X0303 4 2010-06-22 0 0001054833 COVENTRY HEALTH CARE INC CVH 0001231554 RUHLMANN JOHN J 6705 ROCKELDGE DRIVE SUITE 900 BETHESDA MD 20817 0 1 0 0 Sr. VP and Corp. Controller Common Stock Restricted 2010-06-22 4 F 0 1795 19.73 D 170591 D Common Stock Restricted 2010-06-23 4 S 0 3205 19.39 D 167386 D Sale of securities back to the Company to satisfy tax withholding on lapse of restrictions on one-fourth increment of Restricted Stock Award. Includes the following: Table I-Non-Derivative Securities comprised of 476 shares of common stock held directly, 3,658 shares of common stock held indirectly by managed account (401(k) Plan), and 33,207 shares of restricted common stock with restrictions lapsed or lapsing over four-year periods, held directly; and Table II-Derivative Securities consisting of non-qualified stock options for 133,250 shares of common stock vesting in equal annual increments over three- and four-year periods, held directly. See Footnote 2 for shares held directly and indirectly. Restrictions have been released on the shares sold. Includes the following: Table I-Non-Derivative Securities comprised of 476 shares of common stock held directly, 3,658 shares of common stock held indirectly by managed account (401(k) Plan), and 30,002 shares of restricted common stock with restrictions lapsed or lapsing over four-year periods, held directly; and Table II-Derivative Securities consisting of non-qualified stock options for 133,250 shares of common stock vesting in equal annual increments over three- and four-year periods, held directly. See Footnote 5 for shares held directly and indirectly. John J. Ruhlmann 2010-06-23