COVENTRY HEALTH CARE INC
8-K, 2000-05-11
HOSPITAL & MEDICAL SERVICE PLANS
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<PAGE>   1



                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                                    FORM 8-K

                                 CURRENT REPORT

                       Pursuant to Section 13 or 15(d) of
                       the Securities Exchange Act of 1934

        Date of Report (Date of earliest event reported): May 11, 2000
                                (May 11, 2000)

                           COVENTRY HEALTH CARE, INC.
- --------------------------------------------------------------------------------
             (Exact name of registrant as specified in its charter)

<TABLE>
<S>                                                         <C>                                  <C>
                Delaware                                             0-19147                          52-2073000
- ----------------------------------------------              ------------------------              ------------------
(State or other jurisdiction of incorporation)               (Commission File Number)               (I.R.S. Employer
                                                                                                    Identification No.)

      6705 Rockledge Drive, Suite 900
             Bethesda, Maryland                                    20817
  ----------------------------------------                   -------------------
  (Address of principal executive offices)                        (Zip Code)
</TABLE>

       Registrant's telephone number, including area code: (301) 581-0600



                                 Not Applicable
- --------------------------------------------------------------------------------
          (Former name or former address, if changed since last report)


<PAGE>   2






Item 5. Other Events - The Principal Financial Group to Sell 10 Million Common
        Shares to E.M.Warburg, Pincus & Co., L.L.C.
- --------------------------------------------------------------------------------

On May 5, 2000, Registrant announced that its two largest shareholders, The
Principal Financial Group and E. M. Warburg, Pincus & Co., L.L.C. entered into a
private transaction whereby Warburg will purchase 10 million shares of Coventry
common stock from The Principal for $10.00 per share. A copy of the press
release that was issued announcing the transaction is attached as Addendum A to
this Report.

Item 7. Financial Statements, Pro Forma Financial Information and Exhibits
- --------------------------------------------------------------------------------


(c)     Exhibits.

Exhibit
No.             Description of Exhibit
- --------------------------------------------------------------------------------

10.1    Amendment No. 2 to Rights Agreement dated May 5, 2000, between the
        Company and ChaseMellon Shareholder Services, L.L.C.

10.2    Shareholder Agreement dated May 5, 2000, between the Company and
        Warburg, Pincus Ventures, L.P., Warburg, Pincus Netherlands Equity
        Partners I, C.V., Warburg, Pincus Netherlands Equity Partners II,
        C.V., and Warburg, Pincus Netherlands Equity Partners III, C.V.

                                   SIGNATURES

        Pursuant to the requirements of the Securities Exchange Act of 1934, the
Registrant has duly caused this report to be signed on its behalf by the
undersigned hereunto duly authorized.

                           COVENTRY HEALTH CARE, INC.

Date: May 11, 2000         By:  /s/ Dale B. Wolf
                           ----------------------------
                           Dale B. Wolf
                           Chief Financial Officer


<PAGE>   3


                                       ###

                                                                      ADDENDUM A

[COVENTRY LOGO]                                                     News Release

6705 Rockledge Drive, Suite 900
Bethesda, MD 20817-1850
(301) 581-0600

FOR IMMEDIATE RELEASE                  Contact:    Dale B. Wolf
                                                   Chief Financial Officer
                                                   (301) 581-0600, #2209

                                                   Investor Relations
                                                   (301) 581-0600, #2778

         THE PRINCIPAL FINANCIAL GROUP TO SELL 10 MILLION COMMON SHARES
                      TO E.M. WARBURG, PINCUS & CO., L.L.C.

Bethesda, Maryland (May 5, 2000) - Coventry Health Care, Inc. (NASDAQ/NM:CVTY)
announced today that its two largest shareholders, the Principal Financial Group
and E.M. Warburg, Pincus & Co., L.L.C. (Warburg) have entered into a private
transaction whereby Warburg will purchase 10 million shares of Coventry common
stock from The Principal for $10.00 per share.

