SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2011 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% 397 $929,802.00 $929,802.00 $0.00 $1,309,175.00 $1,212,520.00 130.41%
Missouri Total 100.00% 521,295 $2,043,759,231 $2,034,772,780 $0 $1,646,720,986 $1,677,153,032 82.42%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2011 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 $0.00 $0.00 $0.00 $-1,412.00 $-1,412.00 0.00%
Missouri Total 100.00% 134,998 $141,692,372 $141,006,592 $0 $126,114,515 $104,066,574 73.80%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2011 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% 397 $929,802.00 $929,802.00 $0.00 $1,307,763.00 $1,211,108.00 130.25%
Missouri Total 100.00% 11,785,508 $7,733,794,910 $7,669,980,899 $6,519,910 $5,911,322,986 $5,976,131,069 77.92%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2011 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% 397 $929,802.00 $929,802.00 $0.00 $1,307,763.00 $1,211,108.00 130.25%
Missouri Total 100.00% 9,396,116 $5,486,190,042 $5,454,628,664 $205,369 $4,263,189,480 $4,288,010,354 78.61%



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