Document:

Form of Coventry Health Care, Inc. Restricted Stock Award Agreement.

Exhibit 10.19

RESTRICTED STOCK AWARD
AGREEMENT 
ENTERED INTO UNDER 
 THE 2004 STOCK
INCENTIVE PLAN 
 OF 
 COVENTRY HEALTH CARE,
INC. 

     THIS  RESTRICTED  STOCK AWARD  AGREEMENT  (“Agreement”)  is made and  entered  into as of the _____ day of
_____,  20___  by  and  between  COVENTRY  HEALTH  CARE,  INC.,  a  Delaware   corporation,   (the  “Company”)  and
_______________ (“Holder”).

         1.       
          Restricted Stock Award. The Company hereby awards Holder _________ shares
          (the “Restricted Stock,” which term shall include any additional
          shares or other securities received in respect of the Restricted Stock through
          stock splits or stock dividends pursuant to Section 3 below or otherwise
          pursuant to the Company’s 2004 Incentive Plan (the “2004 Incentive
          Plan”)) of the Company’s Common Stock (the “Common Stock”),
          subject to the terms and conditions of this Agreement and the terms and
          conditions of the 2004 Incentive Plan. In the event the terms of this Agreement
          conflict with or are inconsistent with the provisions of the 2004 Incentive
          Plan, the provisions of the 2004 Incentive Plan shall be controlling. 

         2.       
          Restrictions and Conditions: 

         (a)       
          Commencing with the date hereof, the Holder agrees that Holder has no right to,
          and shall not, sell, transfer, pledge or assign, in whole or in part, the
          Restricted Shares; provided, however, that the foregoing restrictions shall
          lapse and be no longer in force and effect, in annual, cumulative increments of
          one-______ the number of Restricted Stock granted herein over a ____-year
          period, beginning with the first increment on _______, 20___. 

        From
and after each annual date, the shares as to which restrictions have lapsed shall be owned
by Holder free and clear of all restrictions or limitations of this Agreement. As soon as
reasonably practicable after the date the restrictions shall lapse, the Company shall
deliver to Holder a certificate for the unrestricted shares. 

         (b)       
          Except as provided in this Agreement to the contrary, the Holder shall have,
          with respect to the Restricted Stock, all of the rights of a shareholder of the
          Company, including the right to vote the shares and the right to receive any
          cash dividends. Pursuant to Section 3 below, stock or other security dividends
          or stock splits issued with respect to Restricted Stock shall be treated as
          additional Restricted Stock that are subject to the same restrictions and other
          terms and conditions that apply to the Restricted Stock with respect to which
          such dividends or splits are issued. 

         (c)       
          Upon termination of Holder’s service as an executive officer for any reason
          during the term of this Agreement, all shares still subject to restriction will
          be forfeited, unless such termination is the result of Holder’s death or
          Disability, in which case the Restricted Stock subject to restriction will
          immediately vest. 

         (d)       
          In the event of a Change in Control or Potential Change in Control of the
          Company, Restricted Stock as to which restrictions have not lapsed will vest as
          of the date the Change in Control or Potential Change in Control, as applicable,
          is deemed to have occurred. 

         3.       
          Adjustments. In the event of any merger, reorganization, consolidation,
          recapitalization, extraordinary cash dividend, stock dividend, stock split or
          other change in corporate structure affecting the Common Stock, such
          substitution or adjustment shall be made in the maximum number of Restricted
          Stock as may be determined to be appropriate by the Committee, in its sole
          discretion, provided that the number of shares subject to any award shall always
          be a whole number. 

         4.       
          Restricted Account/Stock Legend. Holder acknowledges that the Company
          will either issue the Restricted Shares covered by this Agreement in the name of
          Holder to be held in an uncertificated restricted account or will issue a stock
          certificate for the Restricted Shares covered by this Agreement registered in
          the name of Holder, which certificate bear will bear the legend set forth below
          and any additional legend required by applicable securities law or by the New
          York Stock Exchange or any exchange on which the Common Stock may be listed: 

	  	
The
shares evidenced by this certificate are subject to the terms and conditions of a
Restricted Stock Agreement dated ________, 20___ between Coventry Health Care, Inc. and
the registered holder hereof. 

Holder acknowledges that the
certificates evidencing the Restricted Stock, whether certificated or uncertificated,
shall be held in the custody of the Company in the name of the Holder until the
restrictions lapse and that it is a condition to the effectiveness of this Agreement and
the award of the Restricted Stock that Holder deliver to the Company the stock power
attached hereto as Exhibit A, endorsed in blank. 

         5.       
          Non transferability. The Holder’s rights hereunder shall not be
          transferable otherwise than as provided in the 2004 Incentive Plan, and the
          terms thereof shall be binding on the executors, administrators, heirs and
          successors of Holder. 