      "Consistent with the Principal Financial Group's strategic direction to
grow our global asset management and accumulation businesses, we are reducing
our investment participation in the HMO sector," said David J. Drury, Chairman
of The Principal. "We have been pleased with Coventry's progress since its
merger with the former Principal Health Care business and continue to have great
confidence in Coventry's prospects going forward."

      "We enjoy a great relationship with Principal and Warburg as both
shareholders and members of the Board of Directors," said Allen F. Wise,
President and Chief Executive Officer of Coventry. "It is satisfying to know
that Warburg, with so much experience in this sector and now three years with
Coventry, has sufficient confidence in our future to invest an additional $100
million in Coventry stock."

      Upon completion of the transaction, Warburg will own approximately 31% of
Coventry's fully diluted common shares and The Principal will own approximately
23% of Coventry's fully diluted common shares. This transaction is subject to
regulatory approval.

      Coventry Health Care is a managed health care company based in Bethesda,
Maryland operating health plans and insurance companies under the names Coventry
Health Care, Coventry Health and Life, HealthAmerica, HealthAssurance,
HealthCare USA, Group Health Plan, Southern Health and Carelink Health Plans.
The Company provides a full range of managed care products and services
including HMO, PPO, POS, Medicare Risk and Medicaid to 1.5 million members in a
broad cross section of employer and government-funded groups in 15 markets
throughout the Midwest, Mid-Atlantic and Southeast United States. More
information is available on the Internet at http://www.cvty.com.


<PAGE>   4

      This press release contains forward-looking statements made pursuant to
the safe harbor provisions of the Private Securities Litigation Reform Act of
1995. These statements relate to future events or future financial performance
and may be significantly impacted by certain risks and uncertainties described
in the Company's Annual Report on Form 10-K for the year ended December 31, 1999
filed with the Securities and Exchange Commission.








<PAGE>   1

                       AMENDMENT NO. 2 TO RIGHTS AGREEMENT

       AMENDMENT NO.2 TO RIGHTS AGREEMENT (this "Amendment") is made as of May
5, 2000 by and among COVENTRY HEALTH CARE, INC., a Delaware corporation (the
"Company"), and CHASEMELLON SHAREHOLDER SERVICES, LLC (the "Rights Agent").
Reference is made herein to that certain Rights Agreement, dated as of March 30,
1998, by and among COVENTRY HEALTH CARE, INC., a Delaware corporation, and
CHASEMELLON SHAREHOLDER SERVICES, LLC, as amended by Amendment No. 1 to Rights
Agreement dated as of December 18, 1998 (as amended, the "Rights Agreement").
Capitalized terms not herein defined shall have the meanings ascribed thereto in
the Rights Agreement.

                                    RECITALS

       WHEREAS, Warburg, Pincus Equity Partners, L.P., a Delaware limited
partnership, Warburg, Pincus Netherlands Equity Partners I, C.V., a Netherlands
limited partnership, Warburg, Pincus Netherlands Equity Partners II, C.V., a
Netherlands limited partnership, and Warburg, Pincus Netherlands Equity Partners
III, C.V., a Netherlands limited partnership (collectively, the "Warburg
Entities"), Principal Health Care Inc., an Iowa corporation intend to enter into
the Purchase Agreement of even date herewith pursuant to which the Warburg
Entities have agreed to acquire 10,000,000 shares of the Company's Common Stock
(the "Purchase Agreement");

       WHEREAS, pursuant to Section 27 of the Rights Agreement, the Rights
Agreement may be amended by the parties hereto;

       NOW, THEREFORE, in consideration of the premises and the mutual covenants
and agreement herein contained, and intending to be legally bound hereby, the
parties hereto agree as follows:

       1.     Amendment of Section 1(a). Section 1(a) of the Rights Agreement is
hereby amended and restated in its entirety as follows:

