SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2018 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 20.90% 17,317 $213,836,771.00 $213,836,771.00 $0.00 $172,346,505.00 $171,642,978.00 80.27%
Missouri Total 100.00% 75,292 $1,023,239,242 $1,027,972,778 $0 $798,570,383 $790,872,720 76.94%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2018 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 1.97% 17,317 $213,836,771.00 $213,836,771.00 $0.00 $172,346,505.00 $171,642,978.00 80.27%
Missouri Total 100.00% 17,298,225 $10,842,541,096 $10,885,784,298 $9,791,953 $8,529,870,791 $8,533,868,614 78.39%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2018 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 2.90% 17,317 $213,836,771.00 $213,836,771.00 $0.00 $172,346,505.00 $171,642,978.00 80.27%
Missouri Total 100.00% 15,026,804 $7,368,815,822 $7,399,153,912 $462,382 $5,979,576,202 $5,973,336,105 80.73%



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