Filing Details

Accession Number:
0001140361-15-021368
Form Type:
4
Zero Holdings:
No
Publication Time:
2015-05-21 16:21:09
Reporting Period:
2015-05-19
Filing Date:
2015-05-21
Accepted Time:
2015-05-21 16:21:09
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1561387 Health Insurance Innovations Inc. HIIQ Insurance Agents, Brokers & Service (6411) 461282634
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1589518 Jr. A. Michael Petrizzo C/O Health Insurance Innovations, Inc.
15438 N. Florida Ave., Suite 201
Tampa FL 33613
Exec Vp, Gen. Counsