SEC Form 4 · accession 0001231553-16-000016
AETNA INC /PA/ · AET
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mark T Bertolini
Officer — Chairman and CEO · Director
Period of report
Aug 8, 2016
Accepted (ET)
Aug 9, 2016 · 4:44 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001122304
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Jun 17, 2015 | G | 4,000 | $0.00 | D | 392,187 | D | |
| Common Stock | holding | — | — | — | 454,071 | I | By GRAT |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance Stock Appreciation RightsF1,F2 | $64.25 | Aug 8, 2016 | M | 500,000 | A | Aug 9, 2016 | Aug 4, 2023 | Common Stock | 500,000 | 500,000 | D |
Explanation of responses
- F1Performance Stock Appreciation Rights ("PSARs") granted under the 2010 Stock Incentive Plan (the "Plan"). Each PSAR represents a right to recieve up to 700,000 PSARs, depending on whether the perfomance goal is met.
- F2PSARs originally granted on August 5, 2013. Units vested based on the Company's total shareholder return relative to the median total shareholder return of a specified peer group during the performance period (August 5, 2013 to August 5, 2016). The award is described in the Company's Form 8-K filed on August 5, 2013. On August 8, 2016, the Company's Committee on Compensation and Talent Management determined that the perfomance goal had been achieved at the third position performance level for the performance period.