       (a)    "Acquiring Person" means any Person which (or which together with
all its Affiliates and Associates) shall be the Beneficial Owner of 15% or more
of the shares of Common Stock then outstanding. Notwithstanding the foregoing,
(x) the term "Acquiring Person" shall not include the Company, any Subsidiary of
the Company, any employee benefit plan maintained by the Company or any of its
Subsidiaries, or any trustee or fiduciary with respect to such plan acting in
such capacity; and (y) no Person shall become an "Acquiring Person" as the
result of (A) the acquisition of Common Stock (or other securities convertible
into shares of Common Stock or other rights with respect to Common Stock)
directly from the Company, or (B) an acquisition of Common Stock by the Company
which, by reducing the number of shares outstanding, increases the proportionate
number of shares Beneficially Owned by such Person (alone or together with all
Affiliates and Associates) to 15% or more of the Shares of Common Stock then
outstanding; provided, however, that if a Person (together with its Affiliates
or Associates) becomes the Beneficial Owner of 15% or more of the Common Stock
then outstanding by reason of share purchases by the Company, and such Person
(or an Affiliate or Associate) subsequently becomes the Beneficial Owner of any
additional Common Stock,


<PAGE>   2

then such Person shall be deemed to be an "Acquiring Person." Notwithstanding
the foregoing, if the Board of Directors of the Company determines in good faith
that a Person who would otherwise be an "Acquiring Person," as defined pursuant
to the foregoing provisions of this paragraph (a) has become such inadvertently,
and such Person divests as promptly as practicable a sufficient number of shares
of Common Stock so that such Person would no longer be an "Acquiring Person" as
defined pursuant to the foregoing provisions of this paragraph (a), then any
such Person shall not be deemed to be an "Acquiring Person" for purposes of this
Agreement. Notwithstanding anything to the contrary in this Agreement:

       (i) None of Warburg, Pincus Ventures, L.P., a Delaware limited
partnership, Warburg, Pincus Equity Partners, L.P., a Delaware limited
partnership, Warburg, Pincus Netherlands Equity Partners I, C.V., a Netherlands
limited partnership, Warburg, Pincus Netherlands Equity Partners II, C.V., a
Netherlands limited partnership, Warburg, Pincus Netherlands Equity Partners
III, C.V., a Netherlands limited partnership (collectively, "Warburg") and any
Affiliate or Associate of Warburg shall be deemed an "Acquiring Person"
hereunder for so long as none of Warburg and any Affiliate or Associate thereof
shall have breached, in any material respect, any provision of Sections 1(a) or
2 of that certain Shareholder's Agreement dated as of May 5, 2000 by and among
Warburg and the Company (the "Warburg Shareholders Agreement") and, after the
Warburg Shareholders Agreement shall no longer be effective, until such time as
Warburg and any of its Affiliates and Associates shall Beneficially Own less
than 15% of the Common Stock.

       (ii) None of Principal Mutual Life Insurance Company, an Iowa corporation
now known as Principal Life Insurance Company ("Mutual") and any Affiliate or
Associate of Mutual shall be deemed an "Acquiring Person" hereunder for so long
as none of Mutual and any Affiliate or Associate thereof shall have breached, in
any material respect, any provision of Sections 1(a) or 4 of that certain
Shareholder's Agreement dated as of April 1, 1998 by and among Mutual, Principal
Health Care, Inc. and the Company (the "Shareholders Agreement") and, after the
Shareholders Agreement shall no longer be effective, until such time as Mutual
and any of its Affiliates and Associates shall Beneficially Own less than 15% of
the Common Stock.

       2.     Rights Agreement Otherwise Unamended. The terms of the Rights
Agreement not amended hereby shall, except as the context unambiguously
requires, remain in full force and effect.

       3.     Rights Agreement Otherwise Unamended. This Amendment, together
with the provisions of the Rights Agreement not amended hereby, constitute the
entire agreement between the parties hereto with respect to the subject matter
hereof and supersede all other prior agreements, whether written or oral,
between the parties hereto.

