|
|
|
|
|
Delaware
|
|
001-32209
|
|
47-0937650
|
(State or other jurisdiction
|
|
(Commission File Number)
|
|
(IRS Employer
|
of incorporation)
|
|
|
|
Identification No.)
|
|
8735 Henderson Road, Renaissance One
|
|
||
|
|
Tampa, Florida
|
|
33634
|
|
(Address of principal executive offices)
|
(Zip Code)
|
¨
|
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
|
¨
|
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
|
¨
|
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
|
¨
|
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
|
|
|
Target Number of
PSUs
|
|
Number of
RSUs
|
Lisa G. Iglesias
|
|
1,532
|
|
1,532
|
Blair W. Todt
|
|
2,528
|
|
2,528
|
Lawrence D. Anderson
|
|
1,685
|
|
1,685
|
Date: September 4, 2014
|
WELLCARE HEALTH PLANS, INC.
/s/ Lisa G. Iglesias
|
|
Lisa G. Iglesias
Senior Vice President, General Counsel and Secretary
|
|
|
1.
|
Participant
:
|
2.
|
Grant Date
: September 2, 2014
|
3.
|
Performance Cycles
: There shall be two “
Performance Cycles
” for this Award of PSUs. The first Performance Cycle shall commence on January 1, 2015 and shall end on December 31, 2015. The second Performance Cycle shall commence on January 1, 2016 and shall end on December 31, 2016. Any PSUs earned on account of the first Performance Cycle shall vest and be issued to the Participant on the first Vesting Date, and any PSUs earned on account of the second Performance Cycle shall vest and be issued to the Participant on the second Vesting Date.
|
4.
|
Number of PSUs
: __________, subject to adjustment as provided in the Award Documentation and the Plan. 50% of PSUs relate to the first Performance Cycle and 50% of PSUs relate to the second Performance Cycle. The actual number of PSUs that become eligible for vesting shall be determined by the Committee, in its sole discretion, in accordance with
Appendix A
.
|
5.
|
Normal Vesting Schedule
: Except as set forth below, the PSUs related to the first Performance Cycle shall vest on March 1, 2016 and the PSUs related to the second Performance Cycle shall vest on March 1, 2017 (each such date, a “
Vesting Date
”), provided that the Continuous Service of Participant continues through and on the applicable Vesting Date. Except as otherwise provided in the Award Documentation, the PSUs shall vest only on the Vesting Dates specified above and no partial vesting will occur prior to any Vesting Date. To the extent the performance criteria have not been achieved for a Performance Cycle, the unvested PSUs related to that Performance Cycle shall be forfeited automatically without any payment to Participant and become null and void.
|
6.
|
Description of PSUs
: Each PSU constitutes an unfunded and unsecured promise of the Company to deliver one Share to Participant on the Delivery Date (defined below).
|
7.
|
Termination of Continuous Service
: Except as set forth in Section 8 below, upon the termination of Participant’s Continuous Service for any reason, any then-unvested PSUs shall be forfeited automatically without any payment to Participant and become null and void.
|
8.
|
Change in Control
: In the event of a Change in Control that occurs on or prior to March 1, 2016, 50% of the PSUs shall vest on March 1, 2016 and 50% of the PSUs shall vest on March 1, 2017, provided that the Participant’s Continuous Service continues through and on the applicable Vesting Date. In the event of a Change of Control that occurs after March 1, 2016, 50% of the PSUs shall vest on March 1, 2017, provided that, Participant’s Continuous Service continues through March 1, 2017. Notwithstanding the foregoing, to the extent not previously forfeited on or before March 1, 2016 in accordance with Section 5 above, any then-unvested PSUs shall become immediately vested on the effective date of the termination of Participant’s Continuous Service if, within twenty-four (24) months following a Change in Control, Participant’s Continuous Service is terminated by (i) the Company or a Subsidiary without Cause or (ii) Participant for Good Reason.
|
9.
|
Delivery Date
: The Shares underlying the number of vested PSUs shall be delivered as soon as practicable after the Vesting Date, but in no event later than March 15th of the year immediately following the year in which such PSUs vest.
|
PARTICIPANT
|
|
WELLCARE HEALTH PLANS, INC.
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
By:
|
|
|
By:
|
|
||
|
|
|
|
|
Name:
|
|
|
|
|
|
|
Title:
|
|
Financial Goal:
|
Achieving 100% of targeted Adjusted Earnings Per Share as included in the Company’s 2015 operating plan that is approved by the Board of Directors (the “
2015 EPS Target
”);
provided that
if the 2015 EPS Target is not achieved, the Committee may determine in its sole discretion the number of PSUs that are earned, if any.
|
Quality Goal:
|
The number of PSUs earned may be reduced in the sole discretion of the Committee based on a comprehensive view of the Company’s quality performance (both forward and backward looking).
|
Compliance Goal:
|
The number of PSUs earned may be reduced in the discretion of the Committee if the Company incurs a regulatory sanction resulting in a significant business loss or has a material breach of its Corporate Integrity Agreement obligations.
|
Financial Goal:
|
Achieving 100% of targeted Adjusted Earnings Per Share as included in the Company’s 2016 operating plan that is approved by the Board of Directors (the “
2016 EPS Target
”);
provided that
if the 2016 EPS Target is not achieved, the Committee may determine in its sole discretion the number of PSUs that are earned, if any.
|
Quality Goal:
|
The number of PSUs earned may be reduced in the sole discretion of the Committee based on a comprehensive view of the Company’s quality performance (both forward and backward looking).
|
Compliance Goal:
|
The number of PSUs earned may be reduced in the sole discretion of the Committee if the Company incurs a regulatory sanction resulting in a significant business loss or has a material breach of its Corporate Integrity Agreement obligations.
|