SECURITIES AND EXCHANGE COMMISSION

                             WASHINGTON, D.C. 20549



                                   SCHEDULE TO

                  TENDER OFFER STATEMENT UNDER SECTION 14(D)(1)

           OR SECTION 13(E)(1) OF THE SECURITIES EXCHANGE ACT OF 1934



                               CII FINANCIAL, INC.

                      (Name of subject companies (issuer))

                         CII FINANCIAL, INC., as issuer

               (Names of filing persons(identifying status as
                       offeror, issuer or other person))

                   7-1/2% CONVERTIBLE SUBORDINATED DEBENTURES
                  DUE SEPTEMBER 15, 2001 OF CII FINANCIAL, INC.

                         (Title of Class of Securities)


                                    12551LAB7
                      (CUSIP Number of Class of Securities)

                             David Sonenstein, Esq.
                                 General Counsel
                              2716 North Tenaya Way
                               Las Vegas, NV 89128
                            Telephone: (702) 242-7046

           (Name, address and telephone numberof person authorized to
                  receive notices and communications on behalf
                                  of filing persons)

                                   Copies to:

                            Stephen P. Farrell, Esq.
                              Howard A. Kenny, Esq.
                           Morgan, Lewis & Bockius LLP
                                 101 Park Avenue
                            New York, New York 10178
                            Telephone: (212) 309-6000

                            CALCULATION OF FILING FEE
                 Transaction Valuation (1)            Amount of Filing Fee
                       $47,059,000                           $12,424

(1)Pursuant to Rule 457(f)(2)  under the Securities Act of 1933,  this amount is
   based upon the book value of the $47,059,000  aggregate  principal  amount of
   the 7 1/2% convertible  subordinated  debentures due September 15, 2001, that
   may be received in the exchange offer.

[  X ] Check  box if any part of the fee is  offset  as  provided  by Rule  0-11
   (a)(2) and identify the filing with which the  offsetting  fee was previously
   paid.  Identify the previous filing by registration  statement number, or the
   Form or Schedule and the date of its filing.

Amount Previously Paid:  $12,424
Form or Registration No.:  Form S-4 (File No. 333-52726)
Filing Party:  CII Financial, Inc.
Date Filed:  December 26, 2000

[ ] Check the box if the filing  relates  solely to  preliminary  communications
made before the commencement of a tender offer.

Check the  appropriate  boxes below to designate any  transactions  to which the
statement relates:

[      ] third party tender offer subject to Rule 14d-1.
[  X   ] issuer tender offer subject to Rule 13e-4.
[      ] going private transaction subject to Rule 13e-3.
[      ] amendment to Schedule 13D under Rule 13d-2.

Check the following box if the filing is a final amendment reporting the results
of the tender offer: [ ]






                                  INTRODUCTION

         This Tender Offer  Statement on Schedule TO relates to the offer by CII
Financial,  Inc., a California corporation ("CII Financial"),  to exchange up to
$47,059,000 of the outstanding 7 1/2%  convertible  subordinated  debentures due
September  15, 2001  ("Debentures"),  of CII  Financial,  Inc.,  (or such lesser
number as are properly tendered) for new 9% senior  subordinated  debentures due
September  15, 2006 or cash,  upon the terms and subject to the  conditions  set
forth in CII Financial's Registration Statement on Form S-4 (File No. 333-52726)
filed with the Securities  and Exchange  Commission on December 26, 2000, and as
amended on February 5, 2001 (the "Registration  Statement"),  and in the related
Letter of Transmittal  filed as Exhibit 99.1 to the Registration  Statement (the
"Letter of Transmittal").

         The information in the Registration Statement and the exhibits thereto,
including  the  related  Letter  of  Transmittal,  are  incorporated  herein  by
reference  in this  Schedule TO in answer to some of the items  required in this
Schedule TO.

ITEM 3.  Identity and Background of Filing Persons.