         6.       
          Defined Terms. Defined terms used herein and not defined shall have the
          meanings ascribed to them in the 2004 Incentive Plan. 

         7.       
          Amendment: Choice of Law. This Agreement may be amended as provided in
          the Plan. This Agreement shall be governed by Maryland law. 

COVENTRY HEALTH CARE, INC.                   HOLDER:

By:                                                                                                                          

                                                                              #                                                 

EXHIBIT “A” 

IRREVOCABLE STOCK OR
BOND POWER 

FOR VALUE RECEIVED, the undersigned
does hereby sell, assign and transfer to: 

Coventry Health Care, Inc.

Social security or taxpayer
identifying no.: 52–2073000

	IF STOCK, COMPLETE	_______ shares of the Common Stock of Coventry Health Care, Inc.
	THIS PORTION	represented by Certificate (s) No (s)      inclusive, registered in the 
name(s)
of _____________________.

	IF BONDS, COMPLETE	       bonds of Coventry Health Care, Inc. in the principal amount of
	THIS PORTION	$     inclusive, registered in the name(s) of           .

The undersigned does (do) hereby
irrevocably constitute and appoint                  attorney to transfer the said stock or bond (s), as the
case may be, on the books of said Company, with full power of substitution in the
premises. 

By:      ____________________________________________________

Dated:   ____________________________________________________2004 Mid-Term Executive Retention Program

Exhibit 10.26

COVENTRY HEALTH CARE,
INC.
2004 MID-TERM
EXECUTIVE RETENTION PROGRAM 

ARTICLE I
ESTABLISHMENT AND
PURPOSE OF THE PROGRAM 

        1.01
Establishment of the Program. Coventry Health Care, Inc. (the “Company”)
desires to adopt and establish a two-year executive retention program for a select group
of its key management and highly compensated employees and their beneficiaries to be
administered pursuant to the Coventry Health Care Inc. 2004 Incentive Plan (the “2004
Incentive Plan”). Subject to the approval of the 2004 Incentive Plan by the
Company’s shareholders, the Company shall by execution of this document create a
Program known as the “Coventry Health Care, Inc. 2004 Mid-Term Executive Retention
Program” which shall be effective as of July 1, 2004 (the “Effective
Date”). 

        1.02 Purpose. The purpose of
the Program is to attract and retain senior executive officers possessing outstanding
ability and to motivate such officers to achieve corporate and individual goals by means
of long-term incentives. 

        1.03 Administration. The
Program shall be administered by the Administrative Committee. Awards paid to Covered
Officers will be made pursuant to the 2004 Incentive Plan and are governed by the terms of
the 2004 Incentive Plan. In the event of any inconsistency between the terms of this
Program with respect to such awards and the 2004 Incentive Plan, the terms of the 2004
Incentive Plan shall govern. 

        It
is the intention of the Company that the Program meet all of the requirements necessary or
appropriate to be an unsecured retention and deferred compensation program for a select
group of management or highly compensated employees within the meaning of ERISA Sections
201(2), 301(a)(3) and 401(a)(l), which is not a qualified retirement plan under the Code.
It is the further intention of the Company that all Awards hereunder to Covered Officers
shall qualify for the “performance-based exception” to the deduction limitation
imposed by Section 162(m) of the Code. All provisions hereof shall be interpreted
accordingly. 

ARTICLE II
DEFINITIONS 

        As
used in the Program: 

        2.01
“Accounts” shall mean the Company Cash Account and Stock Account maintained by
the Administrative Committee under Articles IV and V or any other section of the Program
to reflect a Participant’s interest (or the undistributed interest of a Beneficiary)
under the Program to the extent such Account has been created for a Participant or
Beneficiary. 

        2.02     “Administrative Committee” shall mean the committee provided for in Section 14.01
hereof.

        2.03
“Beneficiary” shall mean any person, persons and/or entity entitled to receive
benefits which are payable pursuant to Article XI hereof upon or after a
Participant’s death. 

        2.04
“Bonus” or “Bonuses” shall mean amounts paid to a Participant under
any bonus program or arrangement of the Employer during the one year period immediately
prior to the Effective Date and for each Program Year thereafter but shall not include
amounts paid under the Program. 

        2.05     “Calendar Year” shall mean January 1 through December 31.

