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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Non-Qualified Stock Option (right to buy) | $ 14.88 | 05/07/2013 | D | 16,942 | (4) | 01/01/2019 | Common Stock | 16,942 | $ 0 | 0 | D | ||||
Non-Qualified Stock Option (right to buy) | $ 19.91 | 05/07/2013 | D | 4,500 | (5) | 06/05/2013 | Common Stock | 4,500 | $ 0 | 0 | D | ||||
Non-Qualified Stock Option (right to buy) | $ 24.29 | 05/07/2013 | D | 6,480 | (6) | 01/01/2020 | Common Stock | 6,480 | $ 0 | 0 | D | ||||
Non-Qualified Stock Option (right to buy) | $ 50.05 | 05/07/2013 | D | 3,362 | (7) | 01/01/2017 | Common Stock | 3,362 | $ 0 | 0 | D | ||||
Non-Qualified Stock Option (right to buy) | $ 56.96 | 05/07/2013 | D | 2,743 | (8) | 01/01/2016 | Common Stock | 2,743 | $ 0 | 0 | D | ||||
Restricted Stock Units | (9) | 05/07/2013 | A | 83 | (9) | (9) | Common Stock | 83 | $ 0 | 5,215 | D | ||||
Restricted Stock Units | (10) | 05/07/2013 | D | 5,215 | (10) | (10) | Common Stock | 5,215 | $ 0 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
WEGLICKI TIMOTHY T 400 EAST PRATT STREET SUITE 910 BALTIMORE, MD 21202 |
X |
Shirley R. Smith on behalf of Timothy T. Weglicki by Power of Attorney | 05/08/2013 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Common stock of Coventry Health Care, Inc. (the Company) disposed of pursuant to the Agreement and Plan of Merger, dated as of August 19, 2012, as amended, among Aetna Inc. (Aetna), the Company and Jaguar Merger Subsidiary, Inc. (the Merger Agreement). Each share of the Companys common stock was exchanged for $27.30 in cash and .3885 share of Aetna common stock. The shares of Aetna common stock received pursuant to the Merger Agreement have a market value of $57.93, which was calculated by taking the average of the volume weighted average of the trading prices for Aetnas common stock on the New York Stock Exchange for each of the five trading days ending on the trading day that is two trading days prior to the completion of the merger (the Aetna Stock Price). |
(2) | Common stock of the Company, held indirectly by spouse, disposed of pursuant to the Merger Agreement. Each share of the Companys common stock was exchanged for $27.30 in cash and .3885 share of Aetna common stock valued at the Aetna Stock Price. |
(3) | Restricted Common stock, with all restrictions lapsed, of the Company disposed of pursuant to the Merger Agreement. Each share of the Companys common stock was exchanged for $27.30 in cash and .3885 share of Aetna common stock valued at the Aetna Stock Price. |
(4) | This option, which provided for vesting in equal quarterly installments over a one-year period beginning April 1, 2009, was cancelled pursuant to the Merger Agreement in exchange for a cash payment representing the product of (A) the excess of (1) the sum of (x) $27.30 plus (y) the value equal to the product of the Aetna Stock Price ($57.93) multiplied by .3885 (which sum of the amounts in clauses (x) and (y) equals $49.80 and is referred to as the Equity Award Cash Consideration) over (2) the exercise price of the option and (B) the total number of shares of Company common stock subject to the option. |
(5) | This option, which provided for vesting six months after the grant date on December 5, 2003, was cancelled pursuant to the Merger Agreement in exchange for a cash payment representing the product of (A) the excess of (1) the Equity Award Cash Consideration over (2) the exercise price of the option and (B) the total number of shares of Company common stock subject to the option. |
(6) | This option, which provided for vesting in equal quarterly installments over a one-year period beginning April 1, 2010, was cancelled pursuant to the Merger Agreement in exchange for a cash payment representing the product of (A) the excess of (1) the Equity Award Cash Consideration over (2) the exercise price of the option and (B) the total number of shares of Company common stock subject to the option. |
(7) | This option, which provided for vesting in equal quarterly installments over a one-year period beginning April 1, 2008, had an exercise price in excess of the Equity Award Cash Consideration and was cancelled pursuant to the Merger Agreement in exchange for a cash payment to be paid within 10 days after the closing of the merger. The cash payment represents the product of (A) $2.25 and (B) the total number of shares of Company common stock subject to the option. |
(8) | This option, which provided for vesting in equal quarterly installments over a one-year period beginning April 1, 2007, had an exercise price in excess of the Equity Award Cash Consideration and was cancelled pursuant to the Merger Agreement in exchange for a cash payment to be paid within 10 days after the closing of the merger. The cash payment represents the product of (A) $1.25 and (B) the total number of shares of Company common stock subject to the option. |
(9) | Represents cash dividends credited to reporting persons Stock Deferral Account and converted into whole restricted stock units in accordance with the terms and conditions of the Companys Deferred Compensation Plan for Non-Employee Directors. |
(10) | Represents restricted stock units, which were cancelled pursuant to the Merger Agreement in exchange for a cash payment representing the product of (A) the Equity Award Cash Consideration and (B) the number of shares of Company common stock underlying the restricted stock units. |