X0303 4 2010-05-26 0 0001054833 COVENTRY HEALTH CARE INC CVH 0001470287 Young David Wayne 720 COOL SPRINGS BLVD SUITE 300 FRANKLIN TN 37067 0 1 0 0 Pres.& CEO Workers Comp Div. Non-Qualified Stock Option 20.46 2010-05-26 4 A 0 25000 0 A 2011-05-26 2020-05-26 Common Stock 25000 106065 D Grant of non-qualified stock options vesting in equal annual increments over a three-year period. Shares vest in three equal annual increments over three years. Includes the following: Table I-Non-Derivative Securities consisting of 958 shares of common stock held indirectly by managed account (401(k) Plan), and 10,107 shares of restricted common stock with restrictions lapsed or lapsing in equal annual increments over four-year periods; and Table II-Derivative Securities consisting of non-qualified stock options for 95,000 shares of common stock vested or vesting in equal annual increments over three- and four-year periods, held directly. See Footnote 3 for shares held directly and indirectly. Shirley R. Smith on behalf of David W. Young by Power of Attorney 2010-05-28