        2.06     “Change in Control” means the happening of any of the following:

	 	    (i)       
          any person or entity, including a “group” as defined in Section
          13(d)(3) of the Exchange Act, other than the Company or a wholly-owned
          subsidiary thereof or any employee benefit plan of the Company or any of its
          Subsidiaries, becomes the beneficial owner of the Company’s securities
          having thirty five percent (35%) or more of the combined voting power of the
          then outstanding securities of the Company that may be cast for the election of
          directors of the Company (other than as a result of an issuance of securities
          initiated by the Company in the ordinary course of business or other than
          transactions which are approved by a majority of the Board of Directors of the
          Company); or 

	 	     (ii)       
          as the result of, or in connection with, any cash tender or exchange offer,
          merger or other business combination, sales of assets or contested election, or
          any combination of the foregoing transactions, less than a majority of the
          combined voting power of the then outstanding securities of the Company or any
          successor corporation or entity entitled to vote generally in the election of
          the directors of the Company or such other corporation or entity after such
          transactions are held in the aggregate by the holders of the Company’s
          securities entitled to vote generally in the election of directors of the
          Company immediately prior to such transaction; or 

	 	    (iii)       
          during any period of two consecutive years, individuals who at the beginning of
          any such period constitute the Board of Directors of the Company cease for any
          reason to constitute at least a majority thereof, unless the election, or the
          nomination for election by the Company’s shareholders, of each director of
          the Company first elected during such period was approved by a vote of at least
          two-thirds of the directors of the Company then still in office who were
          directors of the Company at the beginning of any such period. 

        2.07
“Code” shall mean the Internal Revenue Code of 1986, as amended from time to
time. References to any Section of the Internal Revenue Code shall include any successor
provisions thereto. 

        2.08     “Company” shall mean Coventry  Health Care, Inc. or any company that is a successor  thereto as a
result of a merger, consolidation, liquidation, transfer of assets or other reorganization.

        2.09
“Company Cash Allocation” shall mean the amounts credited to the Participant in
the Company Cash Account by the Company in accordance with Section 4.01 hereof. 

        2.10
“Company Cash Account” shall mean the Account maintained for each Participant to
record the amounts of the Company Cash Allocation credited to the Participant pursuant to
Section 4.01 hereof, as adjusted in accordance with the provisions of the Program. 

        2.11
“Compensation” shall mean the Base Salary and Bonus paid to the Employee,
including amounts that are not includible in the gross income of the Participant under a
salary reduction agreement by reason of the application of Sections 125, 402(e)(3), 402(h)
or 403(b) of the Code. 

Compensation shall not include the
following: 

                2.11 (1)       Amounts
credited or paid under the Program or deferred into a Participants Account.

                2.11 (2)       Amounts
included in an Employee’s income for federal income tax purposes
          upon the exercise of a non-qualified stock option or upon receipt or vesting of
          any restricted stock or other property. 

                2.11 (3)       Amounts
included in an Employee’s income for federal income tax purposes
          upon the sale, exchange or disposition of stock acquired upon exercise of an
          incentive stock option. 

                2.11 (4)       Any
expense allowance, car allowance, fringe benefits (cash and non-cash),
          non-cash payments, reimbursed expenses, group-term life insurance or excess
          group-term life insurance, contributions by the Company to any Supplemental
          Executive Retirement Plan (SERP) or 401(k) plans or other similar items which
          are not included in the Participant’s Salary (other than bonuses), whether
          or not such amounts are includible in the Employee’s gross income. 

        2.12     “Covered Officer” shall have the meaning set forth in the 2004 Incentive Plan.

        2.13
“Date of Employment” or “Date of Reemployment” shall mean the day on
which an Employee first commences employment, or first commences reemployment following
Termination of Employment with the Employer. 

        2.14
“Disability” shall mean disability as determined by the Administrative Committee
pursuant to Section 10.02. 

        2.15
“Effective Date” shall mean July 1, 2004. 

        2.16
“Eligible Employee” shall mean those Employees who are selected for
participation in the Program by the Administrative Committee of the Program. 

        2.17     “Employee”  shall  mean  any  person  who is  employed  by one or  more  Employers,  and is on an
Employer's payroll.

        2.18     “Employer”  shall mean the Company or any  affiliated  company or  subsidiary of the Company that
adopts the Program.

        2.19
“ERISA” shall mean the Employee Retirement Income Security Act of 1974, as
amended from time to time. References to any Section of ERISA shall include any successor
provision thereto. 

        2.20
“Exchange Act” means the Securities Exchange Act of 1934, as amended from time
to time, and any successor thereto. 

        2.21
“Fiscal  Year” shall mean the fiscal  year of an  Employer.  The Fiscal Year of the Company  ends
on December 31.

        2.22
“Model Portfolio” shall mean the investment vehicles established by the Company
for the purpose of crediting earnings or losses to Company Cash Accounts. 

        2.23
“Participant” shall mean an Eligible Employee who participates in the Program as
provided in Article III hereof. 

        2.24
“Program” shall mean this Coventry Health Care, Inc. 2004 Mid-Term Executive Retention Program
as set forth in this document, and as hereafter amended.

        2.25
“Program Year” shall mean the twelve (12) consecutive month period ending on
June 30. 

        2.26
“Salary” shall mean the annual base salary paid to a Participant according to
the Company’s normal payroll practices computed immediately prior to the Effective
Date and on each June 30 thereafter. 

