**Exhibit 21**

**COVENTRY HEALTH CARE, INC.**

**LIST        OF SUBSIDIARIES**

**January 9, 2008**

 

 

**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       |
| CHCCares, Inc. (Name Change effective 10/17/2007 to                        HealthCare USA of Tennessee with d/b/a HealthCare USA)                                                                                                      | Tennessee     |
| Coventry Financial Management Services, Inc.

                                                                                                                                                                                    | Delaware      |
| Coventry Health and Life Insurance Company

                                                                                                                                                                                      | Delaware      |
| Coventry Health Care Investment Corporation

                                                                                                                                                                                     | Delaware      |
| Coventry Healthcare Management Corporation (Also does                        business as CHC Management Corporation and Coventry Healthcare Management                        Corporation of Missouri)

                          | Delaware      |
| Coventry Health Care, Inc.

                                                                                                                                                                                                      | 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:**

                         

FHM Business Corporation

                         

First Script Network Services, Inc.

                         

        FOCUS Healthcare                        Management, Inc.

                         

Medical Examinations of New York, P.C. d/b/a Coventry                        Independent Medical Examinations

                         

MetraComp, Inc. | **  ** Delaware

                         

**  **

   Delaware

  

  Nevada

                         

  Tennessee

                         

    New York

                         

                         

 Connecticut |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Coventry Product Services, Inc.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           | Delaware                                                                                                                                                                                                                                                                                                                               |
| Coventry Prescription Management Services, Inc.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           | Nevada                                                                                                                                                                                                                                                                                                                                 |
| Coventry Services Corporation

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             | Delaware                                                                                                                                                                                                                                                                                                                               |
| Coventry Specialty Services, LLC

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          | Maryland                                                                                                                                                                                                                                                                                                                               |
| Coventry Transplant Network, Inc.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         | Delaware                                                                                                                                                                                                                                                                                                                               |
| **First Health Group Corp. and it                        subsidiaries**:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  | Delaware                                                                                                                                                                                                                                                                                                                               |
| American Life and Health Insurance Company                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       | Missouri                                                                                                                                                                                                                                                                                                                               |
| Cambridge Life Insurance Company

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          | Missouri                                                                                                                                                                                                                                                                                                                               |
| Claims Administration Corp.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               | Maryland                                                                                                                                                                                                                                                                                                                               |
| FHC, Inc.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 | Ontario                                                                                                                                                                                                                                                                                                                                |
| First Health Insurance Services, Inc.(Merged into First Health Group Corp on 12/31/2007 w/ FHG                        being the surviving corporation.)

                                                                                                                                                                                                                                                                                                                                                                                                   | Virginia                                                                                                                                                                                                                                                                                                                               |
| First Health Life & Health Insurance Company                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 | Texas                                                                                                                                                                                                                                                                                                                                  |
|  

First Health Priority Services, Inc.

(Merged with First Health Plus Managed Care Services, Inc.                        with First Health Plus Managed Care Services, Inc. as surviving                        corporation. Company then changed name to First Health Priority Services,                        Inc.Merged into Coventry Health Care Workers                        Compensation, Inc. on 12/31/2007 w/ CHCWC being the surviving                        corporation)

                                                             |  

California                                                                                                                                                                                                                                                                                                                     |

| **First Health Services Corporation and                        Subsidiaries:**

                         

First Health Services of Arkansas, Inc.

                         

First Health Services of Florida, Inc.

                         

First Health Services of Montana, Inc.

                         

First Health Strategies, Inc.

                         

Health Care Management, Inc. | Virginia

                         

Arkansas

                         

Florida

                         

Montana

                         

Delaware

                         

Delaware

                          |
|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| First Health Insurance Corporation                                                                                                                                                                                                                                                                                                                                                                                                   | Illinois

                                                                                                                                                                                                                                          |
| **Florida Health Plan Administrators, LLC and it                        subsidiaries:**

                         

Summit Health Plan, Inc.

                         

Vista Healthplan, Inc.

                         

Vista Healthplan of South Florida, Inc.

                         

Vista Insurance Plan, Inc.

                                                                                | Florida

                         

Florida

                         

Florida

                         

Florida

                         

Florida

                                                                       |
| Group Health Plan, Inc.

                                                                                                                                                                                                                                                                                                                                                                                                       | Missouri                                                                                                                                                                                                                                                 |
| HealthAmerica Pennsylvania, Inc.

                                                                                                                                                                                                                                                                                                                                                                                              | Pennsylvania                                                                                                                                                                                                                                             |
| HealthAssurance Financial Services, Inc.

                                                                                                                                                                                                                                                                                                                                                                                      | Delaware                                                                                                                                                                                                                                                 |
| HealthAssurance Pennsylvania, Inc.(Formerly Health PASS, Inc.)

                                                                                                                                                                                                                                                                                                                                                                | Pennsylvania                                                                                                                                                                                                                                             |
| HealthCare USA of Missouri, LLC

                                                                                                                                                                                                                                                                                                                                                                                               | Missouri                                                                                                                                                                                                                                                 |
| OmniCare Health Plan, Inc.

                                                                                                                                                                                                                                                                                                                                                                                                    | Minnesota                                                                                                                                                                                                                                                |
| PersonalCare Insurance of Illinois, Inc.

                                                                                                                                                                                                                                                                                                                                                                                      | Illinois                                                                                                                                                                                                                                                 |
| Provider Synergies, LLC

                                                                                                                                                                                                                                                                                                                                                                                                       | Ohio                                                                                                                                                                                                                                                     |
| Southern Health Services, Inc. (Also does business as                        Coventry Health Care or Coventry)

                                                                                                                                                                                                                                                                                                                | Virginia                                                                                                                                                                                                                                                 |
| SouthCare PPO, Inc.(Merged into First                        Health Group, Inc. on 12/31/2007 w/ FHGC being the surviving                        corporation.)

                                                                                                                                                                                                                                                                | Missouri                                                                                                                                                                                                                                                 |
| WellPath Preferred Services, Inc.

                                                                                                                                                                                                                                                                                                                                                                                             | North Carolina                                                                                                                                                                                                                                           |
| WellPath Select, Inc.

                                                                                                                                                                                                                                                                                                                                                                                                         | North Carolina                                                                                                                                                                                                                                           |
| WellPath of South Carolina, Inc.

                                                                                                                                                                                                                                                                                                                                                                                              | South Carolina                                                                                                                                                                                                                                           |