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