Exhibit (a)(17)

                                [GRAPHIC OMITTED]
                               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

                                                                  March 30, 2001

To Holders of $47,059,000  principal amount of 7 1/2%  Convertible  Subordinated
Debentures Due 2001, CUSIP No. 12551LAB7

         We have improved the terms of our pending offer to acquire all of our 7
1/2% Convertible Subordinated Debentures Due 2001, as follows:

o    We have  increased the cash purchase  price from $525 per $1,000  principal
     amount to $700 per $1,000 principal amount, plus accrued interest.

o    We have increased the funds available to finance the offer from $10,237,500
     to  $20,000,400.  As a  result,  we are  now  offering  to buy a  total  of
     $28,572,000 principal amount of old 7 1/2% debentures, or 60.7%, for cash.

o    We are offering to exchange the remaining  $18,487,000  principal amount of
     old 7 1/2% debentures for new debentures.  We have  significantly  enhanced
     the terms of the new debentures.

o    We have  increased the interest rate on the new  debentures  from 9% in our
     original  offer  to 9 1/2%  in our  revised  offer.  In  addition,  we have
     shortened  the maturity of the new  debentures  from  September 15, 2006 to
     March  31,  2005.  Finally,  we  have  improved  the  ranking  of  the  new
     debentures.

o    The new 9 1/2% debentures will be senior indebtedness of CII Financial. The
     new debentures  will rank senior to any other  indebtedness,  including our
     guaranty of the $135 million credit  facility of our parent,  Sierra Health
     Services, Inc., and any remaining old debentures.

o    In the event of a change of  control of CII  Financial,  holders of the new
     debentures  will  have the  right to  require  us to  repurchase  their new
     debentures  at 100%  of the  principal  amount,  plus a  specified  premium
     declining over time. The repurchase premium will initially be 5%.

     We have also extended the expiration  date of the offer.  As extended,  the
offer will expire at 11:59 p.m., New York City time, on April 12, 2001.

     As in the  original  offer,  you can  choose  to  exchange  your old 7 1/2%
debentures for either cash or new debentures.

__       If you choose new debentures,  you will receive $1,000 principal amount
         of our new 9 1/2% senior  debentures due 2005 for each $1,000 principal
         amount of your old 7 1/2% junior subordinated debentures,  plus accrued
         and unpaid interest in cash.

__       If you  choose  cash,  you will  receive  $700 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,  it is a condition of the offer that we will  exchange no more
than $18.5 million total principal  amount of old debentures for new debentures.
In  addition,  it is now a condition  of the offer that at least  $28.6  million
total  principal  amount of old  debentures  be tendered for cash. If holders of
more than $28.6 million total principal amount of old 7 1/2% debentures elect to
sell  their  debentures  for cash,  we will  purchase  a total of $28.6  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 11:59 p.m., New York City time, on April 12, 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.

         The terms of the offer are contained in our Preliminary  Prospectus and
Exchange Offer,  which accompanies this letter.  The offer is subject to certain
conditions,   including  participation  by  holders  of  at  least  90%  of  the
outstanding  debentures,  full  subscription  of the  cash  option,  receipt  of
sufficient  financing,  receipt of necessary  approvals  from our regulators and
receipt of necessary consents from bank lenders.

     If you need  assistance  making  arrangements  to tender  your  securities,
please  call the  Information  Agent for the offer,  D.F.  King & Co.,  at (800)
735-3591.

     We appreciate your consideration of our offer.


                                   Sincerely,

                                                     [GRAPHIC OMITTED]

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






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.