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
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
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*
KOLE MARC M

(Last) (First) (Middle)
48 MONROE TURNPIKE

(Street)
TRUMBULL CT 06611

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
OXFORD HEALTH PLANS INC [ OHP ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP-Finance & Controller
3. Date of Earliest Transaction (Month/Day/Year)
04/29/2004
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 04/29/2004 M 200 A $21.875 200 D
Common Stock 04/29/2004 S 200 D $55.42 0 D
Common Stock 04/29/2004 M 100 A $21.875 100 D
Common Stock 04/29/2004 S 100 D $55.44 0 D
Common Stock 04/29/2004 M 100 A $21.875 100 D
Common Stock 04/29/2004 S 100 D $55.53 0 D
Common Stock 04/29/2004 M 500 A $21.875 500 D
Common Stock 04/29/2004 S 500 D $55.54 0 D
Common Stock 04/29/2004 M 4,700 A $21.875 4,700 D
Common Stock 04/29/2004 S 4,700 D $55.6 0 D
Common Stock 04/29/2004 M 100 A $21.875 100 D
Common Stock 04/29/2004 S 100 D $55.61 0 D
Common Stock 04/29/2004 M 550 A $21.875 550 D
Common Stock 04/29/2004 S 550 D $55.62 0 D
Common Stock 04/29/2004 M 1,100 A $25.59 1,100 D
Common Stock 04/29/2004 M 200 A $25.59 200 D
Common Stock 04/29/2004 S 200 D $55.34 0 D
Common Stock 186.165(1) I 401(k)
Common Stock 04/29/2004 S 1,100 D $55.33 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 Option $21.875 04/29/2004 M 200 06/12/2001 06/12/2007 Common Stock 200 $0 6,050 D
Stock Option $21.875 04/29/2004 M 100 06/12/2001 06/12/2007 Common Stock 100 $0 5,950 D
Stock Option $21.875 04/29/2004 M 100 06/12/2001 06/12/2007 Common Stock 100 $0 5,850 D
Stock Option $21.875 04/29/2004 M 500 06/12/2001 06/12/2007 Common Stock 500 $0 5,350 D
Stock Option $21.875 04/29/2004 M 4,700 06/12/2001 06/12/2007 Common Stock 4,700 $0 650 D
Stock Option $21.875 04/29/2004 M 100 06/12/2001 06/12/2007 Common Stock 100 $0 550 D
Stock Option $21.875 04/29/2004 M 550 06/12/2001 06/12/2007 Common Stock 550 $0 0 D
Stock Option $25.59 04/29/2004 M 1,100 10/17/2002 10/17/2008 Common Stock 1,100 $0 38,900 D
Stock Option $25.59 04/29/2004 M 200 10/17/2002 10/17/2008 Common Stock 200 $0 38,700 D
Explanation of Responses:
1. These shares were acquired through the Issuer's 401(k) Plan at the price of the Issuer's Common Stock at periodic intervals in accordance with the Issuer's payroll schedule. The Reporting Person is 60% vested in these shares.
Remarks:
Marc Kole 05/03/2004
** 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.