SEC Form 4 · accession 0001179110-15-005689
HEALTH NET INC · HNT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gale S Fitzgerald
Director
Period of report
Mar 30, 2015
Accepted (ET)
Apr 1, 2015 · 8:02 pm EDT
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 StockF2 | Mar 30, 2015 | M | 7,500 | $39.10 | A | 32,039 | D | |
| Common StockF3,F2 | Mar 30, 2015 | S | 7,500 | $60.47 | D | 24,539 | D | |
| Common StockF2 | Mar 30, 2015 | M | 11,000 | $15.30 | A | 35,539 | D | |
| Common StockF3,F2 | Mar 30, 2015 | S | 11,000 | $60.49 | D | 24,539 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F5 | $39.10 | Mar 30, 2015 | M | 7,500 | D | — | May 12, 2016 | Common Stock | 7,500 | 0 | D |
| Stock Option (Right to Buy)F6 | $15.30 | Mar 30, 2015 | M | 11,000 | D | — | May 22, 2016 | Common Stock | 11,000 | 11,100 | D |
Explanation of responses
- F1Exercise of a Stock Option (Right to Buy) granted to the Reporting Person on May 12, 2006 under the Issuer's 2006 Long-Term Incentive Plan, as amended (the "2006 Grant"), in a transaction exempt under Rule 16b-3 of the Securities Exchange Act of 1934, as amended (the "Act"). The exercise of the 2006 Grant was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person in accordance with Rule 10b5-1 of the Act.
- F2Includes shares which the Reporting Person holds in joint tenancy with her spouse.
- F3The price reported in Column 4 is a weighted average price. The shares were sold in multiple transactions at prices ranging from $60.18 to $60.57, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth herein. These sales of Common Stock by the Reporting Person were effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person in accordance with Rule 10b5-1 of the Act.
- F4Exercise of a Stock Option (Right to Buy) granted to the Reporting Person on May 22, 2009 under the Issuer's 2006 Long-Term Incentive Plan, as amended (the "2009 Grant"), in a transaction exempt under Rule 16b-3 of the Act. The exercise of the 2009 Grant was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person in accordance with Rule 10b5-1 of the Act.
- F5The 2006 Grant became exercisable in 33 1/3% increments on each of the first, second, and third anniversaries of May 12, 2006, the grant date.
- F6The 2009 Grant became exercisable in 33 1/3% increments on each of the first, second, and third anniversaries of May 22, 2009, the grant date.