        2.27
“Stock Account” shall mean the Account established for each Participant to
record the amounts of stock credits, equal in value to the price of the Company’s
common stock, and credited to the Participant, pursuant to Section 5.01 hereof. 

        2.28
“Subsidiary” shall mean any corporation (other than the Company) in an unbroken
chain of corporations beginning with the Company if each of the corporations (other than
the last corporation in the unbroken chain) owns stock possessing fifty percent (50%) or
more of the total combined voting power of all classes of stock in one of the other
corporations in the chain. 

        2.29
“Termination For-Cause” shall mean termination of employment with an Employer
resulting from (i) a felony conviction of a Participant or the failure of a Participant to
contest prosecution for a felony, or (ii) a Participant’s willful misconduct or
dishonesty, which is directly and materially harmful to the business or reputation of the
Company or any Employer. 

        2.30 “Termination
Not-for-Cause” shall mean the termination of employment with an Employer (where the
Employee does not remain employed by another Employer), whether voluntary or involuntary,
other than by reason of the Participant’s Death or Termination For-Cause as defined
herein. 

        2.31     “Valuation Date” shall mean the last day of the respective month.

        2.32     “Valuation Period” shall mean a calendar month.

        2.33 “Year of Service”
shall mean a Program Year during which the Participant remains in the full time employment
of an Employer. 

ARTICLE III
REQUIREMENTS FOR
ELIGIBILITY AND PARTICIPATION 

        3.01
Eligibility. Each Eligible Employee in the employ of the Company on the Effective
Date shall become a Participant on the Effective Date, subject to the provisions of
Section 3.03. Any Employee who first becomes an Eligible Employee after the Effective Date
will become a Participant on the date he or she becomes an Eligible Employee, subject to
the provisions of Section 3.03. 

        3.02
Cessation of Eligible Employee Status. If any Participant who does not incur a
Termination of Employment ceases to be an Eligible Employee as defined in Section 2.15
hereof, then during the period that such Participant is not an Eligible Employee: (i) such
Participant shall not receive any further allocation of any Company Contributions, if any,
under the Program, and (ii) such Participant’s Account shall continue to be adjusted
as provided in Article IX hereof. 

        3.03
Participation in the Program. Each Eligible Employee shall become a Participant
only after receiving a notification letter which shall define both the initial level of
the Company’s Cash Allocation credited to the Company Cash Account and the number of
shares of stock credits, equal in value to the price of the Company’s common stock,
credited to the Stock Account for such Participant, and the performance goals and targets
applicable to each such Award for the first Program Year. 

ARTICLE IV
COMPANY CONTRIBUTIONS 

        4.01
Company Cash Allocations. The Company will make an initial Company Cash Allocation
to the Program for a Participant as disclosed in a notification letter for the initial
Program Year as of the Effective Date. For the Initial Company Cash Allocation to the
Program and for the subsequent Program Year beginning July 1, 2005, the Company Cash
Allocation for each Participant and the performance targets to which such Awards are
subject, will be determined by the Administrative Committee and approved by the
Compensation Committee, prior to the beginning of the Program Year, and a notification
letter will be issued to each Participant evidencing such allocation and performance
criteria. The Company Cash Allocation for the Covered Officers shall be determined by the
Compensation Committee for each Program Year and shall be subject to the performance goals
adopted by the Compensation Committee. The performance goals and targets applicable to
Awards for all Participants for the Program Year beginning July 1, 2004 shall be as set
forth on Exhibit A hereto. Subject to any lower limitation set forth in the 2004
Incentive Plan, the maximum Company Cash Allocation for the Chief Executive Officer will
be determined by the Compensation Committee. Subject to any lower limitation set forth in
the 2004 Incentive Plan, the maximum Company Cash Allocation for the Chief Operating
Officer, the Chief Financial Officer and the SVP, CSO and CIO of the Company, shall be
forty percent (40%) of Compensation for each Program Year. The maximum Company Cash
Allocation for any other Eligible Employee shall be twenty five percent (25%) of
Compensation for each Program Year. 

        4.02     Timing of Company Cash Allocations.  Company Cash Allocations will be made on July 1 of each year. 

        4.03
Company Cash Allocations in the Event of a Change-of-Control. In the event of a
Change-of-Control, and coincident with the effective time of the Change-of-Control, the
Company will make an additional Company Cash Allocation in an amount equal to the initial
Company Cash Allocation multiplied by the number of years in the program remaining for
which no allocation has yet been made. A zero Company Cash Allocation for a Participant
shall be deemed an allocation for purposes of the forgoing calculation. 

