Total 100.00% 11,283,330 $5,727,050,370 $5,749,461,436 $286,975 $4,597,497,313 $4,611,181,967 80.20%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2013 Supplemental Data for

Accident & Health

Total Individual 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 0.00% 0 $0.00 $-11,665.00 $0.00 $268.00 $268.00 -2.30%
Missouri Total 100.00% 2,150,098 $2,405,220,656 $2,398,414,016 $7,148,730 $1,855,095,651 $1,908,347,905 79.57%



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