EX-25.2 15 a92212orexv25w2.txt EXHIBIT 25.2 EXHIBIT 25.2 ================================================================================ SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 -------------------------- FORM T-1 STATEMENT OF ELIGIBILITY UNDER THE TRUST INDENTURE ACT OF 1939 OF A CORPORATION DESIGNATED TO ACT AS TRUSTEE Check if an Application to Determine Eligibility of a Trustee Pursuant to Section 305(b)(2) ------------------------------------------------------- U.S. BANK NATIONAL ASSOCIATION (Exact name of Trustee as specified in its charter) 31-0841368 I.R.S. Employer Identification No. 180 East Fifth Street St. Paul, Minnesota 55101 ------------------------------------------------------------------------------- (Address of principal executive offices) (Zip Code) Paula Oswald U.S. Bank National Association 550 South Hope Street, 5th Floor Los Angeles, CA 90071 (213) 533-8418 (Name, address and telephone number of agent for service) PACIFICARE HEALTH SYSTEMS, INC. (Issuer with respect to the Securities) DE 95-4591529 -------------------------------------------------------------------------------- (State or other jurisdiction of incorporation (I.R.S. Employer Identification or organization) No.) -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- 5995 Plaza Drive, Cypress, California 90630 -------------------------------------------------------------------------------- (Address of Principal Executive Offices) (Zip Code) SUBORDINATED DEBT SECURITIES (Title of the Indenture Securities) ================================================================================ FORM T-1 ITEM 1. GENERAL INFORMATION. Furnish the following information as to the Trustee. a) Name and address of each examining or supervising authority to which it is subject. Comptroller of the Currency Washington, D.C. b) Whether it is authorized to exercise corporate trust powers. Trustee is authorized to exercise corporate trust powers. ITEM 2. AFFILIATIONS WITH OBLIGOR. If the obligor is an affiliate of the Trustee, describe each such affiliation. None In answering this item, the trustee has relied, in part, upon information furnished by the obligor and the underwriters, and the trustee disclaims responsibility for the accuracy or completeness of such information. The trustee has also examined its own books and records for the purpose of answering this item. ITEMS 3-15 Items 3-15 are not applicable because to the best of the Trustee's knowledge, the obligor is not in default under any Indenture for which the Trustee acts as Trustee. ITEM 16. LIST OF EXHIBITS: List below all exhibits filed as a part of this statement of eligibility and qualification. 1. A copy of the Articles of Association of the Trustee.* 2. A copy of the certificate of authority of the Trustee to commence business.* 3. A copy of the certificate of authority of the Trustee to exercise corporate trust powers.* 4. A copy of the existing bylaws of the Trustee.* 5. A copy of each Indenture referred to in Item 4. Not applicable. 6. The consent of the Trustee required by Section 321(b) of the Trust Indenture Act of 1939, attached as Exhibit 6. 7. A copy of the latest report of condition of the trustee published pursuant to law or the requirements of its supervising or examining authority. * Incorporated by reference to Registration Number 333-67188. A copy of the Articles of Association of the trustee, as now in effect, is on file with the Securities and Exchange Commission as an Exhibit with corresponding exhibit number to the Form T-1 of Structured Obligations Corporation, filed pursuant to Section 305(b)(2) of the Trust Indenture Act of 1939, as amended (the "Act"), on November 16, 2001 (Registration No. 333-67188), and is incorporated herein by reference. 2 NOTE The answers to this statement insofar as such answers relate to what persons have been underwriters for any securities of the obligors within three years prior to the date of filing this statement, or what persons are owners of 10% or more of the voting securities of the obligors, or affiliates, are based upon information furnished to the Trustee by the obligors. While the Trustee has no reason to doubt the accuracy of any such information, it cannot accept any responsibility therefor. SIGNATURE Pursuant to the requirements of the Trust Indenture Act of 1939, as amended, the Trustee, U.S. BANK NATIONAL ASSOCIATION, a national banking association organized and existing under the laws of the United States of America, has duly caused this statement of eligibility and qualification to be signed on its behalf by the undersigned, thereunto duly authorized, all in the City of Los Angeles, State of California on the 7th day of August, 2003. U.S. BANK NATIONAL ASSOCIATION By: /s/ Paula Oswald -------------------------- Paula Oswald Vice President 3 EXHIBIT 6 CONSENT In accordance with Section 321(b) of the Trust Indenture Act of 1939, the undersigned, U.S. BANK NATIONAL ASSOCIATION hereby consents that reports of examination of the undersigned by Federal, State, Territorial or District authorities may be furnished by such authorities to the Securities and Exchange Commission upon its request therefor. Dated: August 7, 2003 U.S. BANK NATIONAL ASSOCIATION By: /s/ Paula Oswald -------------------------- Paula Oswald Vice President 4 EXHIBIT 7 U.S. BANK NATIONAL ASSOCIATION STATEMENT OF FINANCIAL CONDITION AS OF 3/31/2003 ($000'S)
3/31/2003 ------------ ASSETS Cash and Due From Depository Institutions $ 9,084839 Federal Reserve Stock 0 Securities 30,038,992 Federal Funds 833,567 Loans & Lease Financing Receivables 115,894,797 Fixed Assets 1,462,006 Intangible Assets 9,080,815 Other Assets 11,583,795 ------------ TOTAL ASSETS $177,978,811 LIABILITIES Deposits $121,508,878 Fed Funds 3,820,981 Treasury Demand Notes 0 Trading Liabilities 454,575 Other Borrowed Money 21,082,000 Acceptances 139,821 Subordinated Notes and Debentures 5,694,952 Other Liabilities 5,164,656 ------------ TOTAL LIABILITIES $157,865,863 EQUITY Minority Interest in Subsidiaries $ 993,907 Common and Preferred Stock 18,200 Surplus 11,015,123 Undivided Profits 8,085,718 ------------ TOTAL EQUITY CAPITAL $ 20,112,948 TOTAL LIABILITIES AND EQUITY CAPITAL $177,978,811
To the best of the undersigned's determination, as of the date hereof, the above financial information is true and correct. U.S. BANK NATIONAL ASSOCIATION By: /s/ Paula Oswald --------------------------- Vice President Date: August 7, 2003 5