0001179110-16-019515.txt : 20160217 0001179110-16-019515.hdr.sgml : 20160217 20160217202236 ACCESSION NUMBER: 0001179110-16-019515 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160213 FILED AS OF DATE: 20160217 DATE AS OF CHANGE: 20160217 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: HEFNER JUANELL CENTRAL INDEX KEY: 0001539148 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12718 FILM NUMBER: 161435741 MAIL ADDRESS: STREET 1: C/O HEALTH NET, INC. STREET 2: 21650 OXNARD STREET, 22ND FLOOR CITY: WOODLAND HILLS STATE: CA ZIP: 91367 4 1 edgar.xml FORM 4 - X0306 4 2016-02-13 0 0000916085 HEALTH NET INC HNT 0001539148 HEFNER JUANELL 21650 OXNARD STREET WOODLAND HILLS CA 91367 0 1 0 0 Chief Administration Officer Common Stock 2016-02-13 4 A 0 5392 0 A 85171 D Common Stock 2016-02-13 4 A 0 21157 0 A 106328 D Common Stock 2016-02-13 4 A 0 19500 0 A 125828 D Represents restricted stock units ("RSUs") granted to the Reporting Person on February 13, 2016 (the "2016 Grant Date") under the Issuer's 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 2016 Grant Date. Includes 633 shares in which the Reporting Person has a beneficial interest under the Issuer's 401(k) Savings Plan. Represents performance share units ("PSUs") granted to the Reporting Person on February 20, 2015 under the Issuer's 2006 Long-Term Incentive Plan, as amended, which have been earned by the Reporting Person and which vest and become non-forfeitable as to 33-1/3% of the PSUs on each of the first, second, and third anniversaries of February 20, 2015. Represents PSUs granted to the Reporting Person on July 2, 2015 under the Issuer's Amended and Restated 2006 Long-Term Incentive Plan, which have been earned by the Reporting Person and which vest and become non-forfeitable as to 50% of the PSUs on each of the first and second anniversaries of July 2, 2015. /s/ Juanell Hefner 2016-02-17