-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, FBNsxxPnjFTUMkXQIyZXvL01MeVbbkyeJ7rypCPm5KItiothrF9oz8YMAj7kkW8d yfgeGEdyJmQHbFTQ0syjWA== 0001054833-01-500007.txt : 20010330 0001054833-01-500007.hdr.sgml : 20010330 ACCESSION NUMBER: 0001054833-01-500007 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20010301 FILED AS OF DATE: 20010329 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: COVENTRY HEALTH CARE INC CENTRAL INDEX KEY: 0001054833 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 522073000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-29676 FILM NUMBER: 1584558 BUSINESS ADDRESS: STREET 1: 6705 ROCKLEDGE DR STE 900 CITY: BETHESDA STATE: MD ZIP: 20817 BUSINESS PHONE: 3015810600 MAIL ADDRESS: STREET 1: 6705 ROCKLEDGE DRIVE STREET 2: SUITE 900 CITY: BETHESDA STATE: MD ZIP: 20817 COMPANY DATA: COMPANY CONFORMED NAME: COVENTRY HEALTH CARE INC CENTRAL INDEX KEY: 0001054833 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] OFFICER IRS NUMBER: 522073000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 6705 ROCKLEDGE DR STE 900 CITY: BETHESDA STATE: MD ZIP: 20817 BUSINESS PHONE: 3015810600 MAIL ADDRESS: STREET 1: 6705 ROCKLEDGE DRIVE STREET 2: SUITE 900 CITY: BETHESDA STATE: MD ZIP: 20817 4 1 form4_wise032901.txt STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP U.S. SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 [_] Check 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* WISE ALLEN F. - -------------------------------------------------------------------------------- (Last) (First) (Middle) 6705 ROCKLEDGE DRIVE, SUITE 900 - -------------------------------------------------------------------------------- (Street) BETHESDA MD 20817 - -------------------------------------------------------------------------------- (City) (State) (Zip) COVENTRY HEALTH CARE, INC. (CVTY) ________________________________________________________________________________ 2. Issuer Name and Ticker or Trading Symbol ________________________________________________________________________________ 3. IRS Identification Number of Reporting Person, if an Entity (Voluntary) MARCH 2001 ________________________________________________________________________________ 4. Statement for Month/Year ________________________________________________________________________________ 5. If Amendment, Date of Original (Month/Year) PRESIDENT AND CHIEF EXECUTIVE OFFICER ________________________________________________________________________________ 6. Relationship of Reporting Person to Issuer (Check all applicable) [X] Director [_] 10% Owner [X] Officer (give title below) [_] Other (specify below) ________________________________________________________________________________ 7. 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 ================================================================================
6. 4. 5. Owner- Securities Acquired (A) or Amount of ship 3. Disposed of (D) Securities Form: 7. Transaction (Instr. 3, 4 and 5) Beneficially Direct Nature of 2. Code ------------------------------- Owned at End (D) or Indirect 1. Transaction (Instr. 8) (A) of Month Indirect Beneficial Title of Security Date ------------ Amount or Price (Instr. 3 (I) Ownership (Instr. 3) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ COMMON STOCK 125,918 D - ---------------------------------------------------------------------------------------------------------------------------------- COMMON STOCK 3/22/01 P 4136(1) A 13.7500 I BY MANAGED ACCT - ------------------------------------------------------------------------------------------------------------------------------------ COMMON STOCK 3/22/01 P 700(1) A 13.5000 I BY MANAGED ACCT - ------------------------------------------------------------------------------------------------------------------------------------ COMMON STOCK 3/22/01 P 5(1) A 15.9375 I BY MANAGED ACCT - ------------------------------------------------------------------------------------------------------------------------------------ COMMON STOCK 3/22/01 P 42765(1) A 15.7664 48901(2) I BY MANAGED ACCT - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
* If the Form is filed by more than one Reporting Person, see Instruction 4(b)(v). Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Print or Type Responses) (Over) (Form 4-07/99) FORM 4 (continued) Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ================================================================================
10. 9. Owner- Number ship of Form 2. Deriv- of Conver- 5. 7. ative Deriv- 11. sion Number of Title and Amount Secur- ative Nature or Derivative 6. of Underlying 8. ities Secur- of Exer- 4. Securities Date Securities Price Bene- ity: In- cise 3. Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct Price Trans- action or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene- 1. of action Code of(D) (Month/Day/Year) Amount ative at End In- ficial Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of direct Owner- Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship Security Secur- Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr. (Instr. 3) ity Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4) - ------------------------------------------------------------------------------------------------------------------------------------ NON-QUALIFIED STOCK 5.0000 10/07/06 COMMON 161539 161539 D OPTION (RIGHT TO BUY) STOCK - ------------------------------------------------------------------------------------------------------------------------------------ NON-QUALIFIED STOCK 5.0000 7/17/07 COMMON 49564 49564 D OPTION (RIGHT TO BUY) STOCK - ------------------------------------------------------------------------------------------------------------------------------------ NON-QUALIFIED STOCK 6.6880 12/20/09 COMMON 150000 150000 D OPTION (RIGHT TO BUY) STOCK - ------------------------------------------------------------------------------------------------------------------------------------ NON-QUALIFIED STOCK 7.5000 10/07/06 COMMON 184958 184958 D OPTION (RIGHT TO BUY) STOCK - ------------------------------------------------------------------------------------------------------------------------------------ NON-QUALIFIED STOCK 7.5000 7/17/07 COMMON 61545 61545 D OPTION (RIGHT TO BUY) STOCK - ------------------------------------------------------------------------------------------------------------------------------------ NON-QUALIFIED STOCK 8.6250 1/4/09 COMMON 150000 150000 D OPTION (RIGHT TO BUY) STOCK - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
Explanation of Responses: (1) Shares purchased and held in Coventry Health Care, Inc.'s Supplemental Executive Retirement Plan. (2) 47,606 total shares held in Coventry Health Care, Inc.'s Supplemental Executive Retirement Plan as of 3/22/01. 1,295 total shares held in Coventry Health Care, Inc.'s 401(k) Plan as of 12/31/00. /S/ ALLEN F. WISE 3/29/2001 - --------------------------------------------- ----------------------- **Signature of Reporting Person Date ** 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 provided is insufficient, see Instruction 6 for procedure. Page 2 EDGARLink 7.0 (8/00) Ver. 3.1 -----END PRIVACY-ENHANCED MESSAGE-----