SIERRA HEALTH SERVICES INC
S-8, 1995-07-07
HOSPITAL & MEDICAL SERVICE PLANS
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  AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON JULY 7, 1995

                                                REGISTRATION NO. 33-______
  ________________________________________________________________________
 
                     SECURITIES AND EXCHANGE COMMISSION
                            WASHINGTON, D.C. 20549
                             ____________________

                                   FORM S-8
                            REGISTRATION STATEMENT
                                    UNDER
                          THE SECURITIES ACT OF 1933
                             ____________________


                           SIERRA HEALTH SERVICES, INC.               
       _______________________________________________________________
            (Exact name of registrant as specified in its charter)

                                    NEVADA                            
       _______________________________________________________________
        (State or other jurisdiction of incorporation or organization)

                                  88-0200415                          
       _______________________________________________________________
                     (I.R.S. Employer Identification No.)


                            2724 North Tenaya Way
                           Las Vegas, Nevada 89128                        
  ________________________________________________________________________
                   (Address of principal executive offices)


                        1995 LONG-TERM INCENTIVE PLAN
                                     AND
                   1995 NON-EMPLOYEE DIRECTORS' STOCK PLAN
                   _______________________________________
                           (Full title of the plan)


                           ANTHONY M. MARLON, M.D.
                           CHIEF EXECUTIVE OFFICER
                         SIERRA HEALTH SERVICES, INC.
                            2724 NORTH TENAYA WAY
                           LAS VEGAS, NEVADA 89128
                               (702) 242-7000                            
  ________________________________________________________________________
               (Name, address and telephone number, including 
                      area code, of agent for service) 
                              _________________
<PAGE>
<PAGE>2

                       CALCULATION OF REGISTRATION FEE

=========================================================================
                                           
                               Proposed     
Title of                       maximum      Proposed
securities      Amount to be   offering     maximum          Amount of 
to be           registered     price        aggregate        registration
registered(1)      (1)         per share    offering price   fee  
_________________________________________________________________________
                                                 
Common Stock,     627,000      $25.125(2)   $15,753,375      $ 5,432.20  
   par value      shares       $24.375(3)   $25,545,000      $ 8,808.62   
   $.005 per                                                 Total Amount
   share        1,048,000                                    of Fee:
                  shares                                     $14,240.82
=========================================================================

  (1)     The number of shares being registered shall be adjusted to
          include any additional shares described in Rule 416(a) which may
          become issuable pursuant to the 1995 Long-Term Incentive Plan or
          the 1995 Non-Employee Directors' Stock Plan.

  (2)     Computed pursuant to paragraph (h) of Rule 457 for the purpose of
          calculating the registration fee, based upon the price at which
          outstanding options may be exercised.

  (3)     Estimated pursuant to paragraphs (c) and (h) of Rule 457 solely
          for the purpose of calculating the registration fee, based upon
          the average of the reported high and low sales prices for shares
          of Common Stock as reported on the New York Stock Exchange
          Composite Tape for July 3, 1995.

<PAGE>
<PAGE>3

                              EXPLANATORY NOTES
                              _________________

        Under the 1995 Long-Term Incentive Plan (the "1995 LTIP"), the
   number of shares of Common Stock reserved and available for issuance
   upon exercise of options and other stock-related awards (collectively,
   "Awards") granted pursuant to the 1995 LTIP is 1,200,000 plus the number
   of shares reserved for the grant of awards under the Company's Second
   Amended and Restated 1986 Stock Option Plan and the Company's Second
   Restated Capital Accumulation Plan which have not been and will not be
   issued under those Plans (approximately 15,000 shares and 400,000
   shares, respectively).

        Under the 1995 Non-Employee Directors' Stock Plan, the number of
   shares of Common Stock reserved and available for issuance is 60,000. 
   The number of shares reserved and available for issuance under the 1995
   LTIP and 1995 Non-Employee Directors' Stock Plan is subject to
   adjustment upon the occurrence of certain changes affecting the Common
   Stock, including stock splits and stock dividends.

        This Registration Statement includes a form of prospectus to be
   used by certain persons who may be deemed to be affiliates of the
   Company in connection with the resale of shares of Common Stock received
   by such persons pursuant to the Company's 1995 LTIP and the 1995 Non-
   Employee Directors' Stock Plan which shares are being registered
   pursuant to this Registration Statement.

<PAGE>
 <PAGE>

                                    PART I

             INFORMATION REQUIRED IN THE SECTION 10(A) PROSPECTUS

   ITEM 1.     PLAN INFORMATION*

   ITEM 2.     REGISTRANT INFORMATION AND EMPLOYEE PLAN ANNUAL INFORMATION*

        * Information required by Part I to be contained in the Section
          10(a) prospectus is omitted from this Registration Statement in
          accordance with Rule 428 under the Securities Act of 1933, as
          amended, and the introductory Note to Part I of Form S-8.

