Health Net 2015 Annual Report Download - page 151
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149
POTENTIAL PAYMENTS UPON CHANGE IN CONTROL OR TERMINATION
Change in Control
Name and Principal Position Compensation Components
Occurrence
of Change
in Control
($)
Involuntary
Termination
Without
Cause or
Voluntary
Resignation
for Good
Reason
($)(1) Retirement
($)
Death&
Disability
($)(2)
Involuntary
Termination
Without
Cause or
Voluntary
Resignation
for Good
Reason
($)
Jay M. Gellert Severance 0 6,000,000 0 0 6,000,000
President and Chief Executive
Officer Intrinsic Value of Accelerated
Equity:(3)
Stock Options 0 0 0 0 0
RSUs 0 5,103,693 0 0 0
PSUs 3,080,700 15,311,079 0 0 0
Health Benefits(4) 0 0 0 0 0
Excise Tax Gross-Up Payment(5) 0 0 0 0 0
Total Value 3,080,700 26,414,772 0 0 6,000,000
James E. Woys Severance 0 2,363,513 0 787,838 1,575,675
Executive Vice President, Chief
Financial and Operating Officer,
and Interim Treasurer
Intrinsic Value of Accelerated
Equity:(3)
Stock Options 0 0 0 0 0
RSUs 0 2,208,314 0 0 0
PSUs 1,454,775 6,625,217 0 0 0
Health Benefits(4) 0 141,843 0 47,749 95,030
Excise Tax Gross-Up Payment(5) 0 0 0 0 0
Total Value 1,454,775 11,338,887 0 835,587 1,670,705
Juanell Hefner Severance 0 1,092,701 0 546,351 546,351
Chief Administration Officer Intrinsic Value of Accelerated
Equity:(3)
Stock Options 0 0 0 0 0
RSUs 0 2,411,093 0 0 0
PSUs 684,600 4,563,338 0 0 0
Health Benefits(4) 0 12,970 0 6,389 6,389
Excise Tax Gross-Up Payment(5) N/A N/A N/A N/A N/A
Total Value 684,600 8,080,102 0 552,740 552,740
Steven D. Tough Severance 0 1,153,646 0 576,823 576,823
President, Government Programs Intrinsic Value of Accelerated
Equity:(3)
Stock Options 0 0 0 0 0
RSUs 0 1,152,319 0 0 0
PSUs 684,600 3,457,230 0 0 0
Health Benefits(4) 0 783,763 783,763 783,763 783,763
Excise Tax Gross-Up Payment(5) N/A N/A N/A N/A N/A
Total Value 684,600 6,546,958 783,763 1,360,586 1,360,586
Steven Sell Severance 0 1,114,608 0 557,304 557,304
President, Western Region Health
Plan Intrinsic Value of Accelerated
Equity:(3)
Stock Options 0 0 0 0 0
RSUs 0 975,555 0 0 0
PSUs 599,025 2,926,665 0 0 0
Health Benefits(4) 0 73,011 0 36,505 36,505
Excise Tax Gross-Up Payment(5) N/A N/A N/A N/A N/A
Total Value 599,025 5,089,839 0 593,809 593,809