GHP/Coventry (MO, IL)

Coventry Health Care (IA, SD)

550 Maryville Centre Drive, Suite 300

4320 114th St.

St Louis, MO 63141-9642

Urbandale, IA 50322

Fax: 866-669-5578

Fax: 866-533-1953

HealthAmerica (Western PA, OH)

Coventry Health Care (VA)

11 Stanwix Street

500 Virginia St. East, Suite 400

Suite 2300

Charleston, WV 25301

Pittsburgh, PA 15222-1344

Fax: 866-804-4810

Fax: 724-741-7162

Coventry Health Care (TX)

HealthAmerica (Central PA)

100 E. Royal Lane

3721 TecPort Drive

Suite 105

PO Box 67103

Irving, TX 75039

Harrisburg, PA 17106-7103

Fax: 972-807-4335

Fax: 866-804-4835

Coventry Health Care (AZ)

PersonalCare (IL)

100 E. Royal Lane

2100 Fox Drive, Suite A

Suite 105

Champaign, Il 61820-7592

Irving, TX 75039

Fax: 866-642-5545

Fax: 972-807-4335

Coventry Health Care of Kansas (KS, MO)

Coventry Health Care (NC)

8320 Ward Parkway

2801 Slater Road

Kansas City, MO 64114

Suite 200

Fax: 816-460-4252

Morrisville, NC 27560

Fax: 919-337-1881

Coventry Health Care (NE)

13305 Birch Drive

Coventry Health Care (NM)

Suite 100

100 E. Royal Lane

Omaha, NE 68164

Suite 105

Fax: 866-533-1953

Irving, TX 75039

Fax: 972-807-4335

Coventry Health Care (WV, Jefferson, OH)

500 Virginia St. East, Suite 400

Vista Healthplan of

Charleston, WV 25301

South Florida, Inc. (FL [South])

Fax: 866-804-4810

300 South Park Road

Hollywood, FL 33021

Altius Health Plans (UT, WY)

Fax: 954-986-6208

10421 South Jordan Gateway

Ste 400

Summit Health Plan, Inc. (FL)

South Jordan, UT 84095

300 South Park Road

Fax: 866-721-7936

Hollywood, FL 33021

Fax: 954-986-6208

Coventry Health Care of Georgia Advantra (GA)

1100 Circle 75 Parkway

Coventry Health Care (Tampa)

Suite 1400

300 South Park Road

Atlanta, GA 30339

Hollywood, FL 33021

Fax: 866-373-0276

Fax: 954-986-6208

Vista Healthplan, Inc. (FL)

300 South Park Road

Hollywood, FL 33021

Fax: 954-986-6208