0001179110-15-007664.txt : 20150512 0001179110-15-007664.hdr.sgml : 20150512 20150512174745 ACCESSION NUMBER: 0001179110-15-007664 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150508 FILED AS OF DATE: 20150512 DATE AS OF CHANGE: 20150512 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ESCARRA VICKI B CENTRAL INDEX KEY: 0001197666 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12718 FILM NUMBER: 15855716 MAIL ADDRESS: STREET 1: AMERICA'S SECOND HARVEST STREET 2: 35 EAST WACKER DR., SUITE 2000 CITY: CHICAGO STATE: IL ZIP: 60601 4 1 edgar.xml FORM 4 - X0306 4 2015-05-08 0 0000916085 HEALTH NET INC HNT 0001197666 ESCARRA VICKI B C/O HEALTH NET, INC. 21650 OXNARD STREET WOODLAND HILLS CA 91367 1 0 0 0 Common Stock 2015-05-08 4 A 0 2264 0 A 20116 D Includes 2,264 restricted stock units ("RSUs") granted to the Reporting Person on May 8, 2015 (the "2015 Grant Date") under the Health Net, Inc. Amended and Restated 2006 Long-Term Incentive Plan, which vest and become non-forfeitable as to 33-1/3% of the RSUs on each of the first, second, and third anniversaries of the 2015 Grant Date. /s/ Vicki Escarra 2015-05-12