<PAGE>
<PAGE>1
                                  Prospectus


                              1,675,000  Shares

                         SIERRA HEALTH SERVICES, INC.

                                 Common Stock
                              __________________

      This Prospectus relates to the offer and sale of up to 1,675,000 shares
   (the "Shares") of Common Stock, $.005 par value (the "Common Stock"), of
   Sierra Health Services, Inc., a Nevada corporation (the "Company").  The
   Common Stock offered hereby will be acquired by the Selling Stockholders
   upon the exercise of options and in connection with other stock-related
   awards (collectively, "Awards") granted under the 1995 Long-Term
   Incentive Plan and the 1995 Non-Employee Directors' Stock Plan of the
   Company.  All of the Common Stock offered hereby may be sold from time
   to time by and for the accounts of the selling stockholders named in
   this Prospectus or in a supplement to this Prospectus (the "Selling
   Stockholders").  See "Selling Stockholders."  The methods of sale of the
   Common Stock offered hereby are described under the heading "Plan of
   Distribution."  The Company will receive none of the proceeds from such
   sales.  The Company will pay all expenses in connection with this
   offering, other than commissions and discounts of underwriters, dealers
   or agents. 

      The Selling Stockholders and any broker-dealers that participate in 
   the distribution of the Common Stock offered hereby may be deemed to be
   "underwriters" within the meaning of the Securities Act of 1933, as
   amended (the "1933 Act"), and any commission or profit on the resale of
   shares received by such broker-dealers may be deemed to be underwriting
   commissions and discounts under the 1933 Act.  Upon the Company's being
   notified by a Selling Stockholder that any material arrangement has been
   entered into with a broker or dealer for the sale of shares through a
   secondary distribution, or a purchase by a broker or dealer, a
   supplemental Prospectus will be filed, if required, disclosing among
   other things the names of any such broker-dealer, the number of shares
   involved, the price at which such shares are being sold and the
   commissions paid or the discounts or concessions allowed to any such
   broker-dealer.

      There is no assurance that any of the Selling Stockholders will sell
   any or all of the Shares.  The Common Stock of the Company is listed on 
   the New York Stock Exchange.  On July 3, 1995, the closing price of the
   Common Stock was $24.50 per share.
                         ____________________________

           THESE SECURITIES HAVE NOT BEEN APPROVED OR DISAPPROVED 
            BY THE SECURITIES AND EXCHANGE COMMISSION OR ANY STATE
          SECURITIES COMMISSION NOR HAS THE SECURITIES AND EXCHANGE
                 COMMISSION OR ANY STATE SECURITIES COMMISSION
                 PASSED UPON THE ACCURACY OR ADEQUACY OF THIS
                    PROSPECTUS.  ANY REPRESENTATION TO THE
                       CONTRARY IS A CRIMINAL OFFENSE.
                         ____________________________

                 The date of this Prospectus is July 7, 1995
<PAGE>
<PAGE>2

        No person has been authorized to give any information or to make
   any representation other than those contained in, or incorporated by
   reference into, this Prospectus, and, if given or made, such information
   or representations must not be relied upon as having been authorized by
   the Company or any Selling Stockholder.  This Prospectus does not
   constitute an offer to sell or solicitation of an offer to buy, nor
   shall there be any sale of these securities by anyone, in any state in
   which such offer, solicitation or sale would be unlawful prior to the
   registration or qualification under the securities laws of any state, or
   in which the person making such offer, solicitation or sale is not
   qualified to do so, or to any person to whom it is unlawful to make such
   offer, solicitation or sale.  Neither delivery of this Prospectus nor
   any sale made hereunder shall, under any circumstances, create any
   implication that there has been no change in the information herein or
   the affairs of the Company since the date hereof.


                            AVAILABLE  INFORMATION

        The Company is subject to the informational requirements of the
   Securities Exchange Act of 1934, as amended (the "1934 Act"), and in
   accordance therewith files periodic reports, proxy statements and other
   information with the Securities and Exchange Commission (the
   "Commission").  Such reports, proxy statements and other information
   concerning the Company may be inspected and copied at the Commission's
   Public Reference Section, Room 1024, 450 Fifth Street, N.W., Judiciary
   Plaza, Washington, D.C. 20549, where copies may be obtained at
   prescribed rates, as well as at the following regional offices:
   Northeast Regional Office, 7 World Trade Center, Suite 1300, New York,
   New York 10048; and Midwest Regional Office, Northwest Atrium Center,
   500 West Madison Street, Suite 1400, Chicago, Illinois 60661-2511.  The
   Common Stock is listed on the New York Stock Exchange.  Copies of
   reports, proxy statements and other information concerning the Company
   may also be inspected at the office of such Exchange, 20 Broad Street,
   New York, New York 10005.

