0001179110-12-003181.txt : 20120222 0001179110-12-003181.hdr.sgml : 20120222 20120222171202 ACCESSION NUMBER: 0001179110-12-003181 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120217 FILED AS OF DATE: 20120222 DATE AS OF CHANGE: 20120222 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tough Steven D CENTRAL INDEX KEY: 0001450550 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12718 FILM NUMBER: 12631134 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 - X0304 4 2012-02-17 0 0000916085 HEALTH NET INC HNT 0001450550 Tough Steven D C/O HEALTH NET, INC. 21650 OXNARD STREET WOODLAND HILLS CA 91367 0 1 0 0 Pres, Govt Progrms Common Stock 2012-02-17 4 A 0 8750 0 A 110756 D Common Stock 2012-02-17 4 F 0 18812 39.34 D 91944 D Common Stock 2012-02-17 4 F 0 4902 39.34 D 87042 D Common Stock 2012-02-18 4 F 0 3501 39.34 D 83541 D Common Stock 2012-02-18 4 F 0 2801 39.34 D 80740 D Represents 8,750 Restricted Stock Units ("RSUs") granted to the Reporting Person on February 17, 2012 (the "2012 Grant") under the Issuer's 2006 Long-Term Incentive Plan, as amended (the "2006 Plan"), which RSUs 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 2012 Grant. Shares forfeited in lieu of payment of tax liability in connection with the vesting of 45,675 performance shares, which represent the portion of the Reporting Person's February 2009 performance share award (made pursuant to the 2006 Plan) attributable to the Issuers's achievement of a target level of pre-tax income and completion of certain strategic business divestitures in 2009 (the "2009 Grant I"). The number of shares forfeited by the Reporting Person was based on the closing price of the Issuer's common stock on February 17, 2012, the vesting date of the 2009 Grant I. Shares forfeited in lieu of payment of tax liability in connection with the vesting of 10,500 performance shares, which represent the portion of the Reporting Person's February 2009 performance share award (made pursuant to the 2006 Plan) attributable to the Issuer's achievement of a target level of pre-tax income in 2010 (the "2009 Grant II"). The number of shares forfeited by the Reporting Person was based on the closing price of the Issuer's common stock on February 17, 2012, the vesting date of the 2009 Grant II. Shares forfeited in lieu of payment of tax liability in connection with the vesting of 50% of a grant of 15,000 RSUs made to the Reporting Person on February 18, 2008 pursuant to the 2006 Plan (the "2008 Grant"). The number of shares forfeited by the Reporting Person for the 2008 Grant was based on the closing price of the Issuer's common stock on February 17, 2012 pursuant to the terms of the 2006 Plan. Shares forfeited in lieu of payment of tax liability in connection with the vesting of 33-1/3% of a grant of 18,000 RSUs made to the Reporting Person on February 18, 2011 pursuant to the 2006 Plan (the "2011 Grant"). The number of shares forfeited by the Reporting Person for the 2011 Grant was based on the closing price of the Issuer's common stock on February 17, 2012 pursuant to the terms of the 2006 Plan. /s/ Steve D. Tough 2012-02-22