ARTICLE V
STOCK 

        5.01
Stock Allocation. On July 1, 2004 and July 1, 2005, each Participant will be
eligible to receive additional credits to his or her Stock Account as of such date in an
amount equal to the number of shares determined by dividing thirty five percent (35%) of
the Participant’s Company Cash Allocation for that Program Year by the average
closing stock price for the Company’s common stock as indicated on the NYSE for the
ten (10) consecutive trading days prior to the date of the contribution. Credits to the
Stock Accounts of Participants shall be further subject to the Company’s attainment
of performance goals and targets set by the Compensation Committee which goals and targets
for the Program Year beginning July 1, 2004 are set forth on Exhibit A hereto. 

        5.02
Stock Allocations in the Event of a Change-of-Control. In the event of a
Change-of-Control, and coincident with the effective time of the Change-of-Control, an
additional credit to the Stock Account for each Participant will be made in an amount
equal to the initial award for such Participant multiplied by the number of years
remaining in the program for which no credit has yet been made. A zero credit to a
Participant’s Stock Account shall be deemed a credit for purposes of the forgoing
calculation. 

ARTICLE VI
VESTING OF ACCOUNTS 

        6.01
Vesting of Participant’s Accounts. Subject to the Company’s attainment of
the relevant performance targets, each Participant will become one hundred percent (100%)
vested in his or her Accounts on July 1, 2006. In the event the pre-established
performance targets are not met by the Company for any period, each Participant will
forfeit his or her Award applicable to such period. Notwithstanding the foregoing, earlier
vesting of an Award shall occur upon the earliest of the following circumstances, unless
such Award has previously been forfeited on account of the Company’s failure to meet
the performance targets related thereto: 

                   6.01(l)       
          Accelerated Vesting in the Event of a Change-of-Control. In the event of
          a Change-of-Control, each Participant’s Accounts will vest in full as of
          the date of the Change-of-Control. 

                   6.01(2)       
          Accelerated Vesting in the Event of a Participant’s Death or Involuntary
          Termination Not-for-Cause. In the event of a Participant’s Death or
          involuntary Termination Not-for-Cause, as defined herein, each
          Participant’s Accounts will vest as of the date of Participant’s Death
          or involuntary Termination Not-for-Cause. 

        6.02
Forfeiture of Participant’s Accounts. In the event of a Participant’s
Voluntary Termination Not-for-Cause, or Termination For-Cause, the Participant’s
Accounts will be forfeited in their entirety. Such forfeiture will not be reallocated
among other Program Participants but may be applied to future Company Cash Allocations and
Stock Allocations. 

ARTICLE VII
ACCOUNT DISTRIBUTIONS 

        7.01
Account Distribution. Except as otherwise provided below, each Participant’s
Accounts will be distributed in full within thirty (30) days after becoming vested. The
Company may, however, permit a Participant to defer receipt of his or her Account for an
additional period of time established by the Company provided that such election is made
at least twelve (12) months before the Participant is scheduled to become vested in his or
her Account, barring an accelerated vesting event described in Sections 6.01(1) or (2). In
the event a Participant elects to defer receipt of his or her Account in accordance with
the preceding sentence, the Account will be distributed within thirty (30) days of the end
of the deferral period, except as may otherwise be required by Section 12.01 of this
Program. Any Death Benefit under this Program shall be payable to the beneficiary or
beneficiaries most recently designated by a Participant in accordance with Section 11.02
below. 

        7.02
Form of Distribution. The Participant’s Company Cash Account and Stock Account
will be distributed in cash. The value of a Participant’s Stock Account shall be
determined based on the average closing stock price for the Company’s common stock as
indicated on the NYSE for the ten (10) consecutive trading days prior to the valuation
date. 

ARTICLE VIII
SOURCE OF PAYMENTS OF
DEFERRED COMPENSATION 

        The
Program is a non-qualified, unfunded, unsecured, deferred compensation program. Therefore,
all benefits owing under the Program shall be paid out of the Company’s general
corporate funds, which are subject to the claims of creditors. Neither the Participant nor
any Beneficiary shall have any right, title or interest whatever, or any claim, preferred
or otherwise, in or to any particular asset of the Company as a result of participation in
this Program. Nothing contained in the Program, and no action taken pursuant
to its provisions, shall create or be construed to create a trust or fiduciary
relationship of any kind between the Company and a Participant or any other person.
Neither a Participant nor a Beneficiary of a Participant shall acquire any interest
greater than that of an unsecured creditor in any assets of the Company. 

ARTICLE IX
VALUATION OF ACCOUNTS 

        9.01
Participants’ Accounts. The Administrative Committee shall establish and
maintain a Company Cash Account and Stock Account for each Participant. Each Account shall
reflect the credits, charges and forfeitures allocable thereto in accordance with the
Program. The Administrative Committee shall maintain records which will adequately
disclose at all times the state of each separate Account hereunder. The books, forms and
methods of accounting shall be entirely subject to the supervision of the Administrative
Committee. 