         The  following  are  the  executive   officers  and  directors  of  CII
Financial:

     Paul H. Palmer,  Director,  c/o Sierra Health  Services,  Inc.,  2724 North
Tenaya Way, Las Vegas, Nevada 89128, telephone (702) 242-7000

     Frank E. Collins,  Director,  c/o Sierra Health Services,  Inc., 2724 North
Tenaya Way, Las Vegas, Nevada 89128, telephone (702) 242-7000

     Kathleen M.  Marlon,  President,  Chief  Executive  Officer,  Chairman  and
Director,  c/o CII  Financial,  Inc.,  2716 North Tenaya Way, Las Vegas,  Nevada
89128, telephone (702) 242-7040

     John F. Okita, Chief Financial Officer, c/o CII Financial, Inc., 2716 North
Tenaya Way, Las Vegas, Nevada 89128, telephone (702) 242-7040

     Robert G. Riordan, Vice President, Region II, c/o CII Financial, Inc., 2716
North Tenaya Way, Las Vegas, Nevada 89128, telephone (702) 242-7040

     Robert L. Selli,  Vice President,  Region I, c/o CII Financial,  Inc., 2716
North Tenaya Way, Las Vegas, Nevada 89128, telephone (702) 242-7040

     David M.  Sonenstein,  General  Counsel and  Secretary,  c/o CII Financial,
Inc., 2716 North Tenaya Way, Las Vegas, Nevada 89128, telephone (702) 242-7040

         The following is the corporate parent of CII Financial:

Sierra Health Services,  Inc., a Nevada corporation  ("Sierra") owns 100% of the
issued  and  outstanding  capital  stock of CII  Financial.  Sierra's  executive
offices  are located at 2724 North  Tenaya Way,  Las Vegas,  Nevada  89128,  and
Sierra's phone number at that address is (702) 242-7000.

         The following are the executive officers and directors of Sierra:

     Anthony M. Marlon,  Chief Executive  Officer and Chairman of the Board, c/o
Sierra Health  Services,  Inc., 2724 North Tenaya Way, Las Vegas,  Nevada 89128,
telephone (702) 242-7000

     Albert L. Greene,  Director,  c/o Sierra Health Services,  Inc., 2724 North
Tenaya Way, Las Vegas, Nevada 89128, telephone (702) 242-7000

     Michael E. Luce,  Director,  c/o Sierra Health  Services,  Inc., 2724 North
Tenaya Way, Las Vegas, Nevada 89128, telephone (702) 242-7000

     Thomas Y. Hartley,  Director, c/o Sierra Health Services,  Inc., 2724 North
Tenaya Way, Las Vegas, Nevada 89128, telephone (702) 242-7000

     William J. Raggio,  Director, c/o Sierra Health Services,  Inc., 2724 North
Tenaya Way, Las Vegas, Nevada 89128, telephone (702) 242-7000

     Charles L. Ruthe,  Director,  c/o Sierra Health Services,  Inc., 2724 North
Tenaya Way, Las Vegas, Nevada 89128, telephone (702) 242-7000

     Anthony L. Watson,  Director, c/o Sierra Health Services,  Inc., 2724 North
Tenaya Way, Las Vegas, Nevada 89128, telephone (702) 242-7000

     Jonathon W. Bunker, Senior Vice President, HMO and Insurance Operations and
Managed Healthcare Division, c/o Sierra Health Services, Inc., 2724 North Tenaya
Way, Las Vegas, Nevada 89128, telephone (702) 242-7000

     Frank E. Collins, Executive Vice President,  Secretary and General Counsel,
c/o Sierra  Health  Services,  Inc.,  2724 North Tenaya Way,  Las Vegas,  Nevada
89128, telephone (702) 242-7000

     William R. Godfrey, Executive Vice President,  Administrative Services, c/o
Sierra Health  Services,  Inc., 2724 North Tenaya Way, Las Vegas,  Nevada 89128,
telephone (702) 242-7000

     Laurence S.  Howard,  Senior Vice  President,  Information  Technology  and
Program  Office,  c/o Sierra Health  Services,  Inc., 2724 North Tenaya Way, Las
Vegas, Nevada 89128, telephone (702) 242-7000

     Michael A. Montalvo,  Vice  President,  Customer  Service  Operations,  c/o
Sierra Health  Services,  Inc., 2724 North Tenaya Way, Las Vegas,  Nevada 89128,
telephone (702) 242-7000

     Paul H. Palmer, Vice President,  Chief Financial Officer and Treasurer, c/o
Sierra Health  Services,  Inc., 2724 North Tenaya Way, Las Vegas,  Nevada 89128,
telephone (702) 242-7000

     Marie H. Soldo,  Executive  Vice  President,  Government  Affairs,  Special
Projects,  c/o Sierra Health  Services,  Inc., 2724 North Tenaya Way, Las Vegas,
Nevada 89128, telephone (702) 242-7000

ITEM 4.  Terms of the Transaction.