       4.     Counterparts. This Amendment may be executed in one or more
counterparts, each of which shall be deemed an original and all of which
together shall constitute one and the same document.

                                      -2-
<PAGE>   3


       IN WITNESS WHEREOF, each of the parties hereto has caused this Amendment
to be executed in its respective corporate name by one of its duly authorized
officers, all as of the date first above written.

                              COVENTRY HEALTH CARE, INC.

                              By:  /s/ Allen F. Wise
                                  --------------------------------------------
                                  Name:  Allen F. Wise
                                  Title: President and Chief Executive Officer

                               CHASEMELLON SHAREHOLDER SERVICES, LLC.

                               By: /s/ Rita A. Swartz
                                  --------------------------------------------
                                   Name:  Rita A. Swartz
                                   Title: Vice President



<PAGE>   1

                             SHAREHOLDERS' AGREEMENT

       THIS SHAREHOLDERS' AGREEMENT (this "Agreement"), dated as of May 5, 2000,
is by and among Coventry Health Care, Inc., a Delaware corporation (the
"Company"), Warburg, Pincus Ventures, L.P., a Delaware limited partnership
("WPV"), Warburg, Pincus Equity Partners, L.P., a Delaware limited partnership
("WPEP"), Warburg, Pincus Netherlands Equity Partners I, C.V., a Netherlands
limited partnership ("WPNI"), Warburg, Pincus Netherlands Equity Partners II,
C.V., a Netherlands limited partnership ("WPNII"), and Warburg, Pincus
Netherlands Equity Partners III, C.V., a Netherlands limited partnership
("WPNIII" and, together with WPV, WPEP, WPNI and WPNII, the "Warburg Entities").

                                R E C I T A L S:

       WHEREAS, pursuant to the terms of a Purchase Agreement, dated as of the
date hereof (the "Purchase Agreement"), by and among WPEP, WPNI, WPNII, WPNIII
and Principal Health Care, Inc. ("Principal"), WPEP, WPNI, WPNII and WPNIII have
agreed to purchase an aggregate of 10,000,000 shares of Common Stock, par value
$.01 per share, of the Company ("Common Stock"); and

       WHEREAS, pursuant to the terms of the Amended and Restated Securities
Purchase Agreement, dated as of April 2, 1997, as amended, by and among WPV,
Franklin Capital Associates III, L.P. and the Company (the "Warburg Agreement"),
and the Shareholders' Agreement, dated as of April 1, 1998, by and among the
Company, Principal and Principal Mutual Life Insurance Company (the "Principal
Agreement"), the consent of the Company is required for the purchase and sale of
the Common Stock as contemplated by the Purchase Agreement; and.

       WHEREAS, the Company has agreed to consent to the purchase and sale of
the Common Stock in accordance with the terms of the Purchase Agreement, subject
to the terms and conditions set forth herein.

       NOW THEREFORE, in consideration of the foregoing premises and the mutual
covenants and agreements set forth herein, and intending to be legally bound
hereby, the parties hereto agree as follows:

       SECTION 1. RESTRICTION ON RESALE; LEGEND.

       (a)    RESALE OF SECURITIES. The Warburg Entities hereby covenant that:

              (i)    they will not, directly or indirectly, sell or otherwise
                     Transfer any shares of Common Stock Owned by them, except
                     pursuant to an effective registration under the Securities
                     Act or in a transaction which, in the opinion of counsel
                     reasonably satisfactory to the Company, qualifies as an
                     exempt transaction under the Securities Act and the rules
                     and regulations promulgated thereunder; and


