X0202 3/A 2006-08-16 2006-08-16 0 0000754009 SIERRA HEALTH SERVICES INC SIE 0001369004 Sivertsen Darren G.D. 2724 N. TENAYA WAY LAS VEGAS NV 89128 0 1 0 0 Sr. VP, Operations Common Stock 858 D Common Stock 331.26 I By 401(k) Employee Stock Option (right to buy) 4.465 2011-12-09 Common Stock 3000 D Employee Stock Option (right to buy) 5.825 2012-12-09 Common Stock 6000 D Employee Stock Option (right to buy) 6.305 2013-04-13 Common Stock 6000 D Employee Stock Option (right to buy) 38.62 2008-12-07 2010-12-06 Common Stock 3000 D Grant of options in consideration for services under the Company's 1995 Long-Term Incentive Plan, which meets the requirements of, and which transactions are exempted by, Rule 16b-3 and Rule 16b-6(b). The option became exercisable as to 3,000 shares on 12/10/02, and becomes exercisable as to the remaining 3,000 shares on 12/10/06. The option became exercisable as to 3,000 shares on 12/10/03, and becomes exercisable as to 3,000 shares on each of 12/10/06 and 12/10/07. The option became exercisable as to 3,000 shares on 4/14/04, and becomes exercisable as to 3,000 shares on each of 4/14/07 and 4/14/08. The option becomes exercisable as to 100% on 12/7/08. Darren G. D. Sivertsen / Jayne Primaky, POA 2006-08-21