        9.02     Periodic Determination of Participants' Accounts.

                   9.02(1)       
          Allocation of Net Earnings and Adjustments in Value of the Accounts. The
          net earnings or losses of the Accounts under the Program for a particular
          Valuation Period shall be determined on the basis of the earnings for such
          Valuation Period. Participants will be credited with earnings or losses on their
          Company Cash Account in amounts equal to the earnings or losses on a Model
          Portfolio as established by the Company. To the extent necessary under Section
          162(m) of the Code, credits of such earnings shall be deemed to be an additional
          grant separate from the original performance-based grant to the Cash Account.
          The value of a Participant’s Stock Account shall be determined based on the
          closing stock price for the Company’s common stock as indicated on the NYSE
          for the last trading day on or immediately prior to the valuation date. 

                   9.02(2)       
          Computations. All of the computations required to be made under the
          provisions of Article IX, when made, shall be conclusive with respect thereto
          and shall be binding upon all the Participants, Beneficiaries, and all other
          persons. 

ARTICLE X
DISABILITY BENEFITS 

        10.01
Disability Benefits. If a Participant suffers a Disability, such Participant shall
remain an Eligible Employee and a Participant for all purposes under the Program,
including receipt of future Company Cash Allocations and Stock Awards. Payments to a
Participant who has suffered a Disability shall be made at the time and in the manner
provided in Article VII hereof. 

        10.02
Determination of Disability. The Administrative Committee shall determine whether a
Participant has suffered a Disability based upon proof thereof which the Participant must
provide to the Administrative Committee, and its determination in that respect is binding
upon the Participant. 

ARTICLE XI
DEATH BENEFITS 

        11.01
Death Benefits. Upon the death of a Participant while in the employ of an Employer,
his or her Beneficiary, determined in accordance with Section 11.02 hereof, shall receive
the full amount credited to his or her Company Cash Account and Stock Account valued as of
the Valuation Date coinciding with or immediately preceding the date on which the
Participant dies.  The Administrative Committee may
require proper proof of death. 

        Payments
resulting from the death of a Participant shall be made at the time and in the manner
provided in Article VII hereof. 

        11.02
Designation of Beneficiaries. Each Participant may designate a Beneficiary or
Beneficiaries, and contingent Beneficiary or Beneficiaries, if desired, to receive his or
her interest hereunder in the event of his or her death, but the designation of a
Beneficiary shall not be effective for any purpose unless and until it has been filed with
the Administrative Committee on the form provided therefor. If the deceased Participant
failed to name a Beneficiary in the manner herein prescribed, or the Beneficiary or
Beneficiaries so named predecease the Participant, the amount, if any, which is payable
hereunder in respect of such deceased Participant shall be paid to the legal
representative or representatives of the estate of the deceased Participant. Any payment
made to any person pursuant to the power and discretion conferred upon the Administrative
Committee by the preceding sentence shall operate as a complete discharge of all
obligations under the Program in respect of such deceased Participant and shall not be
subject to review by anyone, but shall be final, binding and conclusive on all persons
ever interested hereunder. A Participant may from time to time change any Beneficiary
previously designated by him or her without notice to such Beneficiary, under such rules
and regulations as the Administrative Committee may from time to time promulgate, but the
last Beneficiary designation filed with the Administrative Committee shall control. 

ARTICLE XII
EMPLOYMENT TERMINATION
BENEFITS 

        12.01
Termination Benefits. In the event a Participant voluntarily terminates his or her
employment, or is Terminated For-Cause by an Employer, at any time prior to the date he or
she becomes vested in his or her Account, no benefits will be paid to the Participant or
any Beneficiary under this Program. Upon the termination of employment of a Participant
for any reason at any time following the date the Participant became vested in his or her
Account, the Participant shall be entitled to a distribution of his or her Account in full
with thirty (30) days of the termination date. 

ARTICLE XIII
MISCELLANEOUS
PROVISIONS RESPECTING PARTICIPANTS 

        13.01 Participants to
Furnish Required Information. 

                   13.01(1)       
          Each Participant shall furnish to the Administrative Committee such information
          as the Administrative Committee considers necessary or desirable for purposes of
          administering the Program, and the provisions of the Program respecting any
          payments hereunder are conditional upon the Participant’s furnishing
          promptly such true, full and complete information as the Administrative
          Committee may reasonably request. 

                   13.01(2)       
          Any notice or information which according to the terms of the Program or the
          rules of the Administrative Committee must be filed with the Administrative
          Committee, shall be deemed so filed if addressed and either delivered in person
          or mailed, postage fully prepaid, to the Administrative Committee. The
          Administrative Committee may, in its sole discretion, modify or waive any
          specified notice requirement; provided, however, that such modification or
          waiver must be administratively feasible, must be in the best interest of the
          Participant, and must be made on the basis of rules of the Administrative
          Committee that are applied uniformly to all Participants. 