<PAGE>   2

              (ii)   on or before the fifth anniversary of the Closing Date,
                     they will not, directly or indirectly, sell or otherwise
                     Transfer, or permit any of their Affiliates, directly or
                     indirectly, to sell or to Transfer any shares of Common
                     Stock Owned by them to any person if such person (together
                     with the Affiliates of such person) would Own, after giving
                     effect to such sale or Transfer, more than 9.9% of the
                     outstanding shares of Common Stock, provided, however, that
                     the Warburg Entities may sell or Transfer shares of Common
                     Stock to one of their Affiliates if such Affiliate agrees
                     to be bound by the terms of this Agreement. The foregoing
                     restrictions shall not apply to any sale or Transfer made
                     (A) pursuant to an effective registration under the
                     Securities Act, (B) pursuant to and in compliance with Rule
                     144 under the Securities Act, (C) pursuant to a pro rata
                     distribution by any of the Warburg Entities to its partners
                     or (D) with the written consent of the Company's Board of
                     Directors.

       (b)    STOCK LEGEND. The stock certificates evidencing ownership of the
shares of Common Stock acquired by WPEP, WPNI, WPNII and WPNIII under the
Purchase Agreement will bear substantially the following legends:

       THE SECURITIES EVIDENCED HEREBY HAVE NOT BEEN REGISTERED UNDER THE
       SECURITIES ACT OF 1933, AS AMENDED (THE "ACT"), OR ANY STATE SECURITIES
       LAW, AND MAY NOT BE SOLD, TRANSFERRED OR OTHERWISE DISPOSED OF EXCEPT
       PURSUANT TO AN EFFECTIVE REGISTRATION UNDER THE ACT OR IN A TRANSACTION
       WHICH, IN THE OPINION OF COUNSEL REASONABLY ACCEPTABLE TO THE COMPANY, IS
       EXEMPT FROM SUCH REGISTRATION.

       THE SECURITIES EVIDENCED HEREBY ARE SUBJECT TO RESTRICTIONS ON TRANSFER
       CONTAINED IN THAT CERTAIN SHAREHOLDERS' AGREEMENT, DATED MAY 5, 2000,
       BETWEEN THE COMPANY AND WARBURG, PINCUS EQUITY PARTNERS, L.P. AND CERTAIN
       OF ITS AFFILIATES, A COPY OF WHICH AGREEMENT IS ON FILE AT THE OFFICE OF
       THE SECRETARY OF THE COMPANY. ANY ATTEMPTED TRANSFER OF THE SECURITIES IN
       VIOLATION OF THE PROVISIONS OF THE SHAREHOLDERS' AGREEMENT SHALL BE VOID
       AB INITIO AND SHALL NOT BE RECOGNIZED BY THE COMPANY.

       The legend in the first paragraph above shall be removed by the Company
from and after the expiration of the holding period for restricted securities
under the Securities Act, if the Company shall receive an opinion of counsel,
from counsel reasonably acceptable to the Company, that such legend is not
required under the

                                       2
<PAGE>   3

Securities Act or any state securities laws. In addition, whenever any shares
cease to be subject to this Agreement and are not otherwise restricted
securities, the shareholder thereof shall be entitled to receive from the
Company, without expense, upon surrender to the Company of the certificate
representing such shares, a new certificate representing such shares, of like
tenor but without a legend of the character set forth above.

       SECTION 2. STANDSTILL. The Warburg Entities hereby covenant and agree
that, on or before the fifth anniversary of the Closing Date, they will not, and
will cause their respective Affiliates to not, without the prior written consent
of a majority of the members of the Company's Board of Directors, do any of the
following:

       (a)    acquire, offer or agree to acquire any shares of Common Stock (or
options or warrants to acquire, or securities convertible into or exchangeable
for, shares of Common Stock) if, as a result of such acquisition, the Warburg
Entities (together with any of their respective Affiliates) would Own more than
a number of shares of Common Stock in excess of a number equal to 34.9% of the
outstanding shares of Common Stock on a fully diluted basis;

       (b)    directly or indirectly commence or participate in a solicitation
of proxies either to oppose the election of any person to the Board of Directors
or to seek the removal of any Person from the Board of Directors, which person
has been nominated by the Nominating Committee of the Board of Directors;

       (c)    directly or indirectly make or solicit or assist any third party
to make a tender or exchange offer to purchase any shares of Common Stock or
make any public announcement concerning, or submit any written proposal to the
Board of Directors of the Company for a merger, share exchange, acquisition of
substantially all of the assets or similar transaction involving the Company.

