Document

0001179929-24-000055.txt : 20240305 0001179929-24-000055.hdr.sgml : 20240305 20240305203907 ACCESSION NUMBER: 0001179929-24-000055 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: HEBERT MAURICE CENTRAL INDEX KEY: 0001267043 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31719 FILM NUMBER: 24724003 MAIL ADDRESS: STREET 1: C/O WELLCARE HEALTH PLANS, INC. STREET 2: 8735 HENDERSON ROAD CITY: TAMPA STATE: FL ZIP: 33634 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_1709689139.xml FORM 4 X0508 4 2024-03-01 0 0001179929 MOLINA HEALTHCARE, INC. MOH 0001267043 HEBERT MAURICE 2180 HARVARD STREET SUITE 400 SACRAMENTO CA 95815 0 1 0 0 Chief Accounting Officer 0 Common Stock 2024-03-01 4 A 0 1530 387.21 A 10058 D Common Stock 2024-03-01 4 F 0 450 387.21 D 9608 D Common Stock 2024-03-01 4 F 0 516 387.21 D 9092 D Common Stock 2024-03-01 4 A 0 516 387.12 A 9608 D Common Stock 2024-03-01 4 A 0 258 387.21 A 9866 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 1,276 shares on March 1, 2024. Grant of restricted stock under the Issuer's 2019 Equity Incentive Plan. The shares shall vest as follows: The 774 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: 643 shares shall vest on March 1, 2025; and 243 shares shall vest on March 1, 2026. The remaining shares are vested. Jeff D. Barlow, by power of attorney for Maurice Hebert 2024-03-05 EX-24 2 hebertpoa.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 amendments 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 30th day of January 2019.

/s/ Maurice Hebert

Signature

Maurice Hebert

Printed Name

Exhibit 24