SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2007 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 0.08% 1,165 $1,359,100.00 $1,359,100.00 $0.00 $876,295.00 $921,033.00 67.77%
Missouri Total 100.00% 643,144 $1,734,986,043 $1,732,987,386 $0 $1,460,725,710 $1,475,263,750 85.13%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2007 Supplemental Data for

Accident & Health

Group Medicare Advantage

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% 1 $29,437.00 $29,437.00 $0.00 $0.00 $0.00 0.00%
Missouri Total 100.00% 6,666 $71,591,896 $72,803,620 $0 $51,002,021 $55,027,288 75.58%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2007 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 2.35% 47 $3,285,424.00 $3,285,424.00 $0.00 $5,060,374.00 $4,886,953.00 148.75%
Missouri Total 100.00% 123,754 $139,911,598 $140,300,448 $0 $117,890,777 $117,219,561 83.55%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2007 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 0.07% 1,213 $4,673,961.00 $4,673,961.00 $0.00 $5,936,669.00 $5,807,986.00 124.26%
Missouri Total 100.00% 14,781,584 $6,321,663,058 $6,300,472,351 $2,820,494 $4,786,573,315 $4,914,517,495 78.00%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2007 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 0.10% 1,213 $4,673,961.00 $4,673,961.00 $0.00 $5,936,669.00 $5,807,986.00 124.26%
Missouri Total 100.00% 12,774,038 $4,634,501,331 $4,620,799,459 $149,561 $3,599,832,396 $3,659,809,895 79.20%



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