0001179110-14-003100.txt : 20140219 0001179110-14-003100.hdr.sgml : 20140219 20140219181809 ACCESSION NUMBER: 0001179110-14-003100 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140217 FILED AS OF DATE: 20140219 DATE AS OF CHANGE: 20140219 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: Capezza Joseph C. CENTRAL INDEX KEY: 0001415947 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12718 FILM NUMBER: 14627185 MAIL ADDRESS: STREET 1: HEALTH NET, INC. STREET 2: 21650 OXNARD STREET CITY: WOODLAND HILLS STATE: CA ZIP: 91367 4 1 edgar.xml FORM 4 - X0306 4 2014-02-17 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 2014-02-17 4 F 0 1279 32.41 D 109770 D Common Stock 2014-02-18 4 F 0 3382 32.13 D 106388 D Shares forfeited in lieu of payment of tax liability in connection with the vesting of 33-1/3% of a grant of 10,000 restricted stock units ("RSUs") made to the Reporting Person on February 17, 2012, pursuant to the Issuer's 2006 Long-Term Incentive Plan, as amended (the "2006 Plan"). The number of shares forfeited by the Reporting Person was based on the closing price of the Issuer's common stock on February 14, 2014, 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 27,000 RSUs made to the Reporting Person on February 18, 2011, pursuant to the terms of the 2006 Plan. The number of shares forfeited by the Reporting Person was based on the closing price of the Issuer's common stock on February 18, 2014, pursuant to the terms of the 2006 Plan. Includes shares held jointly in an account in the name of the Reporting Person and his spouse. /s/ Joseph C. Capezza 2014-02-19