SEC Form 4 · accession 0001179110-16-021471
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
Mar 7, 2016
Accepted (ET)
Mar 9, 2016 · 7:47 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 StockF3 | Mar 7, 2016 | F | 522 | $63.60 | D | 41,170 | D | |
| Common StockF3 | Mar 7, 2016 | F | 1,179 | $63.60 | D | 39,991 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Shares 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 3,000 restricted stock units made to the Reporting Person on March 7, 2013 (the "RSU Vest"), pursuant to the Issuer's 2006 Long-Term Incentive Plan, as amended (the "2006 Plan").
- 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 9,000 performance stock units made to the Reporting Person on March 7, 2013, pursuant to the 2006 Plan (the "PSU 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 March 7, 2016, pursuant to the terms of the 2006 Plan.