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0001179929-24-000052.txt : 20240305 0001179929-24-000052.hdr.sgml : 20240305 20240305203724 ACCESSION NUMBER: 0001179929-24-000052 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20240301 FILED AS OF DATE: 20240305 DATE AS OF CHANGE: 20240305 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Zubretsky Joseph M CENTRAL INDEX KEY: 0001320929 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31719 FILM NUMBER: 24723974 MAIL ADDRESS: STREET 1: C/O THE HANOVER INSURANCE GROUP, INC. STREET 2: 440 LINCOLN STREET CITY: WORCESTER STATE: MA ZIP: 01653 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MOLINA HEALTHCARE, INC. CENTRAL INDEX KEY: 0001179929 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] ORGANIZATION NAME: 02 Finance IRS NUMBER: 134204626 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 200 OCEANGATE, SUITE 100 CITY: LONG BEACH STATE: CA ZIP: 90802 BUSINESS PHONE: 5624353666 MAIL ADDRESS: STREET 1: 200 OCEANGATE, SUITE 100 CITY: LONG BEACH STATE: CA ZIP: 90802 FORMER COMPANY: FORMER CONFORMED NAME: MOLINA HEALTHCARE INC DATE OF NAME CHANGE: 20020812 4 1 wk-form4_1709689020.xml FORM 4 X0508 4 2024-03-01 0 0001179929 MOLINA HEALTHCARE, INC. MOH 0001320929 Zubretsky Joseph M 2180 HARVARD STREET SUITE 400 SACRAMENTO CA 95815 1 1 0 0 President & CEO 0 Common Stock 2024-03-01 4 A 0 68844 387.21 A 392660 D Common Stock 2024-03-01 4 F 0 32069 387.21 D 360591 D Common Stock 2024-03-01 4 F 0 27374 387.21 D 333217 D Common Stock 2024-03-01 4 A 0 16735 387.21 A 349952 D Shares issued in settlement of performance stock units granted on March 1, 2021, which vested at the 170% achievement level based on the Company's averaged achievement of adjusted net income per share in the three fiscal years of 2021, 2022, and 2023. Represents the closing price of the Issuer's common stock on March 1, 2024. The shares were applied to payment of withholding taxes in connection with vesting of the above-mentioned performance stock units. The shares were applied to the payment of withholding taxes arising in connection with the vesting of 22,960 shares on March 1, 2024. Grant of restricted stock under the Issuer's 2019 Equity Incentive Plan. The shares shall vest as follows: The 16,735 newly granted shares shall vest in one-third on each of March 1, 2025, March 1, 2026, and March 1, 2027. Additional shares shall vest as follows: 13,960 shares shall vest on March 1, 2025; and 7,548 shares shall vest on March 1, 2026. The remaining shares are vested. Jeff D. Barlow, by power of attorney for Joseph M. Zubretsky 2024-03-05 EX-24 2 zubretskypoa.htm EX-24 Document

LIMITED POWER OF ATTORNEY FOR SECTION 16(a) FILINGS

Know all by these presents, that the undersigned hereby constitutes

and appoints Jeff D. Barlow and Codruta Boggs, and each acting

singly, the undersigned's true and lawful attorney-in-fact to:

1) execute for and on behalf of the undersigned, in the undersigned's

capacity as an officer, director and/or stockholder of Molina

Healthcare, Inc. (the "Company"), Forms 3, 4, and 5 and amendments

thereto in accordance with Section 16(a) of the Securities Exchange

Act of 1934 and the rules thereunder; and

2) do and perform any and all acts for and on behalf of the

undersigned which may be necessary or desirable to complete and

execute any such Form 3, 4, or 5 or amendment thereto

and timely file such form with the United States Securities and Exchange

Commission (the "SEC") and any stock exchange or similar authority.

The undersigned hereby grants to each such attorney-in-fact full power

and authority to do and perform any and every act and thing whatsoever

requisite, necessary, or proper to be done in the exercise of any of

the rights and powers herein granted, as fully to all intents and

purposes as the undersigned might or could do if personally present,

with full power of substitution or revocation, hereby ratifying and

confirming all that such attorney-in-fact, or such attorney-in-fact's

substitute or substitutes, shall lawfully do or cause to be done by

virtue of this Power of Attorney and the rights and powers herein granted.

The undersigned acknowledges that the foregoing attorneys-in-fact, in

serving in such capacity at the request of the undersigned, are not

assuming, nor is the Company assuming, any of the undersigned's

responsibilities to comply with Section 16 of the Securities Exchange

Act of 1934.

This Power of Attorney shall remain in full force and effect until the

undersigned is no longer required to file Forms 3, 4, and 5 with respect

to the undersigned's holdings of and transaction in securities of the

Company, unless earlier revoked by the undersigned in a signed writing

delivered to the foregoing attorneys-in-fact. This Power of Attorney

may be filed with the SEC as a confirming statement of the authority

granted herein.

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney

to be executed as of this 9th day of October, 2017.

/s/ Joseph M. Zubretsky

Signature

Joseph M. Zubretsky

Printed Name