        A registration statement on Form S-8 with respect to the shares of
   the Common Stock offered by this Prospectus (the "Registration
   Statement") has been filed with the Commission under the 1933 Act.  This
   Prospectus constitutes the Prospectus of the Company that is filed as
   part of such Registration Statement.  As permitted by the rules and
   regulations of the Commission, this Prospectus omits certain information
   contained in the Registration Statement and reference is hereby made to
   the Registration Statement for further information with respect to the
   Company and the Common Stock.  

<PAGE>
<PAGE>3

               INCORPORATION OF CERTAIN DOCUMENTS BY REFERENCE

        The following documents filed by the Company with the Commission
   pursuant to the Securities Exchange Act of 1934, as amended (the
   "Exchange Act") are incorporated herein by reference:

        1.     The Company's Annual Report on Form 10-K for the Company's
               fiscal year ended December 31, 1994;

        2.     The Company's Quarterly Report on Form 10-Q for the fiscal
               quarter ended March 31, 1995;

        3.     The Company's Current Reports on Form 8-K filed with the
               Commission on March 2, 1995 and June 21, 1995 (as amended on
               June 22, 1995); 

        4.     The description of the Company's Common Stock contained in
               the Company's Registration Statement on Form 8-A filed
               pursuant to the Exchange Act on March 31, 1994, and
               effective on April 14, 1994; and

        5.     The description of certain rights attaching to the Company's
               Common Stock to purchase Series A Junior Participating
               Preferred Stock contained in the Company's Registration
               Statement on Form 8-A filed pursuant to the Exchange Act on
               July 1, 1994.

        All reports and other documents filed by the Company with the
   Commission pursuant to Sections 13(a), 13(c), 14 or 15(d) of the
   Exchange Act subsequent to the date of this Prospectus and prior to the
   termination of the offering of the Shares shall be deemed to be
   incorporated herein by reference and to be a part hereof from the date
   of the filing of such documents.  Any statement contained herein or in a
   document all or a portion of which is incorporated or deemed to be
   incorporated by reference herein shall be deemed to be modified or
   superseded for purposes of this Prospectus to the extent that a
   statement contained herein or in any other subsequently filed document
   which also is or is deemed to be incorporated by reference herein
   modifies or supersedes such statement.  Any such statement so modified
   or superseded shall not be deemed, except as so modified or superseded,
   to constitute a part of this Prospectus.

        The Company will provide without charge to each person to whom a
   copy of this Prospectus has been delivered, on the written or oral
   request of such person, a copy of any and all of the information that
   has been or may be incorporated by reference in this Prospectus (not
   including exhibits to the information that is incorporated by reference
   unless such exhibits are specifically incorporated by reference into the
   information that this Prospectus incorporates).  Written requests for
   such copies should be directed to Sierra Health Services, Inc., 2724
   North Tenaya Way, Las Vegas, Nevada 89128, Attention:  Secretary. 
   Telephone requests may be directed to the Secretary at (702) 242-7189.
<PAGE>
<PAGE>4
                                 THE COMPANY

        The Company is a managed health care company that provides and
   administers the delivery of comprehensive health care programs with an
   emphasis on quality care and cost management. The Company's strategy has
   been to develop and offer a portfolio of managed health care products to
   employer groups and individuals. The Company's broad range of managed
   health care services is provided through its federally qualified health
   maintenance organization ("HMO"), managed indemnity plans, a third-party
   administrative services program for employer-funded health benefit plans
   and workers' compensation medical management programs. Ancillary
   products and services that complement the Company's managed health care
   product lines are also offered. 

        The Company's primary types of coverage are an HMO plan and a
   managed indemnity plan, which includes a preferred provider organization
   ("PPO") option. In 1994, the Company enhanced its product line by
   introducing the first HMO Point of Service plan in Nevada. This new
   product allows members to choose one of the above coverage options when
   medical services are required instead of one plan for the entire year. 

        In June 1995, the Company, its wholly-owned subsidiary, Health
   Acquisition Corp., and CII Financial, Inc. ("CII") entered into an
   Agreement and Plan of Merger, pursuant to which Health Acquisition Corp.
   will be merged with and into CII.  As a result of the transaction, each
   outstanding share of common stock of CII will be converted into 0.37 of
   a share of Common Stock of the Company and CII will become a wholly-
   owned subsidiary of the Company.  CII is a holding company primarily
   engaged in writing workers' compensation insurance through its wholly-
   owned subsidiaries.  CII also has two operating insurance agencies and
   an insurance premium finance business.  CII writes workers' compensation
   insurance primarily in the state of California and also in the states
   of Colorado, Nebraska, New Mexico and Utah.