        13.02
Restrictions on Assignment. The benefits provided hereunder are intended for the
personal security of persons entitled to payment under the Program, and are not subject in
any manner to the debts or other obligations of the persons to whom they are payable. The
interest of a Participant or such Participant’s Beneficiary or Beneficiaries may not
be sold, transferred, assigned or encumbered in any manner, either voluntarily or
involuntarily, and any attempt to anticipate, alienate, sell, transfer, assign, pledge,
encumber or charge the same shall be null and void; neither shall any benefits hereunder
be liable for or subject to the debts, contracts, liabilities, engagements or torts of any
person to whom such benefits or funds are payable, nor shall they be subject to
garnishment, attachment, or other legal or equitable process nor shall they be an asset in
bankruptcy. All of the provisions of this Section 13.02, however, are subject to Article
VII, and to withholding of any applicable taxes. 

        13.03
Participants’ Rights. Establishment of the Program shall not be construed as
giving any Participant the right to be retained in the Employers’ service or employ,
and nothing contained herein shall be construed in any way to limit or restrict the right
of any Employer to discharge any employee regardless of whether such employee is a
Participant or to change such employee’s position or the basis or amount of such
employee’s compensation. Establishment of the Program shall not give any Participant
the right to receive any benefits not specifically provided by the Program. A Participant
shall not have any interest in the amounts credited to his Accounts until such Accounts
are vested in accordance with the Program. All amounts credited to Accounts for a
Participant under the Program shall remain the sole property of the Employer, subject to
the claims of its general creditors and available for its use. With respect to amounts
credited to an Account of a Participant, the Participant is merely a general creditor of
the Employer; and the obligation of the Employer hereunder is purely contractual and shall
not be secured in any way. 

        13.04
Address for Mailing of Benefits. Each Participant entitled to benefits hereunder
shall file with the Administrative Committee from time to time in writing such
Participant’s post office address and each change of address. Any check representing
payment hereunder and any communication addressed to a Participant, an Employee or
Beneficiary, at such person’s last address filed with the Administrative Committee,
or if no such address has been filed, then at such person’s last address as indicated
on the records of an Employer, shall be deemed to have been delivered to such person on
the date on which such check or communication is deposited, postage prepaid, in the United
States mail. 

        13.05
Unclaimed Account Procedure. The Administrative Committee shall not be obliged to
search for, or ascertain the whereabouts of any Participant or Beneficiary. The
Administrative Committee, by certified or registered mail addressed to such
Participant’s or Beneficiary’s last known address, shall notify the Participant
or Beneficiary that such Participant or Beneficiary is entitled to a distribution under
this Program. 

ARTICLE XIV
ADMINISTRATION OF THE
PROGRAM 

        14.01
Appointment of Administrative Committee. The administration of the Program will be
the responsibility of the Administrative Committee which shall mean the Compensation
Committee of the Board of Directors of the Company. For Participants other than Covered
Officers, the Administrative Committee may delegate the administration of the Program to
the Chief Executive Officer of the Company or such other person(s) as shall be appointed
by the Compensation Committee of the Board of Directors of the Company. The Administrative
Committee shall have the sole power, duty and responsibility for directing the
administration of the Program in accordance with its provisions. 

        14.02
Compensated Expenses of the Administrative Committee. The members of the
Administrative Committee shall serve without compensation for their services as such, but
the reasonable and necessary expenses of the Administrative Committee shall be reimbursed
by the Company. 

        14.03
Secretary and Agents of the Administrative Committee. The Administrative Committee
may appoint a Secretary who may, but need not, be a member of the Administrative
Committee, and may employ such officers and employees of the Company and such agents and
such clerical and other administrative personnel as reasonably may be required for the
purpose of administering the Program. Such administrative personnel shall carry out the
duties and responsibilities assigned to them by the Administrative Committee. 

        14.04
Actions of Administrative Committee. 

                   14.04(1)       
          A majority of the members of the Administrative Committee shall constitute a
          quorum for the transaction of business, and shall have full power to act
          hereunder. Action by the Administrative Committee shall be official if approved
          by a vote of a majority of the members present at any official meeting. The
          Administrative Committee may, without a meeting, authorize or approve any action
          by written instrument signed by a majority of all of the members. Any written
          memorandum signed by the Chief Executive Officer of the Company, or any other
          member of the Administrative Committee, or by any other person duly authorized
          by the Administrative Committee to act, in each case when acting within the
          authority granted by the Program, in respect of the subject matter of the
          memorandum, shall have the same force and effect as a formal resolution adopted
          in open meeting. 

