0000950123-11-057258 Sample Contracts

COVENTRY HEALTH CARE, INC. Underwriting Agreement
Underwriting Agreement • June 7th, 2011 • Coventry Health Care Inc • Hospital & medical service plans • New York

Coventry Health Care, Inc., a corporation organized under the laws of Delaware (the “Company”), proposes to sell to the several underwriters named in Schedule I hereto (the “Underwriters”), for whom you (the “Representatives”) are acting as representatives, the principal amount of its securities identified in Schedule II hereto (the “Securities”), to be issued under an Indenture dated as of March 20, 2007 (as supplemented, the “Indenture”) between the Company and The Bank of New York Mellon Trust Company, N.A. (successor to The Bank of New York, N.A.), as supplemented by the First Supplemental Indenture, dated as of August 27, 2007, between the Company and Union Bank, National Association (as successor to Union Bank of California, N.A.), as trustee (the “Trustee”), and as further supplemented by the Second Supplemental Indenture to be dated as of June 7, 2011, between the Company and the Trustee. Any reference herein to the Registration Statement, any Preliminary Prospectus or the Fina

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Contract
Coventry Health Care Inc • June 7th, 2011 • Hospital & medical service plans • New York

THIS SECURITY IS A GLOBAL SECURITY WITHIN THE MEANING OF THE INDENTURE HEREINAFTER REFERRED TO AND IS REGISTERED IN THE NAME OF CEDE & CO., AS NOMINEE OF THE DEPOSITARY TRUST COMPANY, A NEW YORK CORPORATION (“DTC” OR THE “DEPOSITARY”). UNLESS AND UNTIL IT IS EXCHANGED IN WHOLE OR IN PART FOR SECURITIES IN CERTIFICATED FORM, THIS SECURITY MAY NOT BE TRANSFERRED EXCEPT AS A WHOLE BY DTC TO A NOMINEE OF DTC OR BY DTC OR ANY SUCH NOMINEE TO A SUCCESSOR DEPOSITARY OR A NOMINEE OF SUCH SUCCESSOR DEPOSITARY.

Contract
Second Supplemental Indenture • June 7th, 2011 • Coventry Health Care Inc • Hospital & medical service plans • New York

Second Supplemental Indenture (this “Second Supplemental Indenture”), dated as of June 7, 2011, among COVENTRY HEALTH CARE, INC., a Delaware corporation (the “Company”), and UNION BANK, NATIONAL ASSOCIATION, a national banking association, as trustee with respect to the series of Securities specified below under the Indenture referred to below (the “New Trustee”).

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