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FORM 4
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|_| Check this box if no longer subject to
Section 16. Form 4 or Form 5 obligations
may continue. See Instruction 1(b).
(Print or Type Responses)
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange
Act of 1934, Section 17(a) of the Public Utility Holding Company
Act of 1935 or Section 30(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
TPG PARTNERS II, L.P.
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(Last) (First) (Middle)
201 Main Street, Suite 2420
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(Street)
Fort Worth Texas 76102
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
OXFORD HEALTH PLANS, INC. (OXHP)
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3. IRS or Social Security Number of
Reporting Person (Voluntary)
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4. Statement for Month/Year
August, 1998
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director x 10% Owner
----- -----
Officer (give Other (specify
----- title below) ----- below)
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7. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
-----
x Form filed by More than One Reporting Person
-----
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Table I -- Non-Derivative Securities Acquired,
Disposed of, or Beneficially Owned
<TABLE>
<CAPTION>
<S> <C> <C> <C> <C> <C> <C>
=================================================================================================================================
1. Title of 2. Transaction 3. Transaction 4. Securities Acquired 5. Amount of 6. Ownership 7. Nature of
Security Date Code (A) or Disposed of (D) Securities Form: Direct Indirect
(Instr. 3) (Month/Day/Year) (Instr. 8) (Instr. 3, 4 and 5) Beneficially (D) or Beneficial
Owned at End of Indirect (I) Ownership
----------- ------------------------ Month (Instr. 4) (Instr. 4)
(A) or (Instr. 3 and 4)
Code V Amount (D) Price
--------- --------------- ---- ----- -------- ------ ----- ---------------- ----------- -----------
- ---------------------------------------------------------------------------------------------------------------------------------
</TABLE>
Reminder: Report on a separate line for each class of securities
beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see
Instruction 4(b)(v).
(Over)
SEC 1474 (7-96)
Page 1 of 3
<PAGE>
FORM 4 (continued)
<TABLE>
<CAPTION>
<S> <C> <C> <C> <C> <C> <C>
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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1. Title of 2. Conver- 3. Trans- 4. Transac- 5. Number of Deriva- 6. Date Exercisable
Derivative sion or action tion tive Securities and Expiration
Security Exer- Date Code Acquired (A) or Date
(Instr. 3) cise (Month/ (Instr. 8) Disposed of (D) (Month/Day/
Price of Day/ (Instr. 3, 4 and 5) Year)
Deriva- Year) ------------------
tive Se- Date Expira-
curity ----------- ------------------- Exer- tion
Code V (A) (D) cisable Date
------------ -------- ------- ---- ----- ------ ----- -------- -------
Series B Warrants $17.75 8/28/98 J** 1,345,999 currently 5/13/08
- ----------------------------------------------------------------------------------------------------------------------
</TABLE>
<TABLE>
<CAPTION>
<S> <C> <C> <C> <C> <C> <C>
7. Title and Amount of 8. Price of 9. Number of 10. Ownership Form 11. Nature of
Underlying Securities Derivative Derivative of Derivative Indirect
(Instr. 3 and 4) Security Securities Security: Direct Beneficial
(Instr. 5) Beneficially (D) or Indirect Ownership
- -------------------------- Owned at End (I) (Instr. 4)
Amount or of Month (Instr. 4)
Number of (Instr. 4)
Title Shares
- ----------- -------- --------- ------------ -------------- ----------
Common Stock 1,345,999 See Explanation+ 5,384,001 D
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</TABLE>
Explanation of Responses:
Additional Filing Persons: TPG Parallel II, L.P., TPG Investors II, L.P. 1
**On August 28, 1998, the Issuer's shareholders approved the
issuance of common stock upon exercise of the Series B
Warrants.
+ The price per share of Series A Preferred Stock and Series B
Preferred Stock includes the Series A Warrants and Series B
Warrants, respectively, acquired by the Reporting Person's
assignees.
Intentional misstatements or omissions of facts constitute
Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C.
78ff(a).
Note: File three copies of this Form, one of which must be
manually signed. If space is insufficient, see Instruction
6 for procedure.
Potential persons who are to respond to the collection of
information contained in this form are not required to respond
unless the form displays a currently valid OMB Number.
___________________
1 TPG Oxford LLC assigned all of its right, title and interest
to all Non-Derivative and Derivative Securities of the Issuer
held by it to TPG Partners II, L.P. on August 21, 1998. TPG
Oxford LLC was dissolved on Auguts 29, 1998.
Page 2 of 3
<PAGE>
TPG PARTNERS II, L.P.
By: TPG GenPar II, L.P., General Partner
By: TPG Advisors II, Inc., General Partner
/s/ James O'Brien September 9, 1998
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**Signature of Reporting Person Date
Name: James O'Brien
Title: Vice President
TPG PARALLEL II, L.P.
By: TPG GenPar II, L.P., General Partner
By: TPG Advisors II, Inc., General Partner
/s/ James O'Brien September 9, 1998
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**Signature of Reporting Person Date
Name: James O'Brien
Title: Vice President
TPG INVESTORS II, L.P.
By: TPG GenPar II, L.P., General Partner
By: TPG Advisors II, Inc., General Partner
/s/ James O'Brien September 9, 1998
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**Signature of Reporting Person Date
Name: James O'Brien
Title: Vice President
Page 3 of 3
