DEPARTMENT OF INSURANCE

Name	Coventry Health Care Workers Compensation Inc	DOIID	1083742	NAIC NPN	9843522

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Pharmacy Benefit Managers	Not Applicable	6/11/2020	3/31/2021

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	15400 Calhoun Dr, Suite 300 Rockville, MD 20855

Phone Information

Type	Phone
Business / Home Office	(860) 273-7945