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Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
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 TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB
MIC-Info: RSA-MD5,RSA,
 N0k4e6O4f6tGv1wSc7sruW6Z1HmrOXPlfUweBKMrTb2CYQD0VgiKaQP1fZPPob3f
 p7oD/oC0E5JFqlOhz70xNQ==

<SEC-DOCUMENT>0001317212-05-000041.txt : 20050308
<SEC-HEADER>0001317212-05-000041.hdr.sgml : 20050308
<ACCEPTANCE-DATETIME>20050308191535
ACCESSION NUMBER:		0001317212-05-000041
CONFORMED SUBMISSION TYPE:	4
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20050304
FILED AS OF DATE:		20050308
DATE AS OF CHANGE:		20050308

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			KOSECOFF JACQUELINE B
		CENTRAL INDEX KEY:			0001209524

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-31700
		FILM NUMBER:		05667864

	MAIL ADDRESS:	
		STREET 1:		5995 PLAZA DR
		CITY:			CYPRESS
		STATE:			CA
		ZIP:			90630

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:			1231

	BUSINESS ADDRESS:	
		STREET 1:		5995 PLAZA DRIVE
		CITY:			CYPRESS
		STATE:			CA
		ZIP:			90630-5028
		BUSINESS PHONE:		714-952-1121

	MAIL ADDRESS:	
		STREET 1:		5995 PLAZA DRIVE
		CITY:			CYPRESS
		STATE:			CA
		ZIP:			90630-5028

	FORMER COMPANY:	
		FORMER CONFORMED NAME:	N T HOLDINGS INC
		DATE OF NAME CHANGE:	19961204
</SEC-HEADER>
<DOCUMENT>
<TYPE>4
<SEQUENCE>1
<FILENAME>edgardoc.xml
<DESCRIPTION>PRIMARY DOCUMENT
<TEXT>
<XML>
<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0202</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2005-03-04</periodOfReport>

    <notSubjectToSection16>0</notSubjectToSection16>

    <issuer>
        <issuerCik>0001027974</issuerCik>
        <issuerName>PACIFICARE HEALTH SYSTEMS INC /DE/</issuerName>
        <issuerTradingSymbol>PHS</issuerTradingSymbol>
    </issuer>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001209524</rptOwnerCik>
            <rptOwnerName>KOSECOFF JACQUELINE B</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>5995 PLAZA DRIVE</rptOwnerStreet1>
            <rptOwnerStreet2></rptOwnerStreet2>
            <rptOwnerCity>CYPRESS</rptOwnerCity>
            <rptOwnerState>CA</rptOwnerState>
            <rptOwnerZipCode>90630</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>0</isDirector>
            <isOfficer>1</isOfficer>
            <isTenPercentOwner>0</isTenPercentOwner>
            <isOther>0</isOther>
            <officerTitle>EVP, Pharmaceutical Services</officerTitle>
        </reportingOwnerRelationship>
    </reportingOwner>

    <derivativeTable>
        <derivativeTransaction>
            <securityTitle>
                <value>Common Stock Units</value>
            </securityTitle>
            <conversionOrExercisePrice>
                <footnoteId id="F1"/>
            </conversionOrExercisePrice>
            <transactionDate>
                <value>2005-03-04</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>A</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>5955</value>
                </transactionShares>
                <transactionPricePerShare>
                    <value>0</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>A</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <exerciseDate>
                <footnoteId id="F1"/>
            </exerciseDate>
            <expirationDate>
                <footnoteId id="F1"/>
            </expirationDate>
            <underlyingSecurity>
                <underlyingSecurityTitle>
                    <value>Common Stock</value>
                </underlyingSecurityTitle>
                <underlyingSecurityShares>
                    <value>5955</value>
                </underlyingSecurityShares>
            </underlyingSecurity>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>17165</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
            </ownershipNature>
        </derivativeTransaction>
    </derivativeTable>

    <footnotes>
        <footnote id="F1">Represents the deferral of a portion of the reporting person's annual bonus into Common Stock Units under the PacifiCare Health Systems, Inc. Third Amended and Restated Stock Unit Deferred Compensation Plan.  1,702 of the Common Stock Units are subject to forfeiture and vest on 3/4/2006.  Upon distribution, the reporting person receives shares of PacifiCare Common Stock equal to the number of vested Common Stock Units held.  The Common Stock Units will be distributed on the earlier of (i) the date, after 12/31/06, specified in an election made by the reporting person or (ii) the reporting person's termination of employment, death, disability or change of control of the Company.  The Common Stock Units will be distributed in a lump sum or equal installments over 3 to 5 years as specified in an election made by the reporting person, except for distributions upon change of control which will be distributed in a lump sum.</footnote>
    </footnotes>

    <ownerSignature>
        <signatureName>Jacqueline B Kosecoff</signatureName>
        <signatureDate>2005-03-08</signatureDate>
    </ownerSignature>
</ownershipDocument>
</XML>
</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
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