-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, EmTx6WHml6AOu7QZKPphfHb5MsdeYP4mrlMJjp2JY3mNPEij/FiVcpS6JAsahXq1 LVDasZEWb1s+iaIXzpkf1w== 0001209191-03-010420.txt : 20030703 0001209191-03-010420.hdr.sgml : 20030703 20030702215639 ACCESSION NUMBER: 0001209191-03-010420 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030702 FILED AS OF DATE: 20030703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROSS LLOYD E CENTRAL INDEX KEY: 0001183991 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31700 FILM NUMBER: 03773642 MAIL ADDRESS: STREET 1: PO BOX 2380 CITY: BIGFORK STATE: MT ZIP: 59911 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PACIFICARE HEALTH SYSTEMS INC /DE/ CENTRAL INDEX KEY: 0001027974 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 954591529 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 3120 LAKE CENTER DRIVE CITY: SANTA ANA STATE: CA ZIP: 92704 BUSINESS PHONE: 7148255200 MAIL ADDRESS: STREET 1: 3120 LAKE CENTER DRIVE CITY: SANTA ANA STATE: CA ZIP: 92704 FORMER COMPANY: FORMER CONFORMED NAME: N T HOLDINGS INC DATE OF NAME CHANGE: 19961204 4 1 doc4.xml FORM 4 SUBMISSION X0101 42003-07-020001027974PACIFICARE HEALTH SYSTEMS INC /DE/ phs0001183991ROSS LLOYD E 1000Common Stock Units 02002-07-014A010840A2002-07-012002-07-01Common Stock10842333DNon-Qualified Stock Options (right to buy)25.852002-07-014A050000A2002-07-012012-07-01Common Stock50005000DNon-Qualified Stock Option (right to buy)49.332003-06-304A050000A2003-06-302013-06-30Common Stock50005000DThe Common Stock Units were received in lieu of annual director fees as provided for under the Director Plan. Under the Director Plan,non-employee directors may elect to defer all or a portion of their annual retainer fees(on a pre-tax basis)into Common Stock Units held in an account maintained for the director under the Director Plan. The numb er of Common Stock Units a director receives is based on the closing price of Issuer's common stock on the day the annual retainer fee would have been paid but for the deferral. When a director terminates his or her service as a director,a distribution from the director's Common Stock Unit account under the Director Plan is made in a single payment of shares of Issuer's common stock. With respect to the 2002 Common Stock Units,a Form4 covering the Units deferred was inadvertently not filed at the time of deferral,but such Common Stock Units are being reported on this Form 4.Represents an annual formula grant of an Option (right to buy) under the Amended and Restated 1996 Non-Employee Directors Stock Plan of PacifiCare Health Systems, Inc., (the "Director Plan") in a transaction exempt under Rule 16b-3. The Option is fully vested and exercisable on the date of grant (6/30/03); however, the underlying shares of PacifiCare common stock acquired upon exercise of the Option may not be sold or transferred within the first six months of the date of grant. With respect to the 2002 annual formula grant under the Director Plan, a Form 4 covering the Option granted was inadvertently not filed at the time of grant, but such Option is being reported on this Form 4.s/Lloyd E Ross2003-07-02 -----END PRIVACY-ENHANCED MESSAGE-----