-----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, WQskrtNBuWHRYK7S8zJ18YuY7abu+jsGTMEi3fQfQ0rXLc9f5BMOwCxVXRJQEzhv VgRZNs7nf1reWDyjrjIVaQ== 0001317212-05-000054.txt : 20050506 0001317212-05-000054.hdr.sgml : 20050506 20050506192724 ACCESSION NUMBER: 0001317212-05-000054 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20050504 FILED AS OF DATE: 20050506 DATE AS OF CHANGE: 20050506 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Frey James A II CENTRAL INDEX KEY: 0001318352 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31700 FILM NUMBER: 05809567 BUSINESS ADDRESS: BUSINESS PHONE: (714) 226-3500 MAIL ADDRESS: STREET 1: 5995 PLAZA DRIVE CITY: CYPRESS STATE: CA ZIP: 90630 4 1 edgardoc.xml PRIMARY DOCUMENT X0202 4 2005-05-04 0 0001027974 PACIFICARE HEALTH SYSTEMS INC /DE/ PHS 0001318352 Frey James A II 5995 PLAZA DRIVE CYPRESS CA 90630 0 1 0 0 EVP, Major Accounts Common Stock 2005-05-04 4 M 0 25000 9 A 28436.079 D Common Stock 2005-05-04 4 S 0 25000 61.2 D 3436.079 D Common Stock 2005-05-04 4 M 0 4250 14.275 A 7686.079 D Common Stock 2005-05-04 4 S 0 4250 61.2 D 3436.079 D Common Stock 2005-05-04 4 M 0 3750 32.37 A 7186.079 D Common Stock 2005-05-04 4 S 0 3750 61.2 D 3436.079 D Common Stock 1151 I By 401(k) plan Non-Qualified Stock Option (right to buy) 9 2005-05-04 4 M 0 25000 0 D 2005-03-18 2012-03-18 Common Stock 25000 25000 D Non-Qualified Stock Option (right to buy) 14.275 2005-05-04 4 M 0 4250 0 D 2005-01-22 2013-01-22 Common Stock 4250 8500 D Non-Qualified Stock Option (right to buy) 32.37 2005-05-04 4 M 0 3750 0 D 2005-01-29 2014-01-29 Common Stock 3750 11250 D Exercise of stock option granted under the 1996 Stock Option Plan for Officers and Key Employees of PacifiCare Health Systems, Inc., as amended, in a transaction exempt under Rule 16b-3. By: Michael E. Jansen For: James A Frey II 2005-05-06 EX-24 2 freypowerofattorney.txt EDGAR SUPPORTING DOCUMENT POWER OF ATTORNEY I, James A. Frey II, do hereby constitute and appoint Joseph S. Konowiecki, Michael E. Jansen, Ellen K. Erickson and Lisa C. Poland, or each one of them separately, as my true and lawful attorneys and agents, to do any and all lawful acts and things in my name and on my behalf, and to execute any and all instruments, forms or filings in my name and on my behalf, which said attorneys and agents, or each one of them separately, may deem necessary or advisable in order for me to comply with the disclosure requirements of Section 16(a) of the Securities Exchange Act of 1934, and any related rules, regulations, and requirements of the Securities and Exchange Commission; and do hereby ratify and confirm all that said attorneys and agents, or each one of them separately, shall do or cause to be done by virtue thereof. Date: February 15, 2005 James A. Frey II -----END PRIVACY-ENHANCED MESSAGE-----