Filing Details

Accession Number:
0001179110-11-016834
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-12-16 19:03:21
Reporting Period:
2011-12-14
Filing Date:
2011-12-16
Accepted Time:
2011-12-16 19:03:21
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
916085 Health Net Inc HNT Hospital & Medical Service Plans (6324) 954288333
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1478940 F. Angelee Bouchard 21650 Oxnard Street
Woodland Hills CA 91367
Svp, General Counsel,Secretar No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Disposition 2011-12-14 1,834 $28.31 35,791 No 4 F Direct
Common Stock Disposition 2011-12-15 791 $28.50 35,000 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 F Direct
No 4 S Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 8,340 Indirect By Trust
Footnotes
  1. Shares forfeited in lieu of payment of tax liability in connection with the vesting of twenty-five percent of a grant of 20,000 restricted stock units made to the Reporting Person on December 14, 2009 pursuant to the Issuer's 2006 Long-Term Incentive Plan, as amended (the "Grant").
  2. The number of shares forfeited by the Reporting Person was based on the closing price of the Issuer's common stock on December 14, 2011, the applicable vesting date of the Grant.
  3. The price reported in Column 4 is a weighted average price. The shares were sold in multiple transactions at prices ranging from $28.32 to $28.64, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth herein. These sales of Common Stock by the Reporting Person on December 15, 2011, as reported on this Form 4, were effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person in accordance with Rule 10b5-1 of the Act.
  4. This reported beneficial ownership number reflects the Reporting Person's actual beneficial ownership as of the date of this filing. Due to an administrative error, the Reporting Person's beneficial ownership was overstated by 700 shares in a Form 4 filed by the Reporting Person on February 22, 2010 and in the Reporting Person's subsequent Form 4 filings prior to this filing.
  5. The shares are held by the Bouchard Family Revocable Trust, of which the Reporting Person is a trustee and beneficiary.