|  Subsidiaries                                                                                                                                                                                                                                                                                                                                                    |  State of      Organization                                                         |
|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------|
|                                                                                                                                                                                                                                                                                                                                                                  |                                                                                     |
| Altius      Health Plans Inc. (Does business as Altius)                                                                                                                                                                                                                                                                                                          | Utah                                                                                     |
| Carelink      Health Plans, Inc.                                                                                                                                                                                                                                                                                                                                 | West      Virginia                                                                       |
| Coventry      Consumer Advantage, Inc.                                                                                                                                                                                                                                                                                                                           | Delaware                                                                                 |
| CHC      Casualty Risk Retention Group, Inc.                                                                                                                                                                                                                                                                                                                     | Vermont                                                                                  |
| Coventry      Financial Management Services, Inc.                                                                                                                                                                                                                                                                                                                | Delaware                                                                                 |
| Coventry      Health and Life Insurance Company                                                                                                                                                                                                                                                                                                                  | Delaware                                                                                 |
| Coventry      Healthcare Management Corporation (Also does business as CHC Management      Corporation and Coventry Healthcare Management Corporation of      Missouri)                                                                                                                                                                                          | Delaware                                                                                 |
| Coventry      Health Care of Delaware, Inc. (Also does business as Coventry Health Care      of New Jersey)                                                                                                                                                                                                                                                      | Delaware                                                                                 |
| Coventry      Health Care of Georgia, Inc.                                                                                                                                                                                                                                                                                                                       | Georgia                                                                                  |
| Coventry      Health Care of Iowa, Inc.                                                                                                                                                                                                                                                                                                                          | Iowa                                                                                     |
| Coventry      Health Care of Kansas, Inc.                                                                                                                                                                                                                                                                                                                        | Kansas                                                                                   |
| Coventry      Health Care of Louisiana, Inc.                                                                                                                                                                                                                                                                                                                     | Louisiana                                                                                |
| Coventry      Health Care of Nebraska, Inc.                                                                                                                                                                                                                                                                                                                      | Nebraska                                                                                 |
| Coventry      Health Care of Pennsylvania, Inc.                                                                                                                                                                                                                                                                                                                  | Pennsylvania                                                                             |
| Coventry      Management Services, Inc.                                                                                                                                                                                                                                                                                                                          | Pennsylvania                                                                             |
| Coventry      Health Care National Network, Inc.                                                                                                                                                                                                                                                                                                                 | Delaware                                                                                 |
| Coventry      Healthcare National Accounts, Inc.                                                                                                                                                                                                                                                                                                                 | Delaware                                                                                 |
| Coventry      Health Care Workers Compensation, Inc. and Subsidiaries: First      Script Network Services, Inc. FOCUS      Healthcare Management, Inc. Medical      Examinations of New York, P.C. d/b/a  Coventry Independent      Medical Examinations Coventry      Independent Medical Exams of Texas, PA MetraComp,      Inc. | Delaware Nevada Tennessee New      York Texas Connecticut  |
| Coventry      Product Services, Inc.                                                                                                                                                                                                                                                                                                                             | Delaware                                                                                 |
| Coventry      Prescription Management Services, Inc.                                                                                                                                                                                                                                                                                                             | Nevada                                                                                   |
| Coventry      Services Corporation                                                                                                                                                                                                                                                                                                                               | Delaware                                                                                 |
| Coventry      Transplant Network, Inc.                                                                                                                                                                                                                                                                                                                           | Delaware                                                                                 |
| First      Health Group Corp. and it subsidiaries:                                                                                                                                                                                                                                                                                                               | Delaware                                                                                 |
| Cambridge      Life Insurance Company                                                                                                                                                                                                                                                                                                                            | Missouri                                                                                 |
| Claims      Administration Corp.                                                                                                                                                                                                                                                                                                                                 | Maryland                                                                                 |
| First      Health Life & Health Insurance Company                                                                                                                                                                                                                                                                                                            | Texas                                                                                    |
| First      Health Strategies, Inc.                                                                                                                                                                                                                                                                                                                               | Delaware                                                                            |
| Florida      Health Plan Administrators, LLC and it subsidiaries: Summit      Health Plan, Inc. Vista      Healthplan, Inc. Vista      Healthplan of South Florida, Inc. Carefree      Insurance Services, Inc.            (50%      ownership)                                  | Florida Florida Florida Florida Florida                    |
| Group      Dental Services, Inc. Group      Dental Service of Maryland, Inc.                                                                                                                                                                                                                                                                                | Maryland Maryland                                                              |

| Group      Health Plan, Inc.                                                                                                                                                                                                                                | Missouri                                                            |
|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------|
| Group      Health Plan of Delaware, LLC                                                                                                                                                                                                                | Delaware                                                                 |
| HealthAmerica      Pennsylvania, Inc.                                                                                                                                                                                                                  | Pennsylvania                                                             |
| HealthAssurance      Financial Services, Inc.                                                                                                                                                                                                          | Delaware                                                                 |
| HealthAssurance      Pennsylvania, Inc.(Formerly      Health PASS, Inc.)                                                                                                                                                                               | Pennsylvania                                                             |
| HealthCare      USA of Missouri, LLC                                                                                                                                                                                                                   | Missouri                                                                 |
| HealthCare      USA of Tennessee (with d/b/a HealthCare USA & CHCCares effective      10/17/2007)                                                                                                                                                  | Tennessee                                                                |
| MHNet      Specialty Services, LLC Mental      Health Network of New York, IPA MHNet      Life and Health Insurance Company MHNet      of Florida, Inc. Mental      Health Associates, Inc.                                        | Maryland New      York Texas Florida Louisiana       |
| OmniCare      Health Plan, Inc.                                                                                                                                                                                                                        | Michigan                                                                 |
| PersonalCare      Insurance of Illinois, Inc.                                                                                                                                                                                                          | Illinois                                                                 |
| Preferred      Health Systems, Inc. Preferred      Health Systems Insurance Company Preferred      Plus of Kansas, Inc. Preferred      Health Care, Inc. Kansas      Health Plan, Inc. Preferred      Benefits Administrator, Inc. | Kansas Kansas Kansas Kansas Kansas Kansas  |
| Southern      Health Services, Inc. (Also does business as Coventry Health Care or      Coventry)                                                                                                                                                      | Virginia                                                                 |
| WellPath      Preferred Services, Inc.                                                                                                                                                                                                                 | North      Carolina                                                      |
| WellPath      Select, Inc.                                                                                                                                                                                                                             | North      Carolina                                                      |
| WellPath      of South Carolina, Inc.                                                                                                                                                                                                                       | South      Carolina                                                      |