Filing Details

Accession Number:
0001206620-12-000001
Form Type:
5
Zero Holdings:
No
Publication Time:
2012-02-01 15:35:19
Reporting Period:
2011-12-31
Filing Date:
2012-02-01
Accepted Time:
2012-02-01 15:35:19
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1054833 Coventry Health Care Inc CVH Hospital & Medical Service Plans (6324) 522073000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1206620 F Allen Wise Coventry Health Care, Inc.
6720-B Rockledge Drive, Suite #700
Bethesda MD 20817
Chief Executive Officer No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2011-12-31 873 $0.00 113,011 No 5 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 5 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Restore Acquisiton 2011-12-31 5,517 $0.00 5,517 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
529,791 No 5 A Direct
Footnotes
  1. Shares were acquired throughout the 2011 fiscal year in the reporting person's 401(k) Plan account and paid for through regular payroll deductions and employer matching contributions.
  2. Shares were acquired through payroll deduction and employer matching contributions throughout the 2011 fiscal year.
  3. Shares were acquired through payroll deduction and employer matching contributions at various prices at market value throughout the 2011 fiscal year.
  4. Includes the following: Table I- Non-Derivative Securities comprised of 104,016 shares held directly, 3,715 shares held indirectly by Managed Account (401(k) Plan) and 5,280 shares held indirectly by Managed Account (Other Retirement Account).
  5. See Footnote 4 for shares held directly and indirectly.
  6. There is no conversion or exercise price. The common stock was acquired by and in the name of the rabbi trust of Coventry's 401(k) Restoration and Deferred Compensation Plan and allocated to the reporting person's account. The phantom common stock will be paid out in cash six months following the reporting person's retirement or other termination of service at the closing market price of the shares on the date of distribution.
  7. Shares were acquired throughout the 2011 fiscal year through regular payroll deduction on various dates at various prices at market value and allocated to the reporting person's account in Coventry's 401(k) Restoration and Deferred Compensation Plan.
  8. Shares of common stock that are not held directly by the reporting person, but are purchased by Coventry's 401(k) Restoration and Deferred Compensation Plan's rabbi trust and held in the name of the rabbi trust for the account of the reporting person. The reporting person has no voting power over the stock, but does have dispositive power over the stock and can direct the rabbi trust to sell the shares. Upon retirement or termination of employment, Coventry's 401(k) Restoration and Deferred Compensation Plan accounts are automatically settled in cash so the reporting person never owns the shares outright.
  9. There is no date exercisable. The shares of phantom common stock become payable in cash six months following the reporting person's retirement or other termination of service as an officer of the Company.
  10. There is no expiration date. The shares of phantom common stock become payable in cash six months following the reporting person's retirement or other termination of service as an officer of the Company.
  11. The shares of phantom common stock become payable in cash upon the reporting person's retirement or other termination of service as an officer of the Company.
  12. Includes the following: Table II Derivative Securities comprised of a non-qualified stock option representing 500,000 shares of common stock granted in 2009 and fully vested, held directly, and 29,791 shares of phantom common stock held directly in Coventry's 401(k) Restoration and Deferred Compensation Plan.