        The Company, a Nevada corporation, has principal executive offices
   at 2724 North Tenaya Way, Las Vegas, Nevada 89128 and its telephone
   number is (702) 242-7000.

                                   PROCEEDS

        The Company will not receive any of the proceeds from the sale of
   the Shares by the Selling Stockholders.


                             SELLING STOCKHOLDERS

        The Selling Stockholders are officers and directors of the Company
  and may be deemed to be "affiliates" of the Company within the meaning
  of the 1933 Act.  The following table and text shows as to each Selling
  Stockholder:  the name of the Selling Stockholder, the nature of any
  position, office or other material relationship with the Company or its
  affiliates within the past three years; the number of shares of the
  outstanding Common Stock of the Company owned as of May 31, 1995; the
  number of such shares which may be sold for the account of the Selling
  Stockholder; and the number of such shares and percentage of the
  outstanding shares of such class that will be owned by the Selling
  Stockholder assuming the sale of all shares offered hereby.
  <PAGE>
<PAGE>5

                                 Number of                         Percentage
                                 Shares     Shares    Number of    of Shares
                                 Owned      Which     Shares       Owned
                                 Before     May       Owned        After   
Selling Stockholder              Sale 1/    Be Sold   After Sale   Sale
_______________________________  ________   _______   __________   __________

Frank E. Collins                 148,552    100,000      48,552       2/
Secretary and General Counsel
(Executive Officer since 
 June 1986)

William R. Godfrey                65,072         --          --       2/
Vice President, 
Administrative Services 
(Executive Officer since 
 October 1984)

Thomas Y. Hartley                 10,000         --          --       2/
Director 
(Director since June 1992)

Larry S. Howard                  121,915     90,000      31,915       2/
Vice President, HMO and 
Insurance Operations
(Executive Officer since 
 December 1992)

Erin E. MacDonald                239,879    100,000     139,879       2/
President and Chief Operating 
Officer and Director
(Director since December 1992 
 and Executive Officer since 
 August 1994)

Anthony M. Marlon, M.D.        2,670,334    100,000   2,570,334     17.46%
Chairman of the Board and
Chief Executive Officer
and Director
(Executive Officer and 
 Director since June 1984)3/

Michael A. Montalvo               70,337     50,000      20,337       2/
Vice President, Marketing, 
Sales and Underwriting
Operations
(Executive Officer since 
 April 1993)

<PAGE>
<PAGE>6

William J. Raggio                 27,200         --          --       2/
Director 
(Director since 
 September 1984)

Jerry D. Reeves, M.D.             42,426         --          --       2/
Vice President, Health Care
Operations
(Executive Officer since 
 January 1993)

Charles L. Ruthe                  12,100         --          --       2/
Director 
(Director since September 1984)

Marie H. Soldo
Vice President, Government       157,495    100,000      57,495       2/
Affairs and Special Projects 
(Executive Officer since
 September 1984)

James L. Starr                    66,615     50,000      16,615       2/
Vice President, Chief Financial
Officer and Treasurer
(Executive Officer since August 1994)


  1/  Shares issuable to the Selling Stockholders upon exercise of
  currently outstanding options under the 1995 Long-Term Incentive Plan,
  1986 Stock Option Plan of the Company, and under other employee benefit
  plans of the Company, whether or not presently exercisable, are
  included.

  2/  Less than one percent.

  3/  Includes 690,482 shares held indirectly through the Marlon Family
  Trust ("Family Trust"), 1,783,852 shares held indirectly through a total
  of eleven other trusts (the "Eleven Trusts"), and 1,000 shares held
  indirectly through a limited partnership (the "Partnership") in which
  Dr. Marlon and his wife are the only limited partners and general
  partners.  Dr. Marlon as managing general partner of the Partnership,
  has sole voting and dispositive power over the shares held by the
  Partnership.  Dr. Marlon and his wife are co-trustees of the Family
  Trust, and Dr. Marlon may be deemed to have voting and dispositive power
  over the shares held by the Family Trust and, therefore, to have
  beneficial ownership with respect to such shares.  Erin E. MacDonald,
  President, Chief Operating Officer and a director of the Company is the
  trustee or, together with Dr. Marlon, a co-trustee of each of the Eleven
  Trusts.  Although the trustee/co-trustees of each of the Eleven Trusts
  have express power to vote and dispose of the shares held in the
  respective trusts, either of Dr. Marlon or Ms. MacDonald may be deemed
  to have or share voting power and/or dispositive power over the shares
  held by the Eleven Trusts and, therefore, to have beneficial ownership
  with respect to such shares.  Dr. Marlon disclaims beneficial ownership
  as to the shares held by the Eleven Trusts and 500 of the shares held by
  the Partnership.

