-----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, Aucds7/gbUo1QId47Jsb0S5KG95d6R+C/3tbWqV4oS5r2S1dmHWDgkVjK7r+5L5c 3l0wSBrrHza8UeOUhxCu7A== 0001179110-11-003301.txt : 20110223 0001179110-11-003301.hdr.sgml : 20110223 20110223183327 ACCESSION NUMBER: 0001179110-11-003301 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110218 FILED AS OF DATE: 20110223 DATE AS OF CHANGE: 20110223 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Capezza Joseph C. CENTRAL INDEX KEY: 0001415947 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12718 FILM NUMBER: 11633561 MAIL ADDRESS: STREET 1: 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 2011-02-18 0 0000916085 HEALTH NET INC HNT 0001415947 Capezza Joseph C. C/O HEALTH NET, INC. 21650 OXNARD STREET WOODLAND HILLS CA 91367 0 1 0 0 EVP & Chief Financial Officer Common Stock 2011-02-18 4 A 0 39750 0 A 140377 D Common Stock 2011-02-22 4 F 0 1176 30.49 D 139201 D Stock Option (Right to Buy) 30.73 2011-02-18 4 A 0 54000 0 A 2012-02-18 2018-02-18 Common Stock 54000 54000 D Includes 12,750 performance shares, which represent the portion of the Reporting Person's February 17, 2009 performance share award attributable to the Issuer's achievement of a target level of pre-tax income in 2010. Vesting of the performance shares is subject to continued employment of the Reporting Person through the date on which the Compensation Committee makes a determination regarding the satisfaction of certain additional criteria, which shall occur as soon as practicable following December 31, 2011 and in any event, no later than the third anniversary of the grant date. Also includes 27,000 restricted stock units ("RSUs") granted to the Reporting Person on February 18, 2011 (the "2011 Grant Date") under the Issuer's 2006 Long-Term Incentive Plan, as amended (the "2006 Plan"), which vest and become non-forfeitable with respect to 33-1/3% of the RSUs on each of the first, second and third anniversaries of the 2011 Grant Date. Stock option granted to the Reporting Person under the Issuer's 2006 Plan in a transaction exempt under Rule 16b-3 of the Securities Exchange Act of 1934, as amended. This stock option becomes exercisable with respect to 33-1/3% of the shares underlying the options on each of the first, second and third anniversaries of the 2011 Grant Date. Represents the total number of stock options granted to the Reporting Person on the 2011 Grant Date. Shares forfeited in lieu of payment of tax liability in connection with the vesting of twenty-five percent of a grant of 12,500 restricted stock units made to the Reporting Person on February 22, 2010 pursuant to the Issuer's 2006 Plan (the "2010 Grant"). The number of shares forfeited by the Reporting Person was based on the closing price of the Issuer's common stock on February 22, 2011, the first vesting date of the 2010 Grant. /s/ Joseph C. Capezza 2011-02-23 -----END PRIVACY-ENHANCED MESSAGE-----