UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 5
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
( ) Check box if no longer subject to Section 16.
Form 4 or Form 5 obligations may continue. See Instructions 1(b).
( ) Form 3 Holdings Reported
( ) Form 4 Transactions Reported
1. Name and Address of Reporting Person
Jones, David A.
500 W. Main St.
Louisville, KY 40202
USA
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 31, 1996
5. If Amendment, Date of Original (Month/Year)
6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
(X) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other
(specify below)
Chairman of the Board and Chief Executive Officer
7. Individual or Joint/Group Reporting (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 |
|Date |Code| | Beneficially |(D)or | |
| | | | A/| | Owned at |Indir | |
| | | Amount | D | Price | End of Year |ect(I)| |
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Common(1) | | | | | |4,314,206 |D | |
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Common(1) | | | | | |600,912 |I |Wife |
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Common(1) | | | | | |1,424,481 |I |Trust(2) |
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Common(1) |(3) |A |297.1 |A |(3) |270,151.7 |I |HRSP(3) |
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Common(1) | | | | | |2,676,951 |I |FLP(4) |
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Common(1) | | | | | |216,815 |I |Trust(5) |
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Common(1) | | | | | |0 |I |Trust(6)(7) |
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| | | | | |300,000 |I |FLP-96(8) |
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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 |Date |Code| rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial |
|cise Pr | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership |
|ice 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 | | | Amount | |ble | | | |Year |(I)| |
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Option(9) |19.3125 | | | | |11/14|11/14|Common(1) |300,000| |300,000 |D | |
| | | | | |/97 |/06 | | | | | | |
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Phantom Stock Units(3) |1-for-1 |(3) |A |38,004.7 |A |(3) |(3) |Common(1) |38,004.| |38,004.7 |I |SERP(3) |
| | | | | | | | |7 | | | | |
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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, pursuant to the Company Rights Agreement, which entitles
holders of the Company's
Common Stock, in the event of certain specified events occur, to acquire
1/100th of a share of Series A
Participating Preferred Stock at a price of $145 per fractional
share.
(2) Shares held in 1991 Trust of which I am settlor and trustee with investment
and voting power. The Trust
is for my benefit and the benefit of family
members.
(3) On-going acquisitions of shares from January 1, 1996 to December 31, 1996
at prices ranging from $16.326
to $27.875 pursuant to the Humana Retirement and Savings Plan ("HRSP") and the
related phantom acquisitions
under the Company Excess Benefit Plans ("SERP"), exempt under
16a-3(f)(1)(i)(B); being listed to report any
shares acquired prior to the SEC rule changes in
8/96.
(4) Shares held by a Family Limited Partnership ("FLP") of which my wife and I
are General Partners and Trusts
established by each of us are Limited Partners, together with a Family
Charitable Foundation. I disclaim beneficial
ownership of Company stock held by the FLP except to the extent of my pecuniary
interest.
(5) Shares held in 1996 Trust of which I am settlor and trustee with investment
and voting power. The trust is for
my
benefit and the benefit of family
members.
(6) Shares held in 1995 Trust of which Betty A. Jones, my wife, is settlor and
Trustee with investment and voting
power. The Trust is for her benefit and the benefit of family
members.
(7) Shares held in 1995 Trust of which I am settlor and Trustee with investment
and voting power. The trust is for
my benefit and the benefit of family
members.
(8) Shares held by 1996 Family Limited Partnership ("FLP-96") of which my wife
and I are General Partners, and
together with a Family Charitable Foundation are Limited Partners. I disclaim
beneficial owernship of Company
stock held by the FLP-96 except to the extent of my pecuniary
interest.
(9) Right to Buy pursuant the Company's 1996 Stock Incentive Plan for
Employees.
