SEC Form 4 · accession 0001179110-16-019509
HEALTH NET INC · HNT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Marie Montgomery
Officer — SVP, Corporate Controller
Period of report
Feb 13, 2016
Accepted (ET)
Feb 17, 2016 · 8:15 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 13, 2016 | A | 1,235 | $0.00 | A | 37,249 | D | |
| Common StockF2 | Feb 13, 2016 | A | 6,750 | $0.00 | A | 43,999 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents restricted stock units ("RSUs") granted to the Reporting Person on February 13, 2016 (the "2016 Grant Date") under the Issuer's Amended and Restated 2006 Long-Term Incentive Plan, which vest and become non-forfeitable as to 33-1/3% of the RSUs on each of the first, second, and third anniversaries of the 2016 Grant Date.
- F2Represents performance share units ("PSUs") granted to the Reporting Person on February 20, 2015 (the "2015 Grant Date") under the Issuer's 2006 Long-Term Incentive Plan, as amended, 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 2015 Grant Date.