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SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 15
Certification and Notice of Termination of Registration
under Section 12(g) of the Securities Exchange Act of 1934
or Suspension of Duty to File Reports Under Sections 13
and 15(d) of the Securities Exchange Act of 1934.
Commission File Number 0-18518
Coventry Health Plan of Pennsylvania, Inc.
formerly known as Partners Health Plan of Pennsylvania, Inc.
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(Exact name of registrant as specified in its charter)
5 Gateway Center, Pittsburgh, Pennsylvania 15222, telephone (412) 553-7300
formerly 5700 Corporate Drive, Suite 300, Pittsburgh, Pennsylvania 15237
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(Address, including zip code, and telephone number, including
area code, of registrant's principal executive offices)
Common
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(Title of each class of securities covered by this Form)
None
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(Titles of all other classes of securities for which a duty
to file reports under section 13(a) or 15(d) remains)
Please place an X in the box(es) to designate the appropriate rule
provision(s) relied upon to terminate or suspend the duty to file reports:
Rule 12g-4(a)(1)(i) /X/ Rule 12h-3(b)(1)(ii) / /
Rule 12g-4(a)(1)(ii) / / Rule 12h-3(b)(2)(i) / /
Rule 12g-4(a)(2)(i) / / Rule 12h-3(b)(2)(ii) / /
Rule 12g-4(a)(2)(ii) / / Rule 15d-6 / /
Rule 12h-3(b)(1)(i) / /
Approximate number of holders of record as of the certification or
notice date: 1
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Pursuant to the requirements of the Securities Exchange Act of 1934,
Coventry Health Plan of Pennsylvania, Inc. has caused this certification/notice
to be signed on its behalf by the undersigned duly authorized person.
Dated: April 8, 1996 By: /s/ Shirley R. Smith
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Name: Shirley R. Smith
Title: Secretary
