-----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, Tn7xvKFLi2aLL+OzosUHY60BcYNO2ub8wXv4XK2m/GxxS6rDgHeeh3P3frzA47Nn g4PC3LUmOuMwOOJVTGfkeg== 0001179110-10-003313.txt : 20100222 0001179110-10-003313.hdr.sgml : 20100222 20100222170710 ACCESSION NUMBER: 0001179110-10-003313 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100218 FILED AS OF DATE: 20100222 DATE AS OF CHANGE: 20100222 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sivori John P CENTRAL INDEX KEY: 0001450520 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12718 FILM NUMBER: 10623429 MAIL ADDRESS: STREET 1: C/O HEALTH NET, INC. STREET 2: 21650 OXNARD STREET 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 - X0303 4 2010-02-18 0 0000916085 HEALTH NET INC HNT 0001450520 Sivori John P C/O HEALTH NET, INC. 21650 OXNARD STREET WOODLAND HILLS CA 91367 0 1 0 0 Health Care Svcs OfcrPresPharm Common Stock 2010-02-18 4 F 0 1216 23.43 D 10952 D Common Stock 2010-02-18 4 G 0 1784 0 D 9168 D Common Stock 2010-02-18 4 G 0 1784 0 A 1784 I By Trust Shares forfeited in lieu of payment of tax liability in connection with the vesting of fifty percent of a grant of 6,000 restricted stock units made to the Reporting Person on February 18, 2008 pursuant to the Issuer's 2006 Long-Term Incentive Plan, as amended (the Grant). The number of shares forfeited by the Reporting Person was based on the closing price of the Issuer's common stock on February 18, 2010, the first vesting date of the Grant. Shares transferred to the Sivori Family Trust, John and Roxanne Sivori TTES upon the vesting of a portion of the Grant. The shares are held by the Sivori Family Trust, of which the Reporting Person is a trustee and beneficiary. Reflects a reduction of one share included in a prior report due to rounding error. /s/ John P. Sivori 2010-02-22 -----END PRIVACY-ENHANCED MESSAGE-----