-----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, LOvv5z0vqPn6JRyNkn4CWDH+ASWwpauaejS8j4/n0liMQS1lvQx3vt8uZH2C4ICK fifuNYFPFXi2T3zu0XJkKg== 0001179110-05-010060.txt : 20050516 0001179110-05-010060.hdr.sgml : 20050516 20050516172920 ACCESSION NUMBER: 0001179110-05-010060 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050513 FILED AS OF DATE: 20050516 DATE AS OF CHANGE: 20050516 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MAYHEW KARIN D CENTRAL INDEX KEY: 0001213932 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12718 FILM NUMBER: 05836299 BUSINESS ADDRESS: BUSINESS PHONE: 8186766000 MAIL ADDRESS: STREET 1: 21650 OXNARD STREET, 22ND FLOOR CITY: WOODLAND HILLS STATE: CA ZIP: 91367 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 4 1 edgar.xml FORM 4 - X0202 4 2005-05-13 0 0000916085 HEALTH NET INC HNT 0001213932 MAYHEW KARIN D 21650 OXNARD STREET WOODLAND HILLS CA 91367 0 1 0 0 SVPOrganization Effectiveness Stock Option (Right to Buy) 32.59 2005-05-13 4 A 0 60000 0 A 2006-05-13 2015-05-13 Common Stock 60000 60000 D Grant of a nonqualified stock option to the Reporting Person under the Issuer's 2005 Long-Term Incentive Plan in a transaction exempt under Rule 16b-3 of the Securities Exchange Act of 1934, as amended. The option becomes exercisable in 25% increments on each of the first, second, third and fourth anniversary dates of the May 13, 2005 option grant date. /s/ Karin D. Mayhew 2005-05-16 -----END PRIVACY-ENHANCED MESSAGE-----