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*
LEHMAN BROTHERS HOLDINGS INC
(Last) (First) (Middle)
745 SEVENTH AVENUE
(Street)
NEW YORK NY 10019
(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
HEALTHAXIS INC [ HAXS ] 		5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) X Other (specify below)
See Remark (1) below
3. Date of Earliest Transaction (Month/Day/Year)
12/08/2003
4. If Amendment, Date of Original Filed (Month/Day/Year)
 6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X 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, $0.10 par value 12/08/2003 P 100 A $2.637 333,035 I See Remark (1) below
Common stock, $0.10 par value 12/08/2003 P 100 A $2.64 333,135 I See Remark (1) below
Common stock, $0.10 par value 12/08/2003 P 200 A $2.5599 333,335 I See Remark (1) below
Common stock, $0.10 par value 12/08/2003 P 300 A $2.65 333,635 I See Remark (1) below
Common stock, $0.10 par value 12/22/2003 S 2 D $3.01 333,633 I See Remark (1) below
Common stock, $0.10 par value 12/22/2003 S 100 D $2.97 333,533 I See Remark (1) below
Common stock, $0.10 par value 12/22/2003 S 100 D $2.97 333,433 I See Remark (1) below
Common stock, $0.10 par value 12/23/2003 S 200 D $3.04 333,233 I See Remark (1) below
Common stock, $0.10 par value 12/26/2003 S 100 D $2.89 333,133 I See Remark (1) below
Common stock, $0.10 par value 12/26/2003 S 100 D $2.99 333,033 I See Remark (1) below
Common stock, $0.10 par value 12/29/2003 S 98 D $2.86 332,935 I See Remark (1) below
Common stock, $0.10 par value 05/13/2004 P 100 A $2.55 333,035 I See Remark (1) below
Common stock, $0.10 par value 05/13/2004 P 300 A $2.5 333,335 I See Remark (1) below
Common stock, $0.10 par value 05/13/2004 P 700 A $2.55 334,035 I See Remark (1) below
Common stock, $0.10 par value 05/18/2004 S 100 D $2.21 333,935 I See Remark (1) below
Common stock, $0.10 par value 05/18/2004 S 100 D $2.22 333,835 I See Remark (1) below
Common stock, $0.10 par value 05/18/2004 S 100 D $2.23 333,735 I See Remark (1) below
Common stock, $0.10 par value 05/18/2004 S 100 D $2.27 333,635 I See Remark (1) below
Common stock, $0.10 par value 05/18/2004 S 100 D $2.32 333,535 I See Remark (1) below
Common stock, $0.10 par value 05/18/2004 S 100 D $2.37 333,435 I See Remark (1) below
Common stock, $0.10 par value 05/18/2004 S 100 D $2.38 333,335 I See Remark (1) below
Common stock, $0.10 par value 05/18/2004 S 100 D $2.41 333,235 I See Remark (1) below
Common stock, $0.10 par value 05/18/2004 S 300 D $2.24 332,935 I See Remark (1) below
Common stock, $0.10 par value 06/07/2004 P 100 A $2.7 333,035 I See Remark (1) below
Common stock, $0.10 par value 06/07/2004 P 200 A $2.54 333,235 I See Remark (1) below
Common stock, $0.10 par value 06/07/2004 P 200 A $2.67 333,435 I See Remark (1) below
Common stock, $0.10 par value 06/07/2004 P 200 A $2.72 333,635 I See Remark (1) below
Common stock, $0.10 par value 06/18/2004 S 100 D $2.36 333,535 I See Remark (1) below
Common stock, $0.10 par value 06/21/2004 S 100 D $2.34 333,435 I See Remark (1) below
Common stock, $0.10 par value 06/21/2004 S 100 D $2.47 333,335(1) I See Remark (1) below
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
1. Name and Address of Reporting Person*
LEHMAN BROTHERS HOLDINGS INC
(Last) (First) (Middle)
745 SEVENTH AVENUE
(Street)
NEW YORK NY 10019
(City) (State) (Zip)
Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) X Other (specify below)
See Remark (1) below
1. Name and Address of Reporting Person*
LB I GROUP INC
(Last) (First) (Middle)
745 SEVENTH AVENUE
(Street)
NEW YORK NY 10019
(City) (State) (Zip)
Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) X Other (specify below)
See Remark (1) below
1. Name and Address of Reporting Person*
LEHMAN BROTHERS INC//
(Last) (First) (Middle)
745 SEVENTH AVENUE
(Street)
NEW YORK NY 10019
(City) (State) (Zip)
Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) X Other (specify below)
See Remark (1) below
Explanation of Responses:
1. LB I Group Inc. holds (i) shares of Series A Preferred Stock convertible into 325,561 shares of common stock, $0.10 par value (the "Common Shares"), (ii) warrants exercisable for 7,374 Common Shares and (iii) 400 Common Shares. Thus, for the purposes of Reg. Section 240.13d-3, the Reporting Person is deemed to beneficially own 333,335 Common Shares as of June 21, 2004.
Remarks:
(1) This form is a joint filing with the following affiliates of the Reporting Person, Lehman Brothers Holdings Inc. ("Holdings"): Lehman Brothers Inc., a Delaware corporation ("LBI") and LB I Group Inc., a Delaware corporation ("LB I Group"). Holdings owns 100% of LBI, which owns 100% of LB I Group. Holdings, LBI and LB I Group may be deemed to be 10% owners of the Issuer. This report is being filed by Holdings. Other Joint Filers: LBI, 745 Seventh Avenue, New York, New York 10019; and LB I Group, 745 Seventh Avenue, New York, New York 10019. The signatory below is signing on behalf of all Joint Filers.
/s/ Barrett S. DiPaolo 09/01/2005
** 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).
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