SEC Form 4 · accession 0001179110-15-015947
HEALTH NET INC · HNT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kathleen Alyce Waters
Officer — SVP, Gen. Counsel & Secretary
Period of report
Dec 3, 2015
Accepted (ET)
Dec 7, 2015 · 8:25 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 | Dec 3, 2015 | A | 11,250 | $0.00 | A | 16,250 | D | |
| Common StockF3 | Dec 3, 2015 | F | 1,410 | $62.81 | D | 14,840 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents a portion of a grant of performance share units ("PSUs") made to the Reporting Person on April 27, 2015 (the "2015 Grant Date") under the Issuer's 2006 Long-Term Incentive Plan, as amended (the "2006 Plan"), which has been earned by the Reporting Person. 3,750 of the PSUs vested on December 3, 2015 (the "PSU Vest") and 3,750 of the PSUs will vest and become non-forfeitable on each of the third and fourth anniversaries of the 2015 Grant Date, subject to the Reporting Person's continued employment through the applicable vesting date. The 2006 Plan was subsequently amended and restated effective May 7, 2015.
- F2Shares withheld by the Issuer to satisfy the Reporting Person's tax withholding obligations in connection with the PSU Vest, pursuant to the 2006 Plan.
- F3The number of shares withheld by the Issuer in connection with the PSU Vest was based on the closing price of the Issuer's common stock on December 3, 2015, pursuant to the terms of the 2006 Plan.