SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2021 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 39.87% 39,114 $521,969,910.00 $522,020,688.00 $0.00 $420,565,227.00 $413,961,582.00 79.30%
Missouri Total 100.00% 121,617 $1,309,303,512 $1,335,571,289 $0 $1,139,631,211 $1,111,581,957 83.23%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2021 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 4.31% 39,114 $521,969,910.00 $522,020,688.00 $0.00 $420,565,227.00 $413,961,582.00 79.30%
Missouri Total 100.00% 19,306,788 $12,117,109,089 $12,162,834,670 $12,444,904 $10,542,214,819 $10,004,580,052 82.26%



SIERRA HEALTH AND LIFE INSURANCE COMPANY INC

2021 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 6.87% 39,114 $521,969,910.00 $522,020,688.00 $0.00 $420,565,227.00 $413,961,582.00 79.30%
Missouri Total 100.00% 17,248,675 $7,594,911,339 $7,618,085,733 $1,103,538 $6,951,838,739 $6,341,675,193 83.24%



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