SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 ------------------------------------------ FORM 8-A FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES PURSUANT TO SECTION 12(b) OR 12(g) OF THE SECURITIES EXCHANGE ACT OF 1934 (THE "EXCHANGE ACT") CII Financial, Inc. - ------------------------------------------------------------------------------- (Exact Name of Registrant as Specified in Its Charter) - ------------------------------------------------------------------------------- California 95-4188244 (State of Incorporation or Organization) I.R.S. Employer Identification No.) 2716 North Tenaya Way, Las Vegas, Nevada 89128 (Address of Principal Executive Offices) (Zip Code) ---------------------------------------- ----------------------- If this form relates to the registration If this form relates to the of a class of securities pursuant to registration of a class of Section 12(b) of the Exchange Act and is securities pursuant to Section effective pursuant to General 12(g) of the Exchange Act and is Instruction A.(c), please check the effective pursuant to General following box.|X| Instrauction A.(d), please check the following box.|_| ----------------- Securities Act registration statement file number to which this form relates: 333-52726 (if applicable) Securities to be registered pursuant to Section 12(b) of the Exchange Act: Title of Each Class Name of Each Exchange on Which to be so Registered Each Class is to be Registered ------------------- ------------------------------ 9 1/2% Senior Debentures due September 15, 2004 New York Stock Exchange - -------------------------- ------------------------------ Securities to be registered pursuant to Section 12(g) of the Exchange Act: None - ----------------------------------------------------- Item 1. Description of Registrant"s Securities to be Registered The description of the securities to be registered hereby as set forth under caption "Description of Debentures" in the prospectus included in the Registration Statement (Registration No. 333-52726) on Form S-4 (as amended, the "Registration Statement") of the registrant filed with the Securities and Exchange Commission (the "Commission") pursuant to the Securities Act of 1933, as amended, is incorporated herein by reference. Item 2. Exhibits The following exhibits are filed as part of this registration statement: Exhibit No. Exhibit Description 3.1 Articles of Incorporation of the Company* 3.2 By-Laws of the Company* 4.1 Form of Indenture, of 9 1/2% senior debentures due September 15, 2004 from the Company to Wells Fargo Bank Minnesota, N.A., a national banking association, as Trustee+ 4.2 Specimen 9 1/2% senior debenture due September 15, 2004 of the Company+ * Previously filed with the Commission as an exhibit to Amendment No. 1 to the Registration Statement and incorporated herein by reference pursuant to Rule 12b-32(a) of the Exchange Act and Rule 102 of Regulation S-T. + Previously filed with the Commission as an exhibit to Amendment No. 4 to the Registration Statement and incorporated herein by reference pursuant to Rule 12b-32(a) of the Exchange Act and Rule 102 of Regulation S-T. SIGNATURE Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, the registrant has caused this registration statement to be signed on its behalf by the undersigned, thereto duly authorized. CII FINANCIAL, INC. Date April 18, 2001 By: /s/ Kathleen M. Marlon ---------------------------- Name: Kathleen M. Marlon Title: President, Chief Executive Officer and Chairman EXHIBIT INDEX Exhibit No. Exhibit Description 3.1 Articles of Incorporation of the Company* 3.2 By-Laws of the Company* 4.1 Form of Indenture, of 9 1/2% senior debentures due September 15, 2004 from the Company to Wells Fargo Bank Minnesota, N.A., a national banking association, as Trustee+ 4.2 Specimen 9 1/2% senior debenture due September 15, 2004 of the Company+ * Previously filed with the Commission as an exhibit to Amendment No. 1 to the Registration Statement and incorporated herein by reference pursuant to Rule 12b-32(a) of the Exchange Act and Rule 102 of Regulation S-T. + Previously filed with the Commission as an exhibit to Amendment No. 4 to the Registration Statement and incorporated herein by reference pursuant to Rule 12b-32(a) of the Exchange Act and Rule 102 of Regulation S-T.