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