SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
DEROSA JOHN D

(Last) (First) (Middle)
4 TAFT COURT

(Street)
ROCKVILLE MD 20850

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
MID ATLANTIC MEDICAL SERVICES INC [ MME ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Executive VP
3. Date of Earliest Transaction (Month/Day/Year)
02/11/2004
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 02/11/2004 M 5,500 A $17.35 5,500 D
Common Stock 02/11/2004 M 7,000 A $15.55 12,500 D
Common Stock 02/11/2004 M 8,250 A $25.36 20,750 D
Common Stock 02/11/2004 M 8,250 A $33.3 29,000 D
Common Stock 02/11/2004 M 8,250 A $31 37,250 D
Common Stock 02/11/2004 M 8,250 A $41.22 45,500 D
Common Stock 02/11/2004 S 45,500 D $66.6 0 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Options (Right to buy) $15.55 02/11/2004 M 7,000 05/24/2001 05/24/2006 Common Stock 7,000 $15.55 0 D
Stock Options (Right to buy) $17.35 02/11/2004 M 5,500 02/01/2001 02/01/2006 Common Stock 5,500 $17.35 0(1) D
Stock Options (Right to buy) $25.36 02/11/2004 M 8,250 06/01/2003 02/01/2007 Common Stock 8,250 $25.36 0 D
Stock Options (Right to buy) $31 02/11/2004 M 8,250 02/12/2003 02/12/2008 Common Stock 8,250 $31 0 D
Stock Options (Right to buy) $33.3 02/11/2004 M 8,250 06/08/2003 05/08/2007 Common Stock 8,250 $33.3 0 D
Stock Options (Right to buy) $41.22 02/11/2004 M 8,250 06/01/2004 04/29/2008 Common Stock 8,250 $41.22 0 D
Explanation of Responses:
1. Individual holds 5,500 stock options at $17,35 7,000 options at $15.55 8,250 options at $25.36 8,250 options at $33.30 8,250 options at $31.00 8,250 options at $41.22.
Ellen Hurtt 02/13/2004
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.