SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
ZIELINSKI THOMAS C

(Last) (First) (Middle)
401 PLYMOUTH MEETING
SUITE 350

(Street)
PLYMOUTH MEETING PA 19462

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
COVENTRY HEALTH CARE INC [ CVH ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Exec.VP & General Counsel
3. Date of Earliest Transaction (Month/Day/Year)
01/18/2011
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock Restricted 05/22/2011 F(1) 1,775 D $34.66 63,635(2) D(3)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Performance Share Units(4) (4) 01/18/2011 A 55,000 01/13/2012 01/13/2012 Common Stock 55,000 $0 407,500(5) D(6)
Explanation of Responses:
1. Sale of shares back to the Company to pay withholding taxes.
2. Includes the following: Table I-Non-Derivative Securities consisting of 3,785 shares of common stock held indirectly by managed account (401(k) Plan), and 59,850 shares of restricted common stock with restrictions lapsed or lapsing in equal annual increments over four-year periods.
3. See Footnote 2 for shares held directly and indirectly.
4. Performance Share Units (PSUs) were granted on May 26, 2010, subject to the achievement of performance goals. The performance goals were achieved effective as of January 18, 2011, but the PSUs will not vest until January 13, 2012, under the terms of the agreement granting the PSUs. The PSUs will be settled in cash upon vesting based on the average closing market price of common stock for the trading days from December 15, 2011 to January 13, 2012. No shares of common stock will be issued.
5. Includes the following: Table II-Derivative Securities consisting of non-qualified stock options for 352,500 shares of common stock vested or vesting in equal annual increments over three- and four-year periods, held directly, and 55,000 performance share units that will be settled in cash.
6. See Footnote 5 for shares held directly and indirectly.
Thomas C. Zielinski 05/24/2011
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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