SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2008 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 0.07% 939 $1,301,114.00 $1,301,114.00 $0.00 $850,847.00 $797,734.00 61.31%
Missouri Total 100.00% 662,523 $1,957,296,360 $1,969,128,831 $0 $1,613,528,243 $1,603,626,587 81.44%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2008 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 0.41% 210 $369,244.00 $369,244.00 $0.00 $425,440.00 $334,884.00 90.69%
Missouri Total 100.00% 86,812 $90,010,069 $89,370,677 $0 $77,003,177 $77,264,926 86.45%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2008 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 0.02% 1,149 $1,670,358.00 $1,670,358.00 $0.00 $1,276,287.00 $1,132,618.00 67.81%
Missouri Total 100.00% 14,659,481 $6,922,016,805 $6,923,691,877 $3,843,365 $5,312,904,301 $5,378,359,740 77.68%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2008 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 0.03% 1,149 $1,670,358.00 $1,670,358.00 $0.00 $1,276,287.00 $1,132,618.00 67.81%
Missouri Total 100.00% 12,534,552 $4,930,311,792 $4,938,575,867 $180,165 $3,845,987,952 $3,880,443,746 78.57%



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