CII FINANCIAL INC
425, 2001-01-08
FIRE, MARINE & CASUALTY INSURANCE
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                                              Filed by CII Financial, Inc.
                                              Pursuant to Rule 425
                                              under the Securities Act of 1933
                                              For:  CII Financial, Inc.
                                              Commission File No.:  333-52726



                               CII FINANCIAL, INC.

                     California Indemnity Insurance Company
                      Commercial Casualty Insurance Company

                  subsidiaries of Sierra Health Services, Inc.

 P.O.Box 15645, Las Vegas, Nevada 89114-5645 tel. 702 242 7046 fax 702 242 4819

                                              January 5, 2001

To Holders of CII Financial, Inc.
7 1/2% Convertible Subordinated Debentures Due September 15, 2001

         The  purpose  of this  letter is to  remind  you of  certain  important
information  regarding  our  pending  offer to  acquire  all of our  outstanding
$47,059,000 principal amount of 7 1/2% Convertible  Subordinated  Debentures Due
September 15, 2001, CUSIP No. 12551LAB7.

         You can choose to exchange your old 7 1/2%  debentures  for either cash
or new debentures.

o             If you choose new  debentures,  you will receive $1,000  principal
              amount of our new 9% senior  subordinated  debentures due 2006 for
              each   $1,000   principal   amount  of  your  old  7  1/2%  junior
              subordinated debentures, plus accrued and unpaid interest in cash.

o             If you choose cash,  you will receive $525 in cash for each $1,000
              principal   amount  of  your  old  7  1/2%   junior   subordinated
              debentures,  plus accrued and unpaid interest in cash. However, we
              will purchase no more than $19.5 million total principal amount of
              old debentures for cash.

         If holders of more than $19.5 million total  principal  amount of old 7
1/2% debentures elect to sell their debentures for cash, we will not have enough
cash to pay for all the debentures  that holders elect to sell. In that case, we
will purchase a total of $19.5 million  principal  amount of debentures for cash
and we will  exchange the balance of your  debentures  for new  debentures.  All
holders who elect to receive cash will be treated equally in this process.

         The offer  expires at 5:00 p.m.,  New York City  time,  on January  25,
2001, unless extended.

         If you want to  participate  in the offer,  you must make the necessary
arrangements  promptly.  In  particular,  if your  debentures are held through a
broker,  dealer, bank, trust company or other nominee, you will need to instruct
this firm to tender the debentures on your behalf. Since this procedure may take
a  considerable  amount of time, you should give these  instructions  as soon as
possible.

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         In  considering  our  offer,  you  should  be  aware  of  a  number  of
    significant   risks  that  will  affect  any  old  debentures   that  remain
    outstanding after expiration of our offer.

o       We, and other  affiliates,  are guarantors of $135 million of loans made
        under credit facilities of our parent, Sierra Health Services. Our old 7
        1/2% debentures  rank junior to our guarantee of the credit  facilities.
        In the event of a default  in payment  on our old  debentures,  Sierra's
        senior  lenders  would have the right to receive  payment in full on our
        guarantee prior to any payment being made on the old debentures.

o       Up to  $47  million  principal  amount  of new  9%  senior  subordinated
        debentures  due 2006  will be  issued.  Any old 7 1/2%  debentures  that
        remain  outstanding  will  rank  junior  to  all of  the  new 9%  senior
        subordinated debentures.

o       There may be no active trading market for any old 7 1/2% debentures that
        remain  outstanding after completion of the offer. As a result,  you may
        have  difficulty  selling your old  debentures  after  expiration of the
        offer.  We intend to list the new 9% senior  subordinated  debentures on
        the New York Stock Exchange.

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         Your old 7 1/2% junior subordinated debentures will mature on September
15, 2001. We are making this offer because,  although our insurance subsidiaries
are solvent,  CII  Financial  has no available  source of cash with which to pay
your old 7 1/2% debentures when they mature.

