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FORM 4
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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
|_| 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)
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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
February, 1999
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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
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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
--------- --------------- ---- ----- -------- ------ ----- ---------------- ----------- -----------
Series A
Preferred Stock 2/13/99 K 196,000 D $1,000 -0-
Series B
Preferred Stock 2/13/99 K 84,000 D $1,000 -0-
Series D
Preferred Stock 2/13/99 K 208,117.5272** A $1,000 208,117.5272 D
Series E
Preferred Stock 2/13/99 K 89,456.6649** A $1,000 89,456.6648 D
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</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)
Page 1 of 3
SEC 1474 (7-96)
<PAGE>
FORM 4 (continued)
<TABLE>
<CAPTION>
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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<S> <C> <C> <C> <C> <C>
1. Title of 2. Conver- 3. Trans- 4. Transac- 5. Number of Deriva- 6. Date Exercis-
Derivative sion or action tion tive Securities Ac- able and Expi-
Security Exer- Date Code quired (A) or Dis- ration Date
(Instr. 3) cise (Month/ (Instr. 8) posed 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
------------ -------- -------- ---- ----- -------- ----- -------- --------
</TABLE>
<TABLE>
<CAPTION>
<S> <C> <C> <C> <C> <C>
1. Title of 7. Title and Amount of 8. Price of 9. Number of 10. Ownership Form 11. Nature of
Derivative Underlying Securities Derivative Derivative of Derivative Indirect
Security (Instr. 3 and 4) Security Securities Security: Direct Beneficial
(Instr. 3) (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
----------- ----------- -------- --------- ------------ ---------------- ----------
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</TABLE>
Explanation of Responses:
* Additional Filing Persons: TPG Parallel II, L.P., TPG Investors II, L.P.
** On February 13, 1999, the Filing Persons exchanged all of their holdings
of Series A Preferred Stock and Series B Preferred Stock with the Issuer
for newly-issued shares of Series D Preferred Stock and Series E
Preferred Stock, respectively. For each share of Series A Preferred
Stock exchanged, the Filing Persons received one share of Series D
Preferred Stock plus 0.061824118367 of a share of Series D Preferred
Stock representing dividends on the Series A Preferred Stock accrued and
unpaid as of February 13, 1999. For each share of Series B Preferred
Stock exchanged, the Filing Persons received one share of Series E
Preferred Stock plus 0.064960295238 of a share of Series E Preferred
Stock representing dividends on the Series B Preferred Stock accrued and
unpaid as of February 13, 1999.
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.
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 March 9, 1999
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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 March 9, 1999
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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 March 9, 1999
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**Signature of Reporting Person Date
Name: James O'Brien
Title: Vice President
Page 3 of 3
