0001179110-16-019981.txt : 20160223 0001179110-16-019981.hdr.sgml : 20160223 20160223203532 ACCESSION NUMBER: 0001179110-16-019981 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160220 FILED AS OF DATE: 20160223 DATE AS OF CHANGE: 20160223 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: GELLERT JAY M CENTRAL INDEX KEY: 0001213928 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12718 FILM NUMBER: 161450280 MAIL ADDRESS: STREET 1: 21650 OXNARD STREET, 22ND FLOOR CITY: WOODLAND HILLS STATE: CA ZIP: 91367 4 1 edgar.xml FORM 4 - X0306 4 2016-02-20 0 0000916085 HEALTH NET INC HNT 0001213928 GELLERT JAY M 21650 OXNARD STREET WOODLAND HILLS CA 91367 1 1 0 0 President, CEO Common Stock 2016-02-20 4 F 0 5575 61.08 D 1283054 D Common Stock 2016-02-20 4 F 0 14337 61.08 D 1268717 D Common Stock 2016-02-21 4 F 0 7175 61.08 D 1261542 D Common Stock 2016-02-21 4 F 0 21525 61.08 D 1240017 D Shares withheld by the Issuer to satisfy the Reporting Person's tax withholding obligations in connection with the vesting of 33-1/3% of a grant of 32,050 restricted stock units ("RSUs") made to the Reporting Person on February 20, 2015 (the "2015 RSU Vest"), pursuant to the Issuer's 2006 Long-Term Incentive Plan, as amended (the "2006 Plan"). Shares withheld by the Issuer to satisfy the Reporting Person's tax withholding obligations in connection with the vesting of 33-1/3% of a grant of 96,150 performance stock units ("PSUs") made to the Reporting Person on February 20, 2015, pursuant to the 2006 Plan (the "2015 PSU Vest"). Shares withheld by the Issuer to satisfy the Reporting Person's tax withholding obligations in connection with the vesting of 33-1/3% of a grant of 41,250 RSUs made to the Reporting Person on February 21, 2014, pursuant to the 2006 Plan (the "2014 RSU Vest"). Shares withheld by the Issuer to satisfy the Reporting Person's tax withholding obligations in connection with the vesting of 33-1/3% of a grant of 123,750 PSUs made to the Reporting Person on February 21, 2014, pursuant to the 2006 Plan (the "2014 PSU Vest"). The number of shares withheld by the Issuer in connection with the 2014 RSU Vest, 2014 PSU Vest, 2015 RSU Vest, and 2015 PSU Vest was based on the closing price of the Issuer's common stock on February 19, 2016, pursuant to the terms of the 2006 Plan. /s/ Jay M. Gellert 2016-02-23