<PAGE>
<PAGE>7
                             PLAN OF DISTRIBUTION

        The Shares may be sold by Selling Stockholders or by their
   respective pledges, donees, transferees or other successors in interest. 
   Such sales may be made on one or more exchanges or in the over-the-
   counter market, or otherwise at prices and at terms then prevailing or
   at prices related to the then-current market price, or in negotiated
   transactions.  The Shares may be sold by one or more of the following
   methods, without limitation:  (a) a block trade in which the broker or
   dealer so engaged will attempt to sell the shares as agent but may
   position and resell a portion of the block as principal to facilitate
   the transaction; (b) purchases by a broker or dealer as principal and
   resale by such broker or dealer for its account pursuant to this
   Prospectus; (c) ordinary brokerage transactions and transactions in
   which the broker solicits purchasers; (d) an exchange distribution in
   accordance with the rules of such exchange; and (e) face-to-face
   transactions between sellers and purchasers without a broker-dealer.  In
   effecting sales, brokers or dealers engaged by the Selling Stockholders
   may arrange for other brokers or dealers to participate.  Brokers or
   dealers may receive commissions or discounts from Selling Stockholders
   in amounts to be negotiated immediately prior to the sale.  Such brokers
   or dealers and any other participating brokers or dealers may be deemed
   to be "underwriters" within the meaning of the 1933 Act, in connection
   with such sales.  

        Upon the Company's being notified by a Selling Stockholder that any
   material arrangement has been entered into with a broker or dealer for
   the sale of Shares through a secondary distribution, or a purchase by a
   broker or dealer, a supplemented Prospectus will be filed, if required,
   pursuant to Rule 424(b) under the 1933 Act, disclosing (a) the name of
   each of such Selling Stockholder and the participating broker-dealers,
   (b) the number of Shares involved, (c) the price at which such Shares
   are being sold, (d) the commissions paid or the discounts or concessions
   allowed to such broker-dealers, (e) where applicable, that such broker-
   dealers did not conduct any investigation to verify the information set
   out or incorporated by reference in this Prospectus, as supplemented,
   and (f) other facts material to the transaction.

        In addition to any such number of Shares sold hereunder, a Selling
   Stockholder may, at the same time, sell any shares of Common Stock,
   including the Shares, owned by him in compliance with all of the
   requirements of Rule 144, regardless of whether such shares are covered
   by this Prospectus.

        There is no assurance that any of the Selling Stockholders will
   sell any or all of the Shares offered hereby.

        The Company will pay all expenses in connection with this offering,
   other than commissions and discounts of underwriters, dealers or agents.


                               INDEMNIFICATION

        Section 78.751 of the Nevada Domestic and Foreign Corporation Law
   and Article VII of the Company's By-laws provide for the indemnification
   under certain conditions of directors, officers, employees and agents
   acting in their official capacities.
<PAGE>
<PAGE>8

        The Company has not entered into separate indemnification
   agreements with any of its officers or directors.

        The Company has purchased directors' and officers' liability
   insurance providing aggregate coverage in the maximum annual amount of
   $10 million, subject to certain deductibles and participation
   requirements, insuring the Company's officers and directors against
   certain liabilities and expenses incurred by such persons in such
   capacities.

        Insofar as indemnification for liabilities arising under the 1933
   Act may be permitted to directors, officers or persons controlling the
   registrant pursuant to the foregoing provisions, the Company has been
   informed that in the opinion of the Securities and Exchange Commission
   such indemnification is against public policy as expressed in the Act
   and is therefore unenforceable.
<PAGE>
<PAGE>1
                                   PART II

              INFORMATION REQUIRED IN THE REGISTRATION STATEMENT

   ITEM 3.   INCORPORATION OF DOCUMENTS BY REFERENCE

        The following documents filed with the Securities and Exchange
   Commission (the "Commission") by Sierra Health Services, Inc. (the
   "Company") are incorporated herein by reference:

        (a)  The Company's latest Annual Report on Form 10-K for the fiscal
   year ended December 31, 1994, filed pursuant to Section 13(a) of the
   Securities Exchange Act of 1934, as amended (the "Exchange Act").

        (b)  The Company's Quarterly Report on Form 10-Q for the fiscal
   quarter ended March 31, 1995.

        (c)  The Company's Current Reports on Form 8-K filed with the
   Commission on March 2, 1995 and June 21, 1995 (as amended on June 22,
   1995).

