CII FINANCIAL INC
425, 2001-01-19
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

                                  PRESS RELEASE

FOR IMMEDIATE RELEASE

CONTACTS:        John F. Okita                 Andrew C. Karp
                 Chief Financial Officer       Managing Director
                 (702) 242-7531                Banc of America Securities LLC
                                               High Yield Special Products
                                               (704) 388-4813 or (888) 292-0070

                  CII FINANCIAL ANNOUNCES EXTENSION OF EXCHANGE
                 OFFER FOR CONVERTIBLE SUBORDINATED DEBENTURES

         Las Vegas,  January 19, 2001 - CII Financial,  Inc. today announced the
extension of its pending exchange offer for all $47 million of its outstanding
7 1/2%  convertible  subordinated debentures  due  September 15, 2001 (CUSIP No.
12551LAB7).  Under the offer,  holders can choose to  exchange  their old 7 1/2%
junior subordinated debentures for either new debentures or cash.

         The Company said the  registration  statement  filed in connection with
the exchange offer is being  reviewed by the Securities and Exchange  Commission
and that,  consequently,  the  expiration  date for the exchange  offer has been
extended from 5:00 p.m.,  New York City time, on January 25, 2001, to 5:00 p.m.,
New York City time,  on February 12,  2001.  The Company said all other terms of
the offer remain unchanged.

         The Company said that as of 5:00 p.m.,  New York City time,  on January
18, 2001,  it had  received  tenders  from  holders of  $1,494,000  in aggregate
principal amount of junior subordinated debentures.

         The  complete  terms of the  offer  are  contained  in the  Preliminary
Prospectus and Exchange Offer dated December 26, 2000.

         Banc of America Securities LLC is the exclusive dealer manager for the
offer.  D.F. King & Co., Inc. is the information
agent and Wells Fargo Corporate Trust is the depositary.  Copies of the
Preliminary Prospectus and Exchange Offer may be obtained by
calling D.F. King at (800) 735-3591.  Additional information concerning the
terms and conditions of the offer may be obtained by
contacting Banc of America Securities LLC at (888) 292-0070.

                                   ---more---



         CII Announces Extension of Exchange Offer p. 2/2/2/2/2

         CII  Financial  is a  holding  company  primarily  engaged  in  writing
workers'  compensation  insurance in nine western and mid-western states through
its  wholly  owned   subsidiaries,   California   Indemnity  Insurance  Company,
Commercial Casualty Insurance Company, Sierra Insurance Company of Texas and CII
Insurance  Company.  CII Financial is a wholly owned subsidiary of Sierra Health
Services,  Inc. (NYSE:SIE),  a diversified health care services company based in
Las Vegas.

         Statements  in this  news  release  that are not  historical  facts are
forward-looking   and  based  on  management's   projections,   assumptions  and
estimates;  actual results may vary materially.  Forward-looking  statements are
subject to certain  risks and  uncertainties,  some of which may be found in the
Preliminary  Prospectus  and Exchange Offer and other  documents  filed with the
Securities  and  Exchange  Commission  and  which  are  incorporated  herein  by
reference.

         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 have 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.

         The  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 LLC, at (888) 292-0070.

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