-----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, ICEnu2bBrQv5w9331kwyULhYhiFVkZI0wSPv3NtJVuW/uE2dtQthqpoluiPcmqxy vbsCpwsUeu+ocpFUjNyo8Q== 0001179110-03-011490.txt : 20031201 0001179110-03-011490.hdr.sgml : 20031201 20031201125837 ACCESSION NUMBER: 0001179110-03-011490 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031128 FILED AS OF DATE: 20031201 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HEALTH NET INC CENTRAL INDEX KEY: 0000916085 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 954288333 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 21650 OXNARD ST CITY: WOODLAND HILLS STATE: CA ZIP: 91367 BUSINESS PHONE: 8186766000 MAIL ADDRESS: STREET 1: 225 N MAIN ST CITY: PUEBLO STATE: CO ZIP: 81003 FORMER COMPANY: FORMER CONFORMED NAME: FOUNDATION HEALTH SYSTEMS INC DATE OF NAME CHANGE: 19970513 FORMER COMPANY: FORMER CONFORMED NAME: HEALTH SYSTEMS INTERNATIONAL INC DATE OF NAME CHANGE: 19940207 FORMER COMPANY: FORMER CONFORMED NAME: HN MANAGEMENT HOLDINGS INC/DE/ DATE OF NAME CHANGE: 19931213 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GELLERT JAY M CENTRAL INDEX KEY: 0001213928 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12718 FILM NUMBER: 031029427 BUSINESS ADDRESS: STREET 1: 21650 OXNARD STREET, 22ND FLOOR CITY: WOODLAND HILLS STATE: CA ZIP: 91367 BUSINESS PHONE: 8186766000 MAIL ADDRESS: STREET 1: 21650 OXNARD STREET, 22ND FLOOR CITY: WOODLAND HILLS STATE: CA ZIP: 91367 4 1 edgar.xml FORM 4 - X0201 4 2003-11-28 0 0000916085 HEALTH NET INC HNT 0001213928 GELLERT JAY M 21650 OXNARD STREET WOODLAND HILLS CA 91367 1 1 0 0 President & CEO Class A Common Stock 2003-11-28 4 M 0 25000 12.9375 A 190000 D Class A Common Stock 2003-11-28 4 S 0 1100 32.64 D 188900 D Class A Common Stock 2003-11-28 4 S 0 2800 32.65 D 186100 D Class A Common Stock 2003-11-28 4 S 0 400 32.66 D 185700 D Class A Common Stock 2003-11-28 4 S 0 2000 32.69 D 183700 D Class A Common Stock 2003-11-28 4 S 0 200 32.72 D 183500 D Class A Common Stock 2003-11-28 4 S 0 1000 32.73 D 182500 D Class A Common Stock 2003-11-28 4 S 0 900 32.75 D 181600 D Class A Common Stock 2003-11-28 4 S 0 1000 32.77 D 180600 D Class A Common Stock 2003-11-28 4 S 0 300 32.78 D 180300 D Class A Common Stock 2003-11-28 4 S 0 1000 32.79 D 179300 D Class A Common Stock 2003-11-28 4 S 0 3100 32.80 D 176200 D Class A Common Stock 2003-11-28 4 S 0 900 32.81 D 175300 D Class A Common Stock 2003-11-28 4 S 0 1700 32.82 D 173600 D Class A Common Stock 2003-11-28 4 S 0 200 32.83 D 173400 D Class A Common Stock 2003-11-28 4 S 0 4400 32.85 D 169000 D Class A Common Stock 2003-11-28 4 S 0 1600 32.86 D 167400 D Class A Common Stock 2003-11-28 4 S 0 1000 32.89 D 166400 D Class A Common Stock 2003-11-28 4 S 0 1400 32.95 D 165000 D Option (Right to Buy) 12.9375 2003-11-28 4 M 0 25000 0 D 2002-04-10 2003-12-04 Class A Common Stock 25000 350000 D Exercise of an Option (Right to Buy) granted to the Reporting Person on December 4, 1998 under the Issuer's 1997 Stock Option Plan in a transaction exempt under Rule 16b-3 of the Securities Exchange Act of 1934, as amended. Represents unexercised options from the December 4, 1998 grant to the Reporting Person beneficially owned by the Reporting Person. /s/ Jay M. Gellert 2003-12-01 -----END PRIVACY-ENHANCED MESSAGE-----