        (d)  All other reports filed by the Company pursuant to Section
   13(a) or 15(d) of the Exchange Act since the end of the fiscal year
   covered by the Annual Report referenced in Item 3(a) above.

        (e)  The description of the Company's Common Stock contained in the
   Company's Registration Statement on Form 8-A filed pursuant to the
   Exchange Act on March 31, 1994, and effective on April 14, 1994.

        (f)  The description of certain rights attaching to the Company's
   Common Stock to purchase Series A Junior Participating Preferred Stock
   contained in the Company's Registration Statement on Form 8-A filed
   pursuant to the Exchange Act on July 1, 1994.

        In addition, all reports and other documents filed by the Company
   after the date of this Registration Statement pursuant to Sections
   13(a), 13(c), 14 and 15(d) of the Exchange Act prior to the filing of a
   post-effective amendment which indicates that all securities offered
   have been sold or which deregisters all securities then remaining unsold
   shall be deemed to be incorporated by reference herein and to be a part
   hereof from the date of the filing of such reports and documents.

        Any statement contained herein or in a document all or a portion of
   which is incorporated or deemed to be incorporated by reference herein
   shall be deemed to be modified or superseded for purposes of this
   Registration Statement to the extent that a statement contained herein
   or in any other subsequently filed document which also is or is deemed
   to be incorporated by reference herein modifies or supersedes such
   statement.  Any such statement so modified or superseded shall not be


                                     II-1
<PAGE>
<PAGE>2

   deemed, except as so modified or superseded, to constitute a part of
   this Registration Statement.

   ITEM 4.   DESCRIPTION OF SECURITIES

        Not applicable.

   ITEM 5.   INTERESTS OF NAMED EXPERTS AND COUNSEL

        Not applicable.

   ITEM 6.   INDEMNIFICATION OF DIRECTORS AND OFFICERS

        Section 78.751 of the Nevada Domestic and Foreign Corporation Law
   and Article VII of the Company's By-laws provide for the indemnification
   under certain conditions of directors, officers, employees and agents
   acting in their official capacities.

        The Company has not entered into separate indemnification
   agreements with any of its officers or directors.

        The Company has purchased directors' and officers' liability
   insurance providing aggregate coverage in the maximum annual amount of
   $10 million, subject to certain deductibles and participation
   requirements, insuring the Company's officers and directors against
   certain liabilities and expenses incurred by such persons in such
   capacities.

   ITEM 7.   EXEMPTION FROM REGISTRATION CLAIMED

        Not applicable.


                                     II-2
<PAGE>
<PAGE>3

   ITEM 8.   EXHIBITS

         4.1 Articles of Incorporation, together with amendments thereto to
             date, incorporated by reference to Exhibit 3 to the Company's
             Annual Report on Form 10-K for the fiscal year ended December
             31, 1990.

         4.2 Certificate of Division of Shares into Smaller Denominations
             of the registrant, incorporated by reference to Exhibit 3.3 to
             the Company's Annual Report on Form 10-K for the fiscal year
             ended December 31, 1992.

         4.3 Amended and Restated By-Laws of the Company, incorporated by
             reference to Exhibit 3.3 to the Company's Annual Report on
             Form 10-K for the fiscal year ended December 31, 1994.

         4.4 Rights Agreement, dated as of June 14, 1994 between the
             Company and Continental Stock Transfer & Trust Company,
             incorporated by reference to Exhibit 3.4 to the Company's
             Registration Statement on Form S-3 effective October 11, 1994
             (Reg. No. 33-83664).

         5   Opinion of Morgan, Lewis & Bockius.

        23.1 Consent of Deloitte & Touche LLP.

        23.2 Consent of Morgan, Lewis & Bockius (included in Exhibit 5).

        24   Powers of Attorney (included on page II-4 of this
             Registration Statement).

   ITEM 9.   UNDERTAKINGS

        (a)  The undersigned registrant hereby undertakes:

             (1)  To file, during any period in which offers or sales are
        being made of the securities registered hereby, a post-effective
        amendment to this Registration Statement:

                  (i)  To include any prospectus required by Section
             10(a)(3) of the Securities Act of 1933, as amended (the
             "Securities Act");

                  (ii) To reflect in the prospectus any facts or events
             arising after the effective date of the registration statement
             (or the most recent post-effective amendment thereof) which,
             individually or in the aggregate, represent a fundamental
             change in the information set forth in this Registration
             Statement; and


                                     II-3
<PAGE>
<PAGE>4

                  (iii) To include any material information with respect to
             the plan of distribution not previously disclosed in this
             registration statement or any material change to such
             information in this Registration Statement;

        provided, however, that the undertakings set forth in paragraphs
        (a)(1)(i) and (a)(1)(ii) above do not apply if the information
        required to be included in a post-effective amendment by those
        paragraphs is contained in periodic reports filed by the registrant
        pursuant to Section 13 or Section 15(d) of the Exchange Act that
        are incorporated by reference in this Registration Statement.