       SECTION 3. SUSPENSION OF COVENANTS. The provisions of Section 1(a)(ii)
and 2 hereof shall thereafter cease to apply in the event of any of the
following:

       (a)    the Company issues voting securities in an acquisition by the
Company of another corporation or entity by merger, consolidation, exchange
offer, purchase of substantially all of the assets or stock, or other form of
business combination ("Company Acquisition") to any person as a result of which
such person, together with its affiliates, shall own a number of shares of
voting securities that shall equal or exceed the number of such shares owned by
the Warburg Entities and their respective Affiliates in the aggregate;

       (b)    the number of shares of Common Stock then owned by the Warburg
Entities and its Affiliates, in the aggregate, shall be less than 10% of the
then issued and outstanding shares of Common Stock; or

       (c)    the number of shares of Common Stock then owned by any person
(other than Mutual, or a person who acquired a number of shares of Common Stock
in a Company Acquisition which did not equal or exceed the number of shares
owned by

                                       3
<PAGE>   4

Mutual and its Affiliates in the aggregate, so long as the Company does
not permit such person to acquire additional shares of Common Stock) and the
Affiliates of such person, in the aggregate, shall be greater than 15% of the
issued and outstanding shares of Common Stock


SECTION 4. MISCELLANEOUS.

       4.1. DEFINITIONS. Capitalized terms used but not defined herein shall
have the meaning assigned to such terms in the Purchase Agreement. As used in
this Agreement, the following terms have the respective meaning set forth below:

       (a)    Affiliate: as to the Warburg Entities, any person a majority of
the voting securities of which are Owned by the Warburg Entities, and as to any
other person, as defined in Rule 12b-2 under the Exchange Act.

       (b)    Exchange Act: the Securities Exchange Act of 1934, as amended.

       (c)    person: an individual, partnership, joint-stock company, limited
liability company, corporation, trust or unincorporated organization, and a
government or agency or political subdivision thereof.

       (d)    Securities Act: the Securities Act of 1933, as amended.

       (e)    Owns, Own or Owned: shall mean beneficial ownership, within the
meaning of Rule 13d-3 under the Exchange Act.

       (f)    Transfer: shall mean any sale, assignment, pledge, hypothecation,
or other disposition or encumbrance.

       4.2. NOTICES. Any notice required to be given hereunder shall be
sufficient if in writing, and sent by facsimile and by courier service (with
proof of service), hand delivery or certified or registered mail (return receipt
requested and first-class postage prepaid), addressed: (x) if to the Company, at
the Company's principal business address at 6705 Rockledge Drive, Suite 100,
Bethesda, Maryland 20817, Attention: Dale Wolf (Facsimile: (301) 493-0760) or
(y) if to any of the Warburg Entities, at 466 Lexington Avenue, New York, NY
10019, Attention: Joel Ackerman (Facsimile: 212-878-9351), or (z) to such other
address as any party shall specify by written notice so given, and such notice
shall be deemed to have been delivered as of the date so telecommunicated,
personally delivered or if mailed, the date of receipt.

       4.3. ASSIGNMENT, BINDING EFFECT; BENEFIT. Unless expressly provided in
this Agreement, neither this Agreement nor any of the rights, interests or
obligations hereunder shall be assigned by any of the parties hereto (whether by
operation of law or otherwise) without the prior written consent of the other
parties. Subject to the preceding sentence, this Agreement shall be binding upon
and shall inure to the benefit of the parties hereto and their respective
successors and assigns.

