0001179110-16-021471.txt : 20160309
0001179110-16-021471.hdr.sgml : 20160309
20160309194701
ACCESSION NUMBER: 0001179110-16-021471
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160307
FILED AS OF DATE: 20160309
DATE AS OF CHANGE: 20160309
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: MONTGOMERY MARIE
CENTRAL INDEX KEY: 0001540562
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-12718
FILM NUMBER: 161495846
MAIL ADDRESS:
STREET 1: C/O HEALTH NET, INC.
STREET 2: 21650 OXNARD STREET
CITY: WOODLAND HILLS
STATE: CA
ZIP: 91367
4
1
edgar.xml
FORM 4 -
X0306
4
2016-03-07
0
0000916085
HEALTH NET INC
HNT
0001540562
MONTGOMERY MARIE
21650 OXNARD STREET
WOODLAND HILLS
CA
91367
0
1
0
0
SVP, Corporate Controller
Common Stock
2016-03-07
4
F
0
522
63.6
D
41170
D
Common Stock
2016-03-07
4
F
0
1179
63.6
D
39991
D
Shares withheld by the Issuer to satisfy the Reporting Person's tax withholding obligations in connection with the vesting of 33-1/3% of a grant of 3,000 restricted stock units made to the Reporting Person on March 7, 2013 (the "RSU Vest"), pursuant to the Issuer's 2006 Long-Term Incentive Plan, as amended (the "2006 Plan").
Shares withheld by the Issuer to satisfy the Reporting Person's tax withholding obligations in connection with the vesting of 33-1/3% of a grant of 9,000 performance stock units made to the Reporting Person on March 7, 2013, pursuant to the 2006 Plan (the "PSU Vest").
The number of shares withheld by the Issuer in connection with the RSU Vest and the PSU Vest was based on the closing price of the Issuer's common stock on March 7, 2016, pursuant to the terms of the 2006 Plan.
/s/ Marie Montgomery
2016-03-09