(b)           None of the securities  except those owned by Sierra and described
              in Item 8 of this  Schedule are to be purchased  from any officer,
              director or affiliate of the Company.  Sierra currently expects to
              tender such securities in the exchange offer.

ITEM 5.  Past Contracts, Transactions, Negotiations and Agreements.

         None.

ITEM 6.  Purposes of the Transaction and Plans or Proposals.

         (c)  None.

ITEM 8.  Interest in Securities of the Subject Company.

         Sierra  owns  $18,000   aggregate   principal  amount  of  the  subject
securities.  None of the other persons named in Item 3 beneficially  owns any of
the subject securities.

ITEM 10. Financial Statements.

         The required  financial  statements  can be found (i) under the heading
"Unaudited Pro Forma Consolidated Financial Statements" beginning on page 69 and
(ii)  beginning  at  page  F-1,  in  CII  Financial's   Registration   Statement
incorporated by reference herein.

ITEM 12.      Materials to be filed as Exhibits.

(a)(1)*     Prospectus and Exchange Offer dated December 26, 2000,  incorporated
            by reference  to the  Company's  Registration  Statement on Form S-4
            (No. 333-52726) filed on December 26, 2000 as amended on February 5,
            2001.

(a)(2)     Press Release Issued by the Company on December 26, 2000.

(a)(3)*    Letter of Transmittal, incorporated by reference to Exhibit 99.1 of
           the Company's Registration
           Statement on Form S-4 (No. 333-52726) originally filed on
           December 26, 2000.

(a)(4)*     Form of Notice of Guaranteed Delivery, incorporated by reference to
            Exhibit 99.2 of the Company's
            Registration Statement on Form S-4 (No. 333-52726) originally filed
            on December 26, 2000.

(a)(5)*     Form  of  Notice  to  Brokers,  Dealers,   Commercial  Banks,  Trust
            Companies and Other  Nominees,  incorporated by reference to Exhibit
            99.3  of the  Company's  Registration  Statement  on Form  S-4  (No.
            333-52726) originally filed on December 26, 2000.

(a)(6)*     Form of Notice to Clients, incorporated by reference to Exhibit 99.4
            of the Company's  Registration Statement on Form S-4 (No. 333-52726)
            originally filed on December 26, 2000.

(a)(7)*     Form of Company Letter to Debentureholders, incorporated by
            reference to Exhibit 99.5 of the Company's
            Registration Statement on Form S-4 (No. 333-52726) originally filed
            on December 26, 2000.

(a)(8)**   Company Letter to Debentureholders dated December 26, 2000.

(a)(9)**   Company Letter to Debentureholders dated January 5, 2001.

(a)(10)**  Press Release Issued by the Company on January 19, 2001.

(a)(11)**  Press Release Issued by the Company on February 13, 2001.

(b)+       Form of Promissory Note to be issued to Sierra or an affiliate of
           Sierra.

(d)(1)*     Intercompany  Services  Agreement  dated  January  1,  1999,  by and
            between  Sierra  and   California   Indemnity   Insurance   Company,
            incorporated   by  reference  to  Exhibit  10.6  of  the   Company's
            Registration  Statement on Form S-4 (No. 333-52726) originally filed
            on December 26, 2000.

(d)(2)*     Tax Allocation  Agreement dated May 30, 1997,  among Sierra,  Health
            Plan of  Nevada,  the  Company,  Sierra  Health  and Life  Insurance
            Company, California Indemnity Insurance Company, Commercial Casualty
            Insurance  Company  and  CII  Insurance  Company,   incorporated  by
            reference to Exhibit 10.7 of the Company's Registration Statement on
            Form S-4 (No. 333-52726) originally filed on December 26, 2000.

(d)(3)*     HCO Contract with Claims  Administrator and Supplement dated January
            19, 2001 among California  Indemnity Insurance Company,  and each of
            its  insurer  subsidiaries,  and Sierra  Health  and Life  Insurance
            Company,  incorporated by reference to Exhibit 10.8 of the Company's
            Registration  Statement on Form S-4 (No. 333-52726) originally filed
            on December 26, 2000.

(d)(4)*     Guaranty,  dated as of August 23,  2000,  among the  Company,  among
            others,  as guarantors,  in favor of Bank of America  National Trust
            and  Savings  Association  as  Administrative  Agent  and the  other
            financial  institutions party thereto,  incorporated by reference to
            Sierra's  Quarterly  Report on Form 10-Q filed for the quarter ended
            September 30, 2000.