                   14.04(2)       
          A member of the Administrative Committee may not vote, in his or her capacity as
          an Administrative Committee member, or decide upon any matter relating solely to
          him or her or vote on any case in which his or her individual right or claim to
          any benefit under the Program is specifically involved. 

                   14.04(3)       
          The Administrative Committee shall maintain written records of its actions, and
          as long as such written records are maintained, members may participate and hold
          a meeting of the Administrative Committee by means of conference telephone or
          similar communications equipment which permits all persons participating in the
          meeting to hear each other. Participation in such a meeting constitutes presence
          in person at such meeting. 

        14.05
Authority of Administrative Committee. The Administrative Committee is authorized
to take such actions as may be necessary to carry out the provisions and purposes of the
Program and shall have the authority to control and manage the operation and
administration of the Program. In order to effectuate the purposes of the Program, the
Administrative Committee shall have the power and discretion to construe and interpret the
Program, to supply any omissions therein, to reconcile and correct any errors or
inconsistencies, to decide any questions in the administration and application of the
Program, and to make equitable adjustments for any mistakes or errors made in the
application of the Program. All such actions or determinations made by the Administrative
Committee, and the application of rules and regulations to a particular case or issue by
the Administrative Committee shall not be subject to review by anyone, but shall be final,
binding and conclusive on all persons ever interested hereunder. In construing the Program
and in exercising its power under provisions requiring Administrative Committee approval,
the Administrative Committee shall attempt to ascertain the purpose of the provisions in
questions and when such purpose is known or reasonably ascertainable, such purpose shall
be given effect to the extent feasible. Likewise, the Administrative Committee is
authorized to determine all questions with respect to the individual rights of all
Participants and then Beneficiaries under this Program, including, but not limited to, all
issues with respect to eligibility, valuation of Accounts, and level of Company
contributions subsequent to the first Program Year. 

        14.06
General Administrative Powers. The Administrative Committee shall have authority to
make, and from time to time revise, rules and regulations for the administration of the
Program. 

ARTICLE XV
AMENDMENT OF THE
PROGRAM 

        The
Company reserves the right to amend the Program at any time and from time to time provided
that a copy of any such amendment is delivered to all Participants and/or Beneficiaries
following the adoption of the amendment. However, no amendment or modification shall,
without the consent of a Participant or Beneficiary, adversely affect such Participant or
Beneficiary’s rights with respect to amounts previously credited to his or her
Accounts under the Program at the time of such amendment. 

ARTICLE XVI
TERMINATION OF PROGRAM 

        The
Company reserves the right to terminate the Program at any time; however, no termination
shall, without the consent of a Participant or Beneficiary, adversely affect such
Participant’s or Beneficiary’s rights with respect to amounts credited to his or
her Accounts under the Program up to the time of termination. Upon such termination of the
Program, barring the Change-of-Control provision being invoked as defined in Section 2.06,
or unless another Program of comparable benefit is established by the Company prior to the
end of the three (3) year term to which the Participant can roll over his or her Accounts,
all Participants, at the discretion of the Administrative Committee shall be entitled to
receive the amount then credited to their respective Accounts in a lump-sum distribution
of the Company Cash Account and their Stock Account. 

ARTICLE XVII
MISCELLANEOUS 

        17.01
Withholding. The Administrative Committee shall determine whether or not federal
and state income tax withholding is required with respect to any distribution hereunder.
Notwithstanding any other provision of this Program to the contrary, all rights and
benefits of a Participant or Beneficiary are subject to withholding of any tax required by
law to be withheld. 

        17.02
Article and Section Headings. The titles or headings of the respective Articles and
Sections in this Program are inserted merely for convenience and shall be given no legal
effect. 

        17.03
Unfunded Status of the Program. Any and all payments made to the Participant
pursuant to the Program shall be made only from the general assets of the Company. All
Accounts under the Program shall be for bookkeeping purposes only and shall not represent
a claim against specific assets of the Company. 

        17.04
Applicable Law. THIS PROGRAM SHALL BE GOVERNED BY THE LAWS OF THE STATE OF MARYLAND
TO THE EXTENT NOT PREEMPTED BY APPLICABLE FEDERAL LAW. 

        IN
WITNESS WHEREOF, the Company has caused this Program to be executed by its duly
authorized officers as of this 1st day of July, 2004. 

	 	 	 
	 	COVENTRY HEALTH CARE, INC.
	 	By:	   /s/ Allen F. Wise   
	 	Title:	   President and Chief Executive Officer 

EXHIBIT A 

     Per the Program, the Company Cash Allocation and the credits to the Stock Accounts of all Participants shall be subject to the
Company’s attainment of performance goals and targets for the Program Year beginning July 1, 2004,  as set forth below by the
Compensation Committee:

	The goals for the Program Year beginning July 1, 2004 are as follows:  EPS
	The target for the Program Year beginning July 1, 2004 are as follows:  Budgeted EPS

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