0000950144-07-008186 Sample Contracts

COVENTRY HEALTH CARE, INC. Underwriting Agreement
Underwriting Agreement • August 27th, 2007 • 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, as supplemented by the First Supplemental Indenture, to be dated as of August 27, 2007, between the Company and Union Bank of California, N.A., as trustee (the “Trustee). Any reference herein to the Registration Statement, any Preliminary Prospectus or the Final Prospectus shall be deemed to refer to and include the documents incorporated by reference therein pursuant to Item 12 of Form S-3 which were filed under the Exchange Act on or before the Effective Date of the Registration Statement or the issue

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Contract
Global Security Agreement • August 27th, 2007 • Coventry Health Care Inc • 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
Supplemental Indenture • August 27th, 2007 • Coventry Health Care Inc • Hospital & medical service plans • New York

First Supplemental Indenture (this “Supplemental Indenture”), dated as of August 27, 2007, among COVENTRY HEALTH CARE, INC., a Delaware corporation (the “Company”), and UNION BANK OF CALIFORNIA, N.A., 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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