0001179110-12-003375.txt : 20120223
0001179110-12-003375.hdr.sgml : 20120223
20120223184436
ACCESSION NUMBER: 0001179110-12-003375
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120222
FILED AS OF DATE: 20120223
DATE AS OF CHANGE: 20120223
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tough Steven D
CENTRAL INDEX KEY: 0001450550
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-12718
FILM NUMBER: 12635307
MAIL ADDRESS:
STREET 1: C/O HEALTH NET, INC.
STREET 2: 21650 OXNARD STREET
CITY: WOODLAND HILLS
STATE: CA
ZIP: 91367
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: HEALTH NET INC
CENTRAL INDEX KEY: 0000916085
STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324]
IRS NUMBER: 954288333
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 21650 OXNARD ST
CITY: WOODLAND HILLS
STATE: CA
ZIP: 91367
BUSINESS PHONE: 8186766000
MAIL ADDRESS:
STREET 1: 225 N MAIN ST
CITY: PUEBLO
STATE: CO
ZIP: 81003
FORMER COMPANY:
FORMER CONFORMED NAME: FOUNDATION HEALTH SYSTEMS INC
DATE OF NAME CHANGE: 19970513
FORMER COMPANY:
FORMER CONFORMED NAME: HEALTH SYSTEMS INTERNATIONAL INC
DATE OF NAME CHANGE: 19940207
FORMER COMPANY:
FORMER CONFORMED NAME: HN MANAGEMENT HOLDINGS INC/DE/
DATE OF NAME CHANGE: 19931213
4
1
edgar.xml
FORM 4 -
X0304
4
2012-02-22
0
0000916085
HEALTH NET INC
HNT
0001450550
Tough Steven D
C/O HEALTH NET, INC.
21650 OXNARD STREET
WOODLAND HILLS
CA
91367
0
1
0
0
Pres, Govt Progrms
Common Stock
2012-02-22
4
F
0
1167
38.86
D
79573
D
Shares forfeited in lieu of payment of tax liability in connection with the vesting of 25% of a grant of 10,000 restricted stock units made to the Reporting Person on February 22, 2010 pursuant to the Issuer's 2006 Long-Term Incentive Plan, as amended (the "2010 Grant").
The number of shares forfeited by the Reporting Person was based on the closing price of the Issuer's common stock on February 22, 2012, the vesting date of the 2010 Grant.
/s/ Steve D. Tough
2012-02-23