-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Q2i++WQqogAWBh4f7hn6KcB8zaeUD6zlugoe9i9r9/DZKfmJh1VtIl7X7mxAuKPs PZvqzakuvTKcvdVETTggzQ== 0000950172-02-000259.txt : 20020414 0000950172-02-000259.hdr.sgml : 20020414 ACCESSION NUMBER: 0000950172-02-000259 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20020213 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: OXFORD HEALTH PLANS INC CENTRAL INDEX KEY: 0000865084 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 061118515 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-42115 FILM NUMBER: 02541401 BUSINESS ADDRESS: STREET 1: 48 MONROE TURNPIKE CITY: TRUMBULL STATE: CT ZIP: 06611 BUSINESS PHONE: 2034596000 MAIL ADDRESS: STREET 1: 48 MONROE TURNPIKE CITY: TRUMBULL STATE: CT ZIP: 06611 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: PAYSON NORMAN C MD/CT CENTRAL INDEX KEY: 0001129856 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 48 MONROE TURNPIKE CITY: TRUMBULL STATE: CT ZIP: 06611 BUSINESS PHONE: 2034596500 MAIL ADDRESS: STREET 1: 48 MONROE TURNPIKE CITY: TRUMBULL STATE: CT ZIP: 06611 SC 13G 1 s588392.txt SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 ----------------- SCHEDULE 13G (Rule 13d-102) INFORMATION TO BE INCLUDED IN THE STATEMENTS FILED PURSUANT TO RULES 13d-1(b), (c), AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(b) (AMENDMENT NO. )* OXFORD HEALTH PLANS, INC. --------------------------------------- (Name of Issuer) Common Stock, par value $.01 per share ----------------------------------------- (Title of Class of Securities) 691471 10 6 ---------------------------------------------- (CUSIP Number) December 31, 2001 -------------------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [ ] Rule 13d-1(b) [ ] Rule 13d-1(c) [X] Rule 13d-1(d) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). CUSIP No. 691471 10 6 13G - ------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Norman C. Payson, M.D. - ------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP [ ] (a) [ ] (b) - ------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States - ------------------------------------------------------------------------------- NUMBER OF 5 SOLE VOTING POWER SHARES 4,874,999 BENEFICIALLY OWNED BY ---------------------------------------------- EACH 6 SHARED VOTING POWER REPORTING 100,000 PERSON ---------------------------------------------- WITH 7 SOLE DISPOSITIVE POWER 4,874,999 ---------------------------------------------- 8 SHARED DISPOSITIVE POWER 100,000 - ------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 4,974,999 - ------------------------------------------------------------------------------- 10 CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES [ ] - ------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 5.44% - ------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON IN - ------------------------------------------------------------------------------- Item 1(a). Name of Issuer. Oxford Health Plans, Inc. Item 1(b). Address of Issuer's Principal Executive Offices. 48 Monroe Turnpike Trumbull, CT 06611 Item 2(a). Name of Person Filing. Norman C. Payson, M.D. Item 2(b). Address of Principal Business Office or, if None, Residence. c/o Oxford Health Plans, Inc. 48 Monroe Turnpike Trumbull, CT 06611 Item 2(c). Citizenship. United States Item 2(d). Title of Class of Securities. Common Stock, par value $.01 per share Item 2(e). CUSIP Number. 691471 10 6 Item 3. Not applicable. Item 4. Ownership. (a) Amount beneficially owned: 4,974,999 (b) Percent of class: 5.44% (c) Number of shares as to which such person has: (i) Sole power to vote or direct the vote: 4,874,999 (ii) Shared power to vote or direct the vote: 100,000 (iii) Sole power to dispose or to direct the disposition: 4,874,999 (iv) Shared power to dispose or to direct the disposition: 100,000 Pursuant to Rule 13d-4, Norman C. Payson expressly disclaims beneficial ownership of 100,000 shares of common stock of Oxford Health Plans, Inc., par value $.01 per share (the "Common Stock"), held by an IRS approved tax exempt-charitable foundation of which Norman C. Payson is one of the three trustees (the "Charitable Foundation"). See Item 6 below. The calculation in item 4(b) above is based on information provided to the filing person by the issuer as of February 5, 2002 (the latest date for which such information is available). Item 5. Ownership of Five Percent or Less of a Class. Not applicable. Item 6. Ownership of More than Five Percent on Behalf of Another Person. Other than charitable organizations that may, at the discretion of the three trustees, be the beneficiaries of the Charitable Foundation which holds 100,000 shares of the Common Stock, no other person is known by Norman C. Payson to have the right to receive or the power to direct the receipt of dividends from, or the proceeds from the sale of, any shares of the Common Stock beneficially owned by Norman C. Payson. Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company. Not applicable. Item 8. Identification and Classification of Members of the Group. Not applicable. Item 9. Notice of Dissolution of Group. Not applicable. Item 10. Certification. Not applicable. SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Date: February 13, 2002 /s/ Norman C. Payson, M.D. -------------------------- Name: Norman C. Payson, M.D. -----END PRIVACY-ENHANCED MESSAGE-----