SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2017 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 19.82% 15,491 $173,310,082.00 $173,310,082.00 $0.00 $139,606,320.00 $147,121,509.00 84.89%
Missouri Total 100.00% 71,495 $874,443,318 $874,471,556 $0 $646,213,649 $652,640,715 74.63%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2017 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 1.65% 15,491 $173,310,082.00 $173,310,082.00 $0.00 $139,606,320.00 $147,121,509.00 84.89%
Missouri Total 100.00% 16,482,012 $10,499,610,539 $10,421,638,811 $9,249,439 $8,012,819,707 $8,027,300,051 77.03%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2017 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 2.50% 15,491 $173,310,082.00 $173,310,082.00 $0.00 $139,606,320.00 $147,121,509.00 84.89%
Missouri Total 100.00% 14,217,095 $6,943,037,395 $6,881,941,443 $389,093 $5,393,230,226 $5,400,281,309 78.47%



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