-----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, ShveM7Dk+mL0UME1Q5oTs2MtdavhtC0xngjHnR4RJTseawxw0Dg4jdBH7mox9ozo Rkj3dblxOVIlF1Rk8lrfbg== 0000049071-99-000083.txt : 19991207 0000049071-99-000083.hdr.sgml : 19991207 ACCESSION NUMBER: 0000049071-99-000083 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19991130 FILED AS OF DATE: 19991206 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: HUMANA INC CENTRAL INDEX KEY: 0000049071 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 610647538 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 001-05975 FILM NUMBER: 99769047 BUSINESS ADDRESS: STREET 1: 500 W MAIN ST CITY: LOUISVILLE STATE: KY ZIP: 40202 BUSINESS PHONE: 5025801000 FORMER COMPANY: FORMER CONFORMED NAME: EXTENDICARE INC DATE OF NAME CHANGE: 19740404 FORMER COMPANY: FORMER CONFORMED NAME: HERITAGE HOUSE OF AMERICA INC DATE OF NAME CHANGE: 19671129 COMPANY DATA: COMPANY CONFORMED NAME: MCCALLISTER MICHAEL B CENTRAL INDEX KEY: 0001018657 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 500 WEST MAIN STREET CITY: LOUISVILLE STATE: KY ZIP: 40202 BUSINESS PHONE: 5025803778 MAIL ADDRESS: STREET 1: 500 WEST MAIN STREET CITY: LOUISVILLE STATE: KY ZIP: 40202 4 1 FORM 4 - NOVEMBER 30, 1999 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). 1. Name and Address of Reporting Person McCallister, Michael B. 500 West Main Street Louisville, KY 40202 USA 2. Issuer Name and Ticker or Trading Symbol Humana Inc. HUM 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year November 30, 1999 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) ( ) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other (specify below) Senior Vice President-Health System Management 7. Individual or Joint/Group Filing (Check Applicable Line) (X) Form filed by One Reporting Person ( ) Form filed by More than One Reporting Person
___________________________________________________________________________________________________________________________________ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect | | Transaction | or Disposed of (D) | Securities |ect | Beneficial Ownership | | | | | Beneficially |(D)or | | | | | | | A/| | Owned at |Indir | | | Date |Code|V| Amount | D | Price | End of Month |ect(I)| | ___________________________________________________________________________________________________________________________________| Common (1) | | | | | | |22,848 | D | | - -----------------------------------------------------------------------------------------------------------------------------------| Common (1) | | | | | | |30,137.2 |I |HRSP(3) | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Con- |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of| Security |version |Transaction | rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect | |or Exer | | | rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |Price of| | | posed of(D) |Day/Year) | |rity |Benefi |or | | |Deriva- | | | |Date |Expir| | |ficially |Ind| | |tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| | |Secu- | | | | | D |cisa-|Date | of Shares | |End of |ct | | |rity |Date |Code|V| Amount | |ble | | | |Month |(I)| | ___________________________________________________________________________________________________________________________________| Common(2) |11.0131 | | | | | |09/13|09/13|Common (1) |2,000 | |2,000 |D | | | | | | | | |/91 |/00 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common(2) |11.0131 | | | | | |09/13|09/13|Common (1) |2,000 | |2,000 |D | | | | | | | | |/92 |/00 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common(2) |11.0131 | | | | | |09/13|09/13|Common (1) |2,000 | |2,000 |D | | | | | | | | |/93 |/00 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common(2) |8.9098 | | | | | |11/18|11/18|Common (1) |1,000 | |1,000 |D | | | | | | | | |/92 |/01 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common(2) |8.9098 | | | | | |11/18|11/18|Common (1) |1,000 | |1,000 |D | | | | | | | | |/93 |/01 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common(2) |8.9098 | | | | | |11/18|11/18|Common (1) |1,000 | |1,000 |D | | | | | | | | |/94 |/01 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common(2) |6.5625 | | | | | |04/14|04/14|Common (1) |31,250 | |31,250 |D | | | | | | | | |/95 |/03 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common(2) |6.5625 | | | | | |04/14|04/14|Common (1) |31,250 | |31,250 |D | | | | | | | | |/96 |/03 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common(2) |6.5625 | | | | | |04/14|04/14|Common (1) |31,250 | |31,250 |D | | | | | | | | |/97 |/03 