             (2)  That, for the purpose of determining any liability under
        the Securities Act, each such post-effective amendment shall be
        deemed to be a new registration statement relating to the
        securities offered therein, and the offering of such securities at
        that time shall be deemed to be the initial bona fide offering
        thereof.

             (3)  To remove from registration by means of a post-effective
        amendment any of the securities being registered which remain
        unsold at the termination of the offering.

        (b)  The undersigned registrant hereby undertakes that, for
   purposes of determining any liability under the Securities Act, each
   filing of the Company's annual report pursuant to Section 13(a) or
   Section 15(d) of the Exchange Act (and, where applicable, each filing of
   an employee benefit plan's annual report pursuant to Section 15(d) of
   the Exchange Act) that is incorporated by reference in the Registration
   Statement shall be deemed to be a new registration statement relating to
   the securities offered herein, and the offering of such securities at
   that time shall be deemed to be the initial bona fide offering thereof.

        (h)  Insofar as indemnification for liabilities arising under the
   Securities Act may be permitted to directors, officers and controlling
   persons of the Company pursuant to the provisions of Item 6 of this
   Registration Statement, or otherwise, the Company has been advised that
   in the opinion of the Commission such indemnification is against public
   policy as expressed in the Act and is, therefore, unenforceable.  In the
   event that a claim for indemnification against such liabilities (other
   than the payment by the Company of expenses incurred or paid by a
   director, officer or controlling person of the Company in the successful
   defense of any action, suit or proceeding) is asserted by such director,
   officer or controlling person in connection with the securities being
   registered, the Company will, unless in the opinion of its counsel the
   matter has been settled by controlling precedent, submit to a court of
   appropriate jurisdiction the question whether such indemnification by it
   is against public policy as expressed in the Act and will be governed by
   the final adjudication of such issue.


                                     II-4
<PAGE>
<PAGE>5
                                  SIGNATURES

        Pursuant to the requirements of the Securities Act, the Company
   certifies that it has reasonable grounds to believe that it meets all of
   the requirements for filing on Form S-8 and has duly caused this
   Registration Statement to be signed on its behalf by the undersigned,
   thereunto duly authorized, in the City of Las Vegas, State of Nevada, on
   the 6th day of July, 1995.
                                           SIERRA HEALTH SERVICES, INC.

                                           By Anthony M. Marlon, M.D.       
                                             _______________________________
                                                Anthony M. Marlon, M.D.
                                                Chief Executive Officer

                              POWERS OF ATTORNEY

        KNOW ALL PERSONS BY THESE PRESENTS, that each person whose
   signature appears below constitutes and appoints Anthony M. Marlon, M.D.
   and Erin MacDonald and each of them as his or her true and lawful
   attorneys-in-fact and agents, with full power of substitution and
   resubstitution, for him or her and in his or her name, place and stead,
   in any and all capacities, to sign any and all amendments (including
   post-effective amendments) and supplements to this Registration
   Statement, and to file the same with the Commission, granting unto said
   attorneys-in-fact and agents, and each of them, full power and authority
   to do and perform each and every act and thing requisite and necessary
   to be done in connection therewith, as fully to all intents and purposes
   as he or she might or could do in person, hereby ratifying and
   confirming all that said attorneys-in-fact and agents, or any of them or
   their substitute or substitutes, may lawfully do or cause to be done by
   virtue hereof.

        Pursuant to the requirements of the Securities Act, this
   Registration Statement has been signed below by the following persons on
   behalf of the Company in the capacities and on the date indicated.

   SIGNATURE                     TITLE                              DATE

   Anthony M. Marlon, M.D.     Chairman of the Board and
   _________________________   Chief Executive Officer
   Anthony M. Marlon, M.D.     (Principal Executive Officer)    July  6, 1995
   
                               Vice President of Finance, 
   James L. Starr              Chief Financial Officer and
   _________________________   Treasurer (Principal Financial
   James L. Starr              Officer and Principal
                               Accounting Officer)              July  6, 1995
                                  
   _________________________   Director
   Thomas Y. Hartley

   Erin E. MacDonald           
   _________________________   Director                         July  6, 1995
   Erin E. MacDonald

   William J. Raggio           
   _________________________   Director                         July  6, 1995
   William J. Raggio

   Charles L. Ruthe            
   _________________________   Director                         July  6, 1995
   Charles L. Ruthe
                                     II-5
<PAGE>
<PAGE>6
                                EXHIBIT INDEX

   Exhibit                                                             Page
   Number              Document                                      Number
   _______             ________                                      ______

    4.1      Articles of Incorporation, together with amendments
             thereto to date, incorporated by reference to
             Exhibit 3 to the Company's Annual Report on Form 10-
             K for the fiscal year ended December 31, 1990.

