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% 16,513,622 $10,501,592,815 $10,423,621,087 $9,249,439 $8,013,868,030 $8,028,352,374 77.02%



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% 14,248,705 $6,945,019,671 $6,883,923,719 $389,093 $5,394,278,549 $5,401,333,632 78.46%



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