SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2019 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 34.81% 35,869 $430,762,780.00 $430,728,752.00 $0.00 $356,077,521.00 $381,360,145.00 88.54%
Missouri Total 100.00% 91,088 $1,237,347,873 $1,214,378,857 $0 $1,006,704,871 $1,039,887,722 85.63%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2019 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 3.83% 35,869 $430,762,780.00 $430,728,752.00 $0.00 $356,077,521.00 $381,360,145.00 88.54%
Missouri Total 100.00% 18,510,813 $11,250,055,375 $11,264,934,165 $10,211,045 $8,998,120,067 $9,109,306,437 80.86%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2019 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 5.52% 35,869 $430,762,780.00 $430,728,752.00 $0.00 $356,077,521.00 $381,360,145.00 88.54%
Missouri Total 100.00% 16,253,060 $7,800,314,473 $7,835,962,961 $673,020 $6,329,250,405 $6,392,782,880 81.58%



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