    4.2      Certificate of Division of Shares into Smaller
             Denominations of the registrant, incorporated by
             reference to Exhibit 3.3 to the Company's Annual
             Report on Form 10-K for the fiscal year ended
             December 31, 1992.

    4.3      Amended and Restated By-Laws of the Company,
             incorporated by reference to Exhibit 3.3 to the
             Company's Annual Report on Form 10-K for the fiscal
             year ended December 31, 1994.

    4.4      Rights Agreement, dated as of June 14, 1994 between
             the Company and Continental Stock Transfer & Trust
             Company, incorporated by reference to Exhibit 3.4 to
             the Company's Registration Statement on Form S-3
             effective October 11, 1994 (Reg. No. 33-83664).

    5        Opinion of Morgan, Lewis & Bockius.

   23.1      Consent of Deloitte & Touche LLP.

   23.2      Consent of Morgan, Lewis & Bockius (included in
             Exhibit 5).

   24        Powers of Attorney (included on page II-4 of
             this Registration Statement).




                                     II-6


                                                                  EXHIBIT 5

                           MORGAN, LEWIS & BOCKIUS

                              COUNSELORS AT LAW
  PHILADELPHIA              801 SOUTH GRAND AVENUE               WASHINGTON
  NEW YORK            LOS ANGELES, CALIFORNIA 90017-3189        LOS ANGELES
  MIAMI                   TELEPHONE:  (213) 612-2500             HARRISBURG
  PRINCETON                  FAX:  (213) 612-2554                    LONDON
  BRUSSELS                                                        FRANKFURT
                                                                      TOKYO

                                     July 7, 1995


  Sierra Health Services, Inc.
  2724 North Tenaya Way
  Las Vegas, Nevada  89128

            Re:  Sierra Health Services, Inc. 
                 1995 Long-Term Incentive Plan and 
                 1995 Non-Employee Directors' Stock
                 Plan Registration Statement on Form S-8
                 _______________________________________

  Ladies and Gentlemen:

            We have acted as special counsel to Sierra Health Services, Inc.,
  a Nevada corporation (the "Company"), in connection with the filing of a
  Registration Statement on Form S-8, including the exhibits thereto (the
  "Registration Statement"), under the Securities Act of 1933, as amended
  (the "Act"), for the registration by the Company of 1,675,000 shares
  (the "Shares") of Common Stock, par value $.005 per share, issuable
  pursuant to the Company's 1995 Long-Term Incentive Plan and 1995 
  Non-Employee Directors' Stock Plan (collectively, the "Plans").

            In connection with this opinion, we have examined originals,
  or copies certified or otherwise identified to our satisfaction, of the
  Registration Statement and the Plans and such other documents and
  records as we have deemed necessary.  We have assumed that (i) the
  Registration Statement, and any amendments thereto, will have become
  effective; and (ii) all Shares will be issued in compliance with
  applicable federal and state securities laws.  

            With respect to the issuance of any Shares, we have assumed
  that the Shares will be issued, and the certificates evidencing the same
  will be duly delivered, in accordance with the terms of the respective 
  Plans and against receipt of the consideration stipulated therefor which
  will be no less than the par value thereof.

            Based upon the foregoing, we are of the opinion that the
  Shares have been duly authorized and, when issued and paid for in
  accordance with the terms of the respective Plans, will be validly issued,
  fully paid and non-assessable.
<PAGE>
<PAGE>2


  Sierra Health Services, Inc.
  July 7, 1995
  Page 2




            We express no opinion as to any laws other than the Nevada
  General Corporation Law and the federal laws of the United States of
  America.

            We consent to the filing of this opinion as an exhibit to the
  Registration Statement.  In giving this consent, we do not admit that we
  are acting within the category of persons whose consent is required
  under Section 7 of the Act.

                                     Very truly yours,

                                     MORGAN, LEWIS & BOCKIUS




                                                               EXHIBIT 23.1



  INDEPENDENT AUDITORS' CONSENT

  We consent to the incorporation by reference in this Registration
  Statement of Sierra Health Services, Inc. on Form S-8 of our report dated
  February 10, 1995, appearing in the Annual Report on Form 10-K of Sierra
  Health Services, Inc. for the year ended December 31, 1994.

  Deloitte & Touche LLP
  _________________________
  DELOITTE & TOUCHE LLP


  Las Vegas, Nevada
  July 6, 1995



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