SEC Form 4 · accession 0001179110-15-003394
HEALTH NET INC · HNT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Angelee F. Bouchard
Officer — SVP, General Counsel,Secretary
Period of report
Feb 20, 2015
Accepted (ET)
Feb 24, 2015 · 7:40 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000916085
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Feb 20, 2015 | A | 16,500 | $0.00 | A | 45,333 | D | |
| Common StockF3 | Feb 21, 2015 | F | 587 | $56.49 | D | 44,746 | D | |
| Common StockF3 | Feb 21, 2015 | F | 1,759 | $56.49 | D | 42,987 | D | |
| Common StockF6 | Feb 23, 2015 | S | 1,246 | $56.45 | D | 56,741 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents performance share units ("PSUs") granted to the Reporting Person on February 21, 2014 (the "2014 Grant Date") under the 2006 Long-Term Incentive Plan, as amended (the "2006 Plan"), 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 the 2014 Grant Date (the "2014 PSU Grant").
- F2Shares 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 5,500 RSUs made to the Reporting Person on February 21, 2014, pursuant to the 2006 Plan (the "RSU Vest").
- F3The number of shares withheld by the Issuer in connection with the RSU Vest and the PSU Vest was based on the closing price of the Issuer's common stock on February 20, 2015, pursuant to the terms of the 2006 Plan.
- F4Shares withheld by the Issuer to satisfy the Reporting Person's tax withholding obligations in connection with the vesting of 33-1/3% of the 2014 PSU Grant, pursuant to the 2006 Plan (the "PSU Vest").
- F5The sale of Common Stock by the Reporting Person was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person in accordance with Rule 10b5-1 of the Securities Exchange Act of 1934, as amended.
- F6Includes 15,000 shares previously held through the Bouchard Family Revocable Trust, of which the Reporting Person is a trustee and beneficiary, which were transferred to a separate account held directly by the Reporting Person. Such transfer represented a change in the form of beneficial ownership only without a change in the Reporting Person's pecuniary interest in such shares.