Health Net 2009 Annual Report Download - page 232

exchange or under any law, or the consent or approval of any governmental body, or the taking of any other action, is necessary or
desirable as a condition of, or in connection with, the purchase or delivery of shares hereunder, the Option may not be exercised, in
whole or in part, unless such listing, registration, qualification, consent or approval shall have been effected or obtained, free of any
conditions not acceptable to the Company. The Company agrees to use reasonable efforts to effect or obtain any such listing,
registration, qualification, consent or approval.
12. Tax Payments. The Optionee shall be responsible for all the taxes associated with an exercise of the Option and subsequent
sale of the Option Shares. No taxes on the income from the exercise of the Option and sale of the Option Shares will be deducted or
withheld by the Company. In compliance with the Internal Revenue Code, the Company will issue a Form 1099-Misc during January
of each year to report all non-employee compensation earned during the preceding calendar year, including income from the exercise
of the Option and sale of the Option Shares. This Form 1099-Misc can be used to calculate the applicable federal and state income
taxes.
IN WITNESS WHEREOF, the parties hereto have executed this Option Agreement as of the date and year set forth above.
4
HEALTH NET, INC.
By:
Name:
Title:
The undersigned hereby accepts and agrees to all the
terms and provisions of the foregoing Option
Agreement and to all the terms and provisions of the
Health Net, Inc. 2006 Long-Term Incentive Plan, as
amended, and as herein incorporated by reference.
Optionee
Signature of Optionee