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common(2) |6.5625 | | | | | |04/14|04/14|Common (1) |31,250 | |31,250 |D | | | | | | | | |/98 |/03 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common(5) |15.625 | | | | | |07/11|07/11|Common (1) |45,000 | |45,000 |D | | | | | | | | |/97 |/06 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common(5) |15.625 | | | | | |07/11|07/11|Common (1) |45,000 | |45,000 |D | | | | | | | | |/98 |/06 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common(5) |15.625 | | | | | |07/11|07/11|Common (1) |45,000 | |45,000 |D | | | | | | | | |/99 |/06 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Phantom Stock Units (4|1-for-1 | | | | | |(4) |(4) |Common (1) |1,181.5| |1,181.5 |D | | ) | | | | | | | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common(5) |15.5938 | | | | | |9/17/|1/12/|Common (1) |29,240 | |29,240 |D | | | | | | | | |99 |05 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common(5) |15.5938 | | | | | |9/17/|1/9/0|Common (1) |12,288 | |12,288 |D | | | | | | | | |99 |7 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common(5) |15.5938 | | | | | |1/9/0|1/9/0|Common (1) |6,052 | |6,052 |D | | | | | | | | |0 |7 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common(5) |15.5938 | | | | | |9/17/|7/10/|Common (1) |7,620 | |7,620 |D | | | | | | | | |99 |07 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common(5) |15.5938 | | | | | |7/10/|7/10/|Common (1) |22,860 | |22,860 |D | | | | | | | | |00-2 |07 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common-ISO(5) |15.5938 | | | | | |9/17/|1/15/|Common (1) |4,316 | |4,316 |D | | | | | | | | |99 |08 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common-ISO(5) |15.5938 | | | | | |1/15/|1/15/|Common (1) |4,316 | |4,316 |D | | | | | | | | |00 |08 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common-ISO(5) |15.5938 | | | | | |1/15/|1/15/|Common (1) |4,316 | |4,316 |D | | | | | | | | |01 |08 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common-NQ(5) |15.5938 | | | | | |9/17/|1/15/|Common (1) |7,284 | |7,284 |D | | | | | | | | |99 |08 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common-NQ(5) |15.5938 | | | | | |1/15/|1/15/|Common (1) |7,284 | |7,284 |D | | | | | | | | |00 |08 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common-NQ(5) |15.5938 | | | | | |1/15/|1/15/|Common (1) |7,284 | |7,284 |D | | | | | | | | |01 |08 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common(5) |19.25 | | | | | |1/15/|1/15/|Common (1) |10,000 | |10,000 |D | | | | | | | | |00 |09 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common(5) |19.25 | | | | | |1/15/|1/15/|Common (1) |10,000 | |10,000 |D | | | | | | | | |01 |09 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common(5) |19.25 | | | | | |1/15/|1/15/|Common (1) |4,806 | |4,806 |D | | | | | | | | |02 |09 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common-ISO(5) |19.25 | | | | | |1/15/|1/15/|Common (1) |5,194 | |5,194 |D | | | | | | | | |02 |09 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common(5) |7.4688 |11/18|A |V|33,334 |A |11/18|11/18|Common (1) |33,334 | |33,334 |D | | | |/99 | | | | |/00 |/09 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common(5) |7.4688 |11/18|A |V|33,333 |A |11/18|11/18|Common (1) |33,333 | |33,333 |D | | | |/99 | | | | |/01 |/09 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common(5) |7.4688 |11/18|A |V|33,333 |A |11/18|11/18|Common (1) |33,333 | |33,333 |D | | | |/99 | | | | |/02 |/09 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | | | | | | | | | | ___________________________________________________________________________________________________________________________________|
Explanation of Responses: (1) Each share of Common Stock contains a Right adopted on March 5, 1987, as amended and restated on February 14, 1996, and amended as of May 27, 1998 and March 1, 1999, pursuant ot the Company's Rights Agreement which entitles holders of the Company's Common Stock in the event certain specified events occur, to acquire 1/100th of a share of Series A Participating Preferred Stock at a price of $145 per fractional share. (2) Right to buy pursuant to the Company's 1989 Stock Option Plan for Employees. (3) Shares held for my benefit as of October 8, 1999 pursuant to the Humana Retirement and Savings Plan ("HRSP") exempt under Rule 16b-3(c). (4) Phantom Stock Units held for my benefit as of October 8, 1999, under the Humana Excess Plan exempt under Rule 16b-3(d). (5) Right to buy pursuant to the Company's 1996 Stock Incentive Plan for Employees. -----END PRIVACY-ENHANCED MESSAGE-----