(d)(5)*     Limited  Partnership  Agreement  of the 2716 N.  Tenaya Way  Limited
            Partnership  dated  December  3, 1998,  among  California  Indemnity
            Insurance Company, Commercial Casualty Insurance Company and Sierra,
            incorporated   by  reference  to  Exhibit  10.15  of  the  Company's
            Registration  Statement on Form S-4 (No. 333-52726) originally filed
            on December 26, 2000.

(d)(6)*     Sublease of 2716 North Tenaya Way, Las Vegas,  Nevada, dated January
            25, 2001, among Sierra and California  Indemnity  Insurance Company,
            incorporated   by  reference  to  Exhibit  10.16  of  the  Company's
            Registration  Statement on Form S-4 (No. 333-52726) originally filed
            on December 26, 2000.

(d)(7)*     Investment  Services Agreement dated January 1, 1999, between Sierra
            and  California   Indemnity   Insurance  Company,   incorporated  by
            reference to Exhibit 10.18 of the Company's  Registration  Statement
            on Form S-4 (No. 333-52726) originally filed on December 26, 2000.

(d)(8)*     Investment  Services Agreement dated January 1, 1999, between Sierra
            and Commercial Casualty Insurance Company, incorporated by reference
            to Exhibit 10.19 of the Company's Registration Statement on Form S-4
            (No. 333-52726) originally filed on December 26, 2000.

(d)(9)*     Investment  Services Agreement dated January 1, 1999, between Sierra
            and CII  Insurance  Company,  incorporated  by  reference to Exhibit
            10.20  of the  Company's  Registration  Statement  on Form  S-4 (No.
            333-52726) originally filed on December 26, 2000.

(d)(10)*    Investment  Services Agreement dated January 1, 1999, between Sierra
            and Sierra Insurance Company of Texas,  incorporated by reference to
            Exhibit  10.21 of the Company's  Registration  Statement on Form S-4
            (No. 333-52726) originally filed on December 26, 2000.

(g)         None.

(h)*        Form of Opinion  of  Morgan,  Lewis & Bockius  LLP,  Special  United
            States tax counsel to the Company,  to be filed as an exhibit to the
            Company's   Registration  Statement  on  Form  S-4  (No.  333-52726)
            originally  filed on December 26, 2000 and incorporated by reference
            herein.

*        Incorporated by reference.
**       Previously filed with the Securities and Exchange Commission.
+        To be filed by amendment.

ITEM 13.          Information Required by Schedule 13E-3.

         Not Applicable.









                                    SIGNATURE

         After due inquiry and to the best of my knowledge and belief, I certify
that the information set forth in this statement is true, complete and correct.

Date:    February 23, 2001
                                  CII FINANCIAL, INC.


                                  By: ________________________________
                                  Name:   Kathleen M. Marlon
                                  Title:  President, Chief Executive Officer
                                          and Chairman






                                INDEX TO EXHIBITS

Exhibit                                              Exhibit

Number

(a)(1)*     Prospectus and Exchange Offer dated December 26, 2000,  incorporated
            by reference  to the  Company's  Registration  Statement on Form S-4
            (No. 333-52726) filed on December 26, 2000 as amended on February 5,
            2001.

(a)(2)     Press Release Issued by the Company on December 26, 2000.

(a)(3)*    Letter of Transmittal, incorporated by reference to Exhibit 99.1 of
           the Company's Registration
           Statement on Form S-4 (No. 333-52726) originally filed on
           December 26, 2000.

(a)(4)*     Form of Notice of Guaranteed Delivery, incorporated by reference to
            Exhibit 99.2 of the Company's
            Registration Statement on Form S-4 (No. 333-52726) originally filed
            on December 26, 2000.

(a)(5)*     Form  of  Notice  to  Brokers,  Dealers,   Commercial  Banks,  Trust
            Companies and Other  Nominees,  incorporated by reference to Exhibit
            99.3  of the  Company's  Registration  Statement  on Form  S-4  (No.
            333-52726) originally filed on December 26, 2000.

(a)(6)*     Form of Notice to Clients, incorporated by reference to Exhibit 99.4
            of the Company's  Registration Statement on Form S-4 (No. 333-52726)
            originally filed on December 26, 2000.

(a)(7)*     Form of Company Letter to Debentureholders, incorporated by
            reference to Exhibit 99.5 of the Company's
            Registration Statement on Form S-4 (No. 333-52726) originally filed
            on December 26, 2000.

(a)(8)**   Company Letter to Debentureholders dated December 26, 2000.

(a)(9)**   Company Letter to Debentureholders dated January 5, 2001.

(a)(10)**  Press Release Issued by the Company on January 19, 2001.

(a)(11)**  Press Release Issued by the Company on February 13, 2001.

(b)+   Form of Promissory Note to be issued to Sierra or an affiliate of Sierra.

(d)(1)*     Intercompany  Services  Agreement  dated  January  1,  1999,  by and
            between  Sierra  and   California   Indemnity   Insurance   Company,
            incorporated   by  reference  to  Exhibit  10.6  of  the   Company's
            Registration  Statement on Form S-4 (No. 333-52726) originally filed
            on December 26, 2000.

(d)(2)*     Tax Allocation  Agreement dated May 30, 1997,  among Sierra,  Health
            Plan of  Nevada,  the  Company,  Sierra  Health  and Life  Insurance
            Company, California Indemnity Insurance Company, Commercial Casualty
            Insurance  Company  and  CII  Insurance  Company,   incorporated  by
            reference to Exhibit 10.7 of the Company's Registration Statement on
            Form S-4 (No. 333-52726) originally filed on December 26, 2000.

(d)(3)*     HCO Contract with Claims  Administrator and Supplement dated January
            19, 2001 among California  Indemnity Insurance Company,  and each of
            its  insurer  subsidiaries,  and Sierra  Health  and Life  Insurance
            Company,  incorporated by reference to Exhibit 10.8 of the Company's
            Registration  Statement on Form S-4 (No. 333-52726) originally filed
            on December 26, 2000.

(d)(4)*     Guaranty,  dated as of August 23,  2000,  among the  Company,  among
            others,  as guarantors,  in favor of Bank of America  National Trust
            and  Savings  Association  as  Administrative  Agent  and the  other
            financial  institutions party thereto,  incorporated by reference to
            Sierra's  Quarterly  Report on Form 10-Q filed for the quarter ended
            September 30, 2000.

(d)(5)*     Limited  Partnership  Agreement  of the 2716 N.  Tenaya Way  Limited
            Partnership  dated  December  3, 1998,  among  California  Indemnity
            Insurance Company, Commercial Casualty Insurance Company and Sierra,
            incorporated   by  reference  to  Exhibit  10.15  of  the  Company's
            Registration  Statement on Form S-4 (No. 333-52726) originally filed
            on December 26, 2000.

(d)(6)*     Sublease of 2716 North Tenaya Way, Las Vegas,  Nevada, dated January
            25, 2001, among Sierra and California  Indemnity  Insurance Company,
            incorporated   by  reference  to  Exhibit  10.16  of  the  Company's
            Registration  Statement on Form S-4 (No. 333-52726) originally filed
            on December 26, 2000.

(d)(7)*     Investment  Services Agreement dated January 1, 1999, between Sierra
            and  California   Indemnity   Insurance  Company,   incorporated  by
            reference to Exhibit 10.18 of the Company's  Registration  Statement
            on Form S-4 (No. 333-52726) originally filed on December 26, 2000.

(d)(8)*     Investment  Services Agreement dated January 1, 1999, between Sierra
            and Commercial Casualty Insurance Company, incorporated by reference
            to Exhibit 10.19 of the Company's Registration Statement on Form S-4
            (No. 333-52726) originally filed on December 26, 2000.

(d)(9)*     Investment  Services Agreement dated January 1, 1999, between Sierra
            and CII  Insurance  Company,  incorporated  by  reference to Exhibit
            10.20  of the  Company's  Registration  Statement  on Form  S-4 (No.
            333-52726) originally filed on December 26, 2000.

(d)(10)*    Investment  Services Agreement dated January 1, 1999, between Sierra
            and Sierra Insurance Company of Texas,  incorporated by reference to
            Exhibit  10.21 of the Company's  Registration  Statement on Form S-4
            (No. 333-52726) originally filed on December 26, 2000.

(g)         None.

(h)*     Form of Opinion of Morgan,  Lewis & Bockius LLP,  Special United States
         tax counsel to the Company,  to be filed as an exhibit to the Company's
         Registration  Statement on Form S-4 (No. 333-52726) originally filed on
         December 26, 2000 and incorporated by reference herein.

*        Incorporated by reference.
**       Previously filed with the Securities and Exchange Commission.
+        To be filed by amendment.