UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 4
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
(X) Check this box if no longer subject to Section 16.
Form 4 or Form 5 obligations may continue. See Instructions 1(b).
1. Name and Address of Reporting Person
Carlisle, Douglas R.
500 W. Main Street
Louisville, KY 40202
2. Issuer Name and Ticker or Trading Symbol
Humana Inc.
HUM
3. IRS or Social Security Number of Reporting Person (Voluntary)
4. Statement for Month/Year
December 12, 2001
5. If Amendment, Date of Original (Month/Year)
6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
( ) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other
(specify below)
Senior Vice President-Market Operations
7. Individual or Joint/Group Filing (Check Applicable Line)
(X) Form filed by One Reporting Person
( ) Form filed by More than One Reporting Person
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Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect |
| Transaction | or Disposed of (D) | Securities |ect | Beneficial Ownership |
| | | | Beneficially |(D)or | |
| | | | | A/| | Owned at |Indir | |
| Date |Code|V| Amount | D | Price | End of Month |ect(I)| |
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Common (1) | | | | | | |76,210 |D | |
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Common (1) | | | | | | |23,083 |I |HRSP(2) |
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Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned |
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1.Title of Derivative |2.Con- |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of|
Security |version |Transaction | rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect |
|or Exer | | | rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial |
|cise | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership |
|Price of| | | posed of(D) |Day/Year) | |rity |Benefi |or | |
|Deriva- | | | |Date |Expir| | |ficially |Ind| |
|tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| |
|Secu- | | | | | D |cisa-|Date | of Shares | |End of |ct | |
|rity |Date |Code|V| Amount | |ble | | | |Month |(I)| |
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Option (3) |$15.5938| | | | | |9/17/|1/15/|Common(1) |4,060 | |4,060 |D | |
| | | | | | |99 |08 | | | | | | |
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Option (3) |$15.5938| | | | | |1/15/|1/15/|Common(1) |4,060 | |4,060 |D | |
| | | | | | |00 |08 | | | | | | |
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Option (3) |$15.5938| | | | | |1/15/|1/15/|Common(1) |4,060 | |4,060 |D | |
| | | | | | |01 |08 | | | | | | |
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Option (3) |$15.5938| | | | | |9/17/|1/9/0|Common(1) |3,072 | |3,072 |D | |
| | | | | | |99 |7 | | | | | | |
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Option (3) |$15.5938| | | | | |1/9/0|1/9/0|Common(1) |1,513 | |1,513 |D | |
| | | | | | |0 |7 | | | | | | |
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Option (3) |$15.5938| | | | | |9/17/|1/12/|Common(1) |20,640 | |20,640 |D | |
| | | | | | |99 |05 | | | | | | |
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Option (3) |$19.25 | | | | | |1/15/|1/15/|Common(1) |6,667 | |6,667 |D | |
| | | | | | |00 |09 | | | | | | |
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Option (3) |$19.25 | | | | | |1/15/|1/15/|Common(1) |6,667 | |6,667 |D | |
| | | | | | |01 |09 | | | | | | |
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Option (3) |$19.25 | | | | | |1/15/|1/15/|Common(1) |6,666 | |6,666 |D | |
| | | | | | |02 |09 | | | | | | |
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Option-ISO(3) |$9.5938 | | | | | |9/9/0|9/9/0|Common(1) |10,423 | |10,423 |D | |
| | | | | | |0 |9 | | | | | | |
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Option-ISO(3) |$9.5938 | | | | | |9/9/0|9/9/0|Common(1) |10,423 | |10,423 |D | |
| | | | | | |1 |9 | | | | | | |
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Option-ISO(3) |$9.5938 | | | | | |9/9/0|9/9/0|Common(1) |10,423 | |10,423 |D | |
| | | | | | |2 |9 | | | | | | |
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Option-NQ(3) |$9.5938 | | | | | |9/9/0|9/9/0|Common(1) |1,244 | |1,244 |D | |
| | | | | | |0 |9 | | | | | | |
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Option-NQ(3) |$9.5938 | | | | | |9/9/0|9/9/0|Common(1) |1,244 | |1,244 |D | |
| | | | | | |1 |9 | | | | | | |
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Option-NQ(3) |$9.5938 | | | | | |9/9/0|9/9/0|Common(1) |1,243 | |1,243 |D | |
| | | | | | |2 |9 | | | | | | |
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Option (4) |$6.5625 | | | | | |4/14/|4/14/|Common(1) |15,000 | |15,000 |D | |
| | | | | | |98 |03 | | | | | | |
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Phantom Stock Units (5|1-for-1 | | | | | |(5) |(5) |Common(1) |1,886 | |1,886 |I | |
) | | | | | | | | | | | | | | |
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Explanation of Responses:
(1) Each share of Common Stock contains a Right adopted on March 5, 1987, as
amended and restated on
February 14, 1996, and amended as of May 27, 1998 and March 1, 1999, pursuant
to the Company Rights
Agreement, which entitles holders of the Company's Common Stock, in the event
certain specified events occur,
to acquire 1/100 of a share of Series A Participating Preferred Stock at a
price of $145 per fractional share.
(2) Shares held for my benefit as of October 31, 2001, under the Humana
Retirement and Savings Plan ("HRSP")
exempt under Rule
16b-3.
(3) Right to buy pursuant to the Company's 1996 Stock Incentive Plan for
Employees.
(4) Right to buy pursuant to the Company's 1989 Stock Option Plan for
Employees.
(5) Phantom Stock Units held for my benefit as of October 31, 2001 under the
Humana Excess Plan, exempt
under Rule
16b-3(d).