Exhibit (a)(14)

                               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
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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 CONTINUES NEGOTIATIONS WITH BONDHOLDERS;

              COMPANY MAKES ANNOUNCEMENT REGARDING INTEREST PAYMENT

Las Vegas,  March 16, 2001 - CII Financial  Inc.  announced  today that the
interest payment on its 7 1/2% Convertible Subordinated Debentures Due September
15,  2001  (CUSIP  No.125551LAB7)  will  not be made as  scheduled.  CII said it
expects this action will have no impact on its insurance company operations, nor
on the operations of its parent, Sierra Health Services Inc. (NYSE:SIE).

There is a 30-day grace period that applies to the  scheduled  March 15 interest
payment.  The Company's insurance  subsidiaries,  California Indemnity Insurance
Company,  Commercial  Casualty  Insurance  Company,  Sierra Insurance Company of
Texas and CII Insurance  Company have paid and will continue to pay all of their
obligations on a full and timely basis.

CII Financial's President and Chief Executive Officer,  Kathleen Marlon, stated,
"As we had  previously  announced,  we are working  with our  advisors,  Banc of
America  Securities  LLC, to complete a cash tender and  exchange  offer for CII
Financial's  debentures.  We have been in discussions with certain institutional
holders of debentures concerning the offer and hope to complete the offer in the
near future."

The debentures are solely obligations of CII Financial and are not guaranteed by
Sierra  or any of CII's  insurance  company  subsidiaries.  CII  Financial  is a
holding company that conducts no operations, other than holding the stock of its
insurance company  subsidiaries.  CII Financial is wholly owned by Sierra Health
Services.

CII Financial  filed an amended  Registration  Statement with the Securities and
Exchange  Commission on March 1, 2001 in connection  with its pending tender and
exchange offer for all $47 million of the  outstanding  Convertible  Debentures.
That exchange offer currently expires at 5:00 p.m., New York City time, on March
22, 2001. The Company will pay accrued  interest in cash on all debentures  that
are validly tendered and accepted in the exchange offer.

                                   ---more---

CII Continues Negotiations p. 2/2/2/2/2


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  amended  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.

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 contain  important  information about CII Financial Inc., the
exchange  offer and  related  matters.  Security  holders  are urged to read the
Registration  Statement and the preliminary  prospectus  contained therein,  CII
Financial  Inc.'s  Schedule  TO and any other  relevant  documents  filed by the
Company 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,  CII Financial  Inc.'s Schedule TO 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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