SECURITIES AND EXCHANGE COMMISSION

                             WASHINGTON, D.C. 20549

                             -----------------------

                                 AMENDMENT NO. 6

                                       TO

                                   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  number of 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 Amendment No. 6 to a 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 1/2% senior  debentures
due March 31,  2005 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, March 1, 2001 and March 30, 2001 (the "Registration
Statement").

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

         CII Financial hereby amends and supplements the Schedule TO as follows:

ITEM 12.      Materials to be filed as Exhibits.

(a)(18)    Press Release Issued by the Company on April 2, 2001.





                                    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:    April 2, 2001
                                 CII FINANCIAL, INC.


                                 By:  /s/ Kathleen M. Marlon
                                     -----------------------
                                 Name:   Kathleen M. Marlon
                                 Title:  President, Chief Executive Officer and
                                         Chairman

                                INDEX TO EXHIBITS

                                     Exhibit

Exhibit

Number

(a)(18)    Press Release Issued by the Company on April 2, 2001.