                                       4
<PAGE>   5

       4.4. ENTIRE AGREEMENT. This Agreement and the Warburg Agreement (except
for Section 6.6 of the Warburg Agreement, which is superceded in its entirety by
this Agreement) constitute the entire agreement among the parties with respect
to the subject matter hereof and supersedes all prior agreements and
understandings among the parties with respect thereto. No addition to or
modification of any provision of this Agreement shall be binding upon any party
hereto unless made in writing and signed by all parties hereto.

       4.5. AMENDMENT. This Agreement may not be amended except by an instrument
in writing signed on behalf of each of the parties hereto.

       4.6. GOVERNING LAW. This Agreement shall be governed by and construed in
accordance with the laws of the State of Delaware, without regard to its rules
of conflict of laws.

       4.7. HEADINGS. Headings of the sections of this Agreement are for the
convenience of the parties only, and shall be given no substantive or
interpretive effect whatsoever.

       4.8. INTERPRETATION. In this Agreement, unless the context otherwise
requires, words describing the singular number shall include the plural and vice
versa, and words denoting any gender shall include all genders and words
denoting natural persons shall include corporations and partnerships and vice
versa.

       4.9. WAIVERS. Except as provided in this Agreement, no action taken
pursuant to this Agreement, including, without limitation, any investigation by
or on behalf of any party, shall be deemed to constitute a waiver by the party
taking such action of compliance with any representations, warranties, covenants
or agreements contained in this Agreement. The waiver by any party hereto of a
breach of any provision hereunder shall not operate or be construed as a waiver
of any prior or subsequent breach of the same or any other provision hereunder.

       4.10. SEVERABILITY. Any term or provision of this Agreement which is
invalid or unenforceable in any jurisdiction shall, as to that jurisdiction, be
ineffective to the extent of such invalidity or unenforceability without
rendering invalid or unenforceable the remaining terms and provisions of this
Agreement or affecting the validity or enforceability of any of the terms or
provisions of this Agreement in any other jurisdiction. If any provision of this
Agreement is so broad as to be unenforceable, the provision shall be interpreted
to be only so broad as is enforceable.

       4.11. ENFORCEMENT OF AGREEMENT. The parties hereto agree that irreparable
damage would occur in the event that any of the provisions of this Agreement was
not performed in accordance with its specific terms or was otherwise breached.
It is accordingly agreed that the parties shall be entitled to an injunction or
injunctions to prevent breaches of this Agreement and to enforce specifically
the terms and provisions hereof, this being in addition to any other remedy to
which they are entitled at law or in equity.

                                       5
<PAGE>   6

       4.12. COUNTERPARTS. This Agreement may be executed in one or more
counterparts, each of which shall be deemed an original and all of which
together shall be considered one and the same agreement.

                                       6
<PAGE>   7


       IN WITNESS WHEREOF, the parties have executed this Agreement and caused
the same to be duly delivered on their behalf on the day and year first written
above.

                                   COVENTRY HEALTH CARE, INC.

                                   By: /s/ Allen F. Wise
                                       ------------------
                                   Name: Allen F. Wise
                                   Title: President and Chief Executive Officer


WARBURG, PINCUS VENTURES, L.P.

By:         Warburg, Pincus & Co.,
            General Partner

By:   /s/ Stephen Distler
    --------------------------------

WARBURG, PINCUS EQUITY PARTNERS, L.P.

By:         Warburg, Pincus & Co.,
            General Partner

By:   /s/ Stephen Distler
    --------------------------------

WARBURG, PINCUS NETHERLANDS EQUITY PARTNERS I, C.V.

By:         Warburg, Pincus & Co.,
            General Partner

By:    /s/ Stephen Distler
   --------------------------------

WARBURG, PINCUS NETHERLANDS EQUITY PARTNERS II, C.V.

By:         Warburg, Pincus & Co.,
            General Partner

By:    /s/ Stephen Distler
   --------------------------------

WARBURG, PINCUS NETHERLANDS EQUITY PARTNERS III, C.V.

By:         Warburg, Pincus & Co.,
            General Partner

By:    /s/ Stephen Distler
   --------------------------------








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