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
Perkins, Bruce D
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)
( ) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other
(specify below)
Sr. Vice President - Provider Affairs & Reengineering
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) | | | | | |9,501 |D | |
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Common(1) |(2) |A |863.5 |A |(2) |11,096.9 |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 |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(3) |6.8694 | | | | |3/02/|3/02/|Common(1) |249 | |249 |D | |
| | | | | |92 |99 | | | | | | |
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Option(3) |11.0131 | | | | |9/13/|9/13/|Common(1) |1,000 | |1,000 |D | |
| | | | | |91 |00 | | | | | | |
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Option(3) |11.0131 | | | | |9/13/|9/13/|Common(1) |1,000 | |1,000 |D | |
| | | | | |92 |00 | | | | | | |
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Option(3) |11.0131 | | | | |9/13/|9/13/|Common(1) |1,000 | |1,000 |D | |
| | | | | |93 |00 | | | | | | |
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Option(3) |8.9098 | | | | |11/18|11/18|Common(1) |1,000 | |1,000 |D | |
| | | | | |/92 |/01 | | | | | | |
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Option(3) |8.9098 | | | | |11/18|11/18|Common(1) |1,000 | |1,000 |D | |
| | | | | |/93 |/01 | | | | | | |
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Option(3) |8.9098 | | | | |11/18|11/18|Common(1) |1,000 | |1,000 |D | |
| | | | | |/94 |/01 | | | | | | |
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Option(3) |6.5625 | | | | |04/14|04/14|Common(1) |15,000 | |15,000 |D | |
| | | | | |/96 |/03 | | | | | | |
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Option(3) |6.5625 | | | | |04/14|04/14|Common(1) |15,000 | |15,000 |D | |
| | | | | |/97 |/03 | | | | | | |
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Option(3) |6.5625 | | | | |04/14|04/14|Common(1) |15,000 | |15,000 |D | |
| | | | | |/98 |/03 | | | | | | |
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Option(3) |23.0625 | | | | |01/12|1/12/|Common(1) |10,000 | |10,000 |D | |
| | | | | |/96 |05 | | | | | | |
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Option(3) |23.0625 | | | | |01/12|1/12/|Common(1) |10,000 | |10,000 |D | |
| | | | | |/97 |05 | | | | | | |
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Option(3) |23.0625 | | | | |01/12|1/12/|Common(1) |10,000 | |10,000 |D | |
| | | | | |/98 |05 | | | | | | |
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Option(4) |15.625 | | | | |7/11/|07/11|Common(1) |33,334 | |33,334 |D | |
| | | | | |97 |/06 | | | | | | |
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Option(4) |15.625 | | | | |7/11/|07/11|Common(1) |33,333 | |33,333 |D | |
| | | | | |98 |/06 | | | | | | |
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Option(4) |15.625 | | | | |7/11/|07/11|Common(1) |33,333 | |33,333 |D | |
| | | | | |99 |/06 | | | | | | |
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Phantom Stock Units |1-for-1 |(2) |A |342.8 |A |(2) |(2) |Common(1) |342.8 | |342.8 |I |SERP(2) |
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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 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) On-going acquisitions of shares (including intra-fund transfer already
reported) from May 31, 1996 (date of
election) to December 31,1996 at prices ranging from $16.326 to $23.75 pursuant
to the Humana Retirement and
Savings Plan ("HRSP"), and the related phantom acquisitions under the
Company's 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.
(3) RIght to buy pursuant to the Company's 1989 Stock Option Plan for
Employees.
(4) Right to buy pursuant to the Company's 1996 Stock Incentive Plan for
Employees.
