-----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, IsnTpH0wHP7/b6fWbcujfYSFGMIOjEq03koFIAIUCtAGj4wGKYUjxV90JSD1jQ71 sjbcoPyF6Vqy5TWAe4ESXA== 0001179110-05-010448.txt : 20050519 0001179110-05-010448.hdr.sgml : 20050519 20050519182347 ACCESSION NUMBER: 0001179110-05-010448 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050513 FILED AS OF DATE: 20050519 DATE AS OF CHANGE: 20050519 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: Olson David W CENTRAL INDEX KEY: 0001327463 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-12718 FILM NUMBER: 05846014 BUSINESS ADDRESS: BUSINESS PHONE: 818-676-6978 MAIL ADDRESS: STREET 1: 21650 OXNARD STREET CITY: WOODLAND HILLS STATE: CA ZIP: 91367 3/A 1 edgar.xml FORM 3/A - X0202 3/A 2005-05-13 2005-05-19 0 0000916085 HEALTH NET INC HNT 0001327463 Olson David W 21650 OXNARD STREET WOODLAND HILLS CA 91367 0 1 0 0 SVP, Corporate Communications Common Stock 6725 D Stock Option (Right to Buy) 12.9375 1999-12-04 2008-12-04 Common Stock 25000 D Stock Option (Right to Buy) 9.00 2001-02-14 2010-02-14 Common Stock 8334 D Stock Option (Right to Buy) 23.02 2002-02-09 2011-02-09 Common Stock 25000 D Stock Option (Right to Buy) 20.52 2002-10-18 2011-10-18 Common Stock 10000 D Stock Option (Right to Buy) 22.64 2003-08-12 2012-08-12 Common Stock 35000 D Stock Option (Right to Buy) 24.06 2004-02-20 2013-02-20 Common Stock 40000 D Stock Option (Right to Buy) 23.64 2005-03-25 2014-03-25 Common Stock 25000 D Stock Option (Right to Buy) 32.59 2006-05-13 2015-05-13 Common Stock 30000 D Includes 5,000 shares of restricted stock granted to the Reporting Person under the Issuer's 1997 Stock Option Plan, which shares vest and become non-forfeitable under the circumstances described in the Restricted Stock Agreement entered into between the Issuer and the Reporting Person. Also includes 225 shares of Common Stock in which the Reporting Person has a beneficial ownership interest under the Issuer's 401(k) Associate Savings Plan. Stock Option (Right to Buy) granted to the Reporting Person 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. The option became exercisable in 33 1/3% increments on each of the first, second and third anniversary dates of the December 4, 1998 option grant date. The option became exercisable in 33 1/3% increments on each of the first, second and third anniversary dates of the February 14, 2000 option grant date. Represents vested and unexercised options from the 25,000 share option grant made to the Reporting Person on February 14, 2000. Stock Option (Right to Buy) granted to the Reporting Person under the Issuer's 1991 Stock Option Plan in a transaction exempt under Rule 16b-3 of the Securities Exchange Act of 1934, as amended. The option became exercisable in 33 1/3% increments on each of the first, second and third anniversary dates of the February 9, 2001 option grant date. The option became exercisable in 33 1/3% increments on each of the first, second and third anniversary dates of the October 18, 2001 option grant date. The option becomes exercisable in 25% increments on each of the first, second, third and fourth anniversary dates of the August 12, 2002 option grant date. The option becomes exercisable in 25% increments on each of the first, second, third and fourth anniversary dates of the February 20, 2003 option grant date. Stock Option (Right to Buy) granted to the Reporting Person under the Issuer's 2002 Stock Option 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 March 25, 2004 option grant date. Stock Option (Right to Buy) granted 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/ David W. Olson 2005-05-19 -----END PRIVACY-ENHANCED MESSAGE-----