         We are a holding  company with no significant  operating  assets of our
own. Our  subsidiaries  are regulated  insurance  companies which are restricted
from providing us with dividends or other funds. Currently, our subsidiaries are
prohibited  from  paying any  dividends  to us  without  prior  approval  by the
California  Department  of  Insurance.  We  intend  to seek  approval  from  the
California  Department for our subsidiaries to provide a portion of the funds we
need to complete this offer.

         As many of you know, the California workers' compensation market, where
we conduct more than 77% of our business,  has been severely  impacted in recent
years by intense price competition brought on by changes in applicable insurance
regulations.  Some of our  largest  competitors  are now  facing  bankruptcy  or
receivership  and we  incurred a net loss of $8.5  million  for the nine  months
ended  September 30, 2000.  However,  we have recently seen  improvement  in our
pricing  in  California  as a number  of our  competitors  have  been  forced to
retrench or exit the market altogether.

         In addition,  our parent, Sierra Health Services,  has recently reduced
its senior credit  facilities,  which are guaranteed by us and other affiliates.
On January 2, 2001,  Sierra announced that it sold the majority of its Las Vegas
real estate  holdings and entered into a long-term  lease  arrangement  with the
buyers.  Sierra  received  net cash  proceeds  of $61.7  million and applied $50
million to its credit facilities, which had been fully drawn at $185 million. As
a result,  the size of the credit  facilities and the  outstanding  loan balance
were reduced to $135  million.  Sierra also used $4.3 million of the proceeds to
make required capital contributions to regulated subsidiaries.

         While there can be no assurance of our  conclusion,  we believe we will
be in a better position to repay the new 9% senior subordinated  debentures when
they mature on September  15, 2006 than we are to pay the old 7 1/2%  debentures
on September 15, 2001.  In addition,  we have provided a cash option for holders
who do not wish to exchange their old debentures for new debentures.

         The offer  expires at 5:00 p.m.,  New York City  time,  on January  25,
2001, unless extended.

         The terms of the offer are contained in our Preliminary  Prospectus and
Exchange  Offer,  which  was sent to you  previously.  The offer is  subject  to
certain  conditions,  including  participation by holders of at least 90% of the
outstanding  debentures,  receipt of sufficient financing,  receipt of necessary
approvals  from our  regulators  and  receipt of  necessary  consents  from bank
lenders.

         If you need a copy of the Preliminary  Prospectus or need assistance in
making arrangements to tender your securities, please call the Information Agent
for the offer,  D.F.  King & Co., at (800)  735-3591.  If you have any questions
about the offer,  please call the Dealer Manager for the offer,  Banc of America
Securities, at (888) 292-0070.

         We appreciate your consideration of our offer.

                                    Sincerely,

                                    [GRAPHIC OMITTED][GRAPHIC OMITTED]

                                    Kathleen M. Marlon
                                    Chairman, President,
                                    and Chief Executive Officer


<PAGE>


Additional Information and Where to Find It

         CII  Financial,  Inc.  has  filed a  Registration  Statement  with  the
Securities and Exchange Commission on Form S-4 registering the new debentures to
be issued in the exchange offer. The Registration  Statement and the preliminary
prospectus contained therein contain important  information about CII Financial,
the exchange offer and related  matters.  Security holders are urged to read the
Registration  Statement and the preliminary prospectus contained therein and any
other relevant documents filed by CII Financial with the SEC.

         This  Registration  Statement  has not yet  become  effective.  The new
debentures  may not be sold and,  although  you may tender your old  debentures,
tenders may not be accepted prior to the time the Registration Statement becomes
effective.  This  shall not  constitute  an offer to sell or an offer to buy nor
shall there be any sale of the new  debentures in any State in which such offer,
solicitation or sale would be unlawful.

         Security  holders  are  able  to  obtain  copies  of  the  Registration
Statement  on Form S-4 and the  preliminary  prospectus  and any other  relevant
documents   for  free   through   the  Web  site   maintained   by  the  SEC  at
http://www.sec.gov. In addition, these documents are available free of charge by
contacting  the  Information  Agent for the  offer,  D.F.  King & Co.,  at (800)
735-3591.  If you have any  questions  about the offer,  please  call the Dealer
Manager for the offer, Banc of America Securities, at (888) 292-0070.






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