Exhibit (a)(2)
                               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

                                  PRESS RELEASE

FOR IMMEDIATE RELEASE

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

                    CII FINANCIAL ANNOUNCES EXCHANGE OFFER FOR
                        CONVERTIBLE SUBORDINATED DEBENTURES


         Las Vegas, December 26, 2000 - CII Financial,  Inc. today announced the
commencement of an 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.

         Holders who choose new debentures will receive $1,000  principal amount
of new 9% senior subordinated debentures due September 15, 2006 of CII Financial
for each  $1,000  principal  amount  of  their  old 7 1/2%  junior  subordinated
debentures,  plus accrued and unpaid  interest in cash.  Holders who choose cash
will receive $525 in cash for each $1,000  principal  amount of their old junior
subordinated debentures, plus accrued and unpaid interest in cash.

         CII Financial will purchase no more than $19.5 million principal amount
of  old  junior  subordinated  debentures  for  cash.  If  the  cash  option  is
oversubscribed,  the company will  purchase a total of $19.5  million  principal
amount of  debentures  for cash and will  exchange  the balance of the  tendered
debentures for new 9% senior  subordinated  debentures due 2006. All holders who
elect the cash  option  will be  treated on a pro rata  basis  according  to the
principal  amount of  debentures  tendered for cash by each holder and the total
principal amount of debentures tendered for cash by all holders.

                                   ---more---

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

         The  exchange  offer  will  expire at 5:00pm,  New York City  time,  on
January  25,  2001,  unless  extended.  Holders  must  tender  their old  junior
subordinated  debentures on or prior to the expiration  date in order to receive
the exchange consideration. The exchange offer is subject to the satisfaction of
specified  conditions,  including  the  valid  tender  of at  least  90%  of the
outstanding junior  subordinated  debentures,  receipt of financing for the cash
option,  receipt of necessary approvals from insurance  authorities,  receipt of
necessary  consents from lenders under the Sierra Health  Services senior credit
facility,  which is guaranteed by CII Financial, and other customary conditions.
The complete terms of the offer are contained in the preliminary  Prospectus and
Exchange Offer dated December 26, 2000.

         A registration  statement relating to the new debentures has been filed
with the  Securities and Exchange  Commission but has not yet become  effective.
The new debentures may not be sold nor may tenders be accepted prior to the time
the registration statement becomes effective. This shall not constitute an offer
to sell or the  solicitation  of 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 prior to registration or qualification  under the securities laws of
any such State.

         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 at (888) 292-0070.

         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,  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.

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