SEC Form 4 · accession 0001140361-17-037118
WELLCARE HEALTH PLANS, INC. · WCG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kelly A Munson
Officer — EVP, Medicaid
Period of report
Sep 28, 2017
Accepted (ET)
Oct 2, 2017 · 4:27 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001279363
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Sep 29, 2017 | M | 3,613 | $0.00 | A | 5,294 | D | |
| Common StockF2 | Sep 29, 2017 | F | 1,516 | $171.74 | D | 3,778 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance Stock UnitsF3,F4 | — | Sep 28, 2017 | A | 10,839 | A | — | — | Common Stock | 10,839 | 10,839 | D |
| Performance Stock UnitsF3,F5 | — | Sep 29, 2017 | M | 3,613 | D | — | — | Common Stock | 3,613 | 7,226 | D |
Explanation of responses
- F1Vesting of performance stock units granted to the Reporting Person on September 29, 2016.
- F2Forfeiture of shares to satisfy tax obligations related to performance stock units that were granted to the Reporting Person on September 29, 2016 and vested on September 29, 2017.
- F3Each performance stock unit represents a contingent right to receive one share of WCG common stock.
- F4On September 29, 2016, the reporting person was awarded performance stock units covering 10,839 shares of common stock. On September 28, 2017, the Compensation Committee of the Board of Directors of the WellCare Health Plans, Inc. determined that the performance criteria had been achieved, and as a result, the shares subject to the performance stock units will vest in equal increments on September 29, 2017, September 29, 2018 and September 29, 2019.
- F5The performance stock units vest in approximately equal installments on September 29, 2017, September 29, 2018 and September 29, 2019. Vested shares are delivered to the Reporting Person upon vest.