Filed by CII Financial, Inc.
                                                            Pursuant to Rule 425
                                                under the Securities Act of 1933
                                                       For:  CII Financial, Inc.
                                                  Commission File No.: 333-52726






                       [GRAPHIC OMITTED][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

                                  PRESS RELEASE

FOR IMMEDIATE RELEASE

CONTACTS:
John 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 ANNOUNCES AGREEMENT REGARDING EXCHANGE OFFER
                     FOR CONVERTIBLE SUBORDINATED DEBENTURES


         Las Vegas, April 13, 2001 - CII Financial, Inc. today announced that it
has reached an agreement in principal with an unofficial committee  representing
certain  holders of  approximately  $20 million  principal  amount of its 7 1/2%
convertible subordinated debentures due September 15, 2001 (CUSIP No. 12551LAB7)
in connection with its pending  exchange offer for all  $47,059,000  outstanding
principal amount of the debentures. The Company said that, in order to implement
the  agreement,  it has extended the  expiration  date of the exchange offer and
would amend the terms of the offer.

         The Company  said the terms of the amended  exchange  offer would be as
follows:

- -    The cash purchase  price will be increased  from $700 per $1,000  principal
     amount to $739.12 per $1,000 principal amount,  plus accrued interest.  The
     cash offer will be for up to a total of $27,059,000 principal amount of old
     7 1/2% subordinated debentures.

- -    The Company  will offer to exchange  the  remaining  $20,000,000  principal
     amount  of  old 7  1/2%  subordinated  debentures  for  new 9  1/2%  senior
     debentures.

- -    The maturity of the new senior  debentures will be shortened from March 31,
     2005 to September 15, 2004.

- -    The covenants  applicable to the new debentures will be expanded to include
     limitations on indebtedness,  liens, restricted payments,  sales of capital
     stock of subsidiaries and transactions with affiliates.  The covenants will
     also  include  an excess  cash flow  offer,  asset sale offer and change of
     control offer.

- -    In the event of a change of control of CII Financial,  holders of the new 9
     1/2%  senior  debentures  will have the right to  require  the  Company  to
     repurchase  their new  debentures at 100% of the principal  amount,  plus a
     specified  premium  declining  over  time.  The  repurchase   premium  will
     initially be 10%.

         CII Financial's Chief Executive  Officer,  Kathleen Marlon,  commented,
"We are pleased that we have been able to reach a consensual  agreement with our
principal  bondholders and now expect to complete the exchange offer in the
near future."

         Holders  who elect cash will  receive  $739.12 in cash for each  $1,000
principal amount of their old 7 1/2% subordinated  debentures accepted under the
cash option,  plus accrued and unpaid  interest in cash. If holders of more than
$27,059,000 total principal amount of old 7 1/2%  subordinated  debentures elect
to tender  their  debentures  for cash,  the  Company  will  purchase a total of
$27,059,000 principal amount of old 7 1/2% subordinated  debentures for cash and
the Company will exchange the balance of the tendered  debentures for new 9 1/2%
senior debentures. All holders who elect to receive cash will be treated equally
in this process.  It will be a condition of the offer that at least  $27,059,000
principal  amount of old 7 1/2%  subordinated  debentures  will be tendered  for
cash.

         Holders  who elect new 9 1/2% senior  debentures  will  receive  $1,000
principal  amount of new 9 1/2%  senior  debentures  for each  $1,000  principal
amount of their old 7 1/2%  subordinated  debentures,  plus  accrued  and unpaid
interest  in cash.  It will be a condition  of the offer that the  Company  will
exchange  no more  than  $20.0  million  total  principal  amount  of old 7 1/2%
subordinated debentures for new 9 1/2% senior debentures.

         The Company expects to file an amended Registration  Statement with the
Securities and Exchange  Commission  reflecting the amended exchange offer on or
about April 17, 2001.

     The  expiration  date for the exchange  offer has been  extended from 11:59
p.m.,  New York City time, on April 12, 2001, to 11:59 p.m., New York City time,
on April 30, 2001.  The Company said that, as of 11:59 p.m., New York City time,
on April 12, 2001,  it had  received  tenders  from  holders of  $27,153,000  in
aggregate  principal  amount  of old 7  1/2%  subordinated  debentures.  It is a
condition of the offer that the Company  receives  valid tenders of at least 90%
of the aggregate  outstanding  principal  amount of the old 7 1/2%  subordinated
debentures  and  approval  from a  majority  of the banks on the  Sierra  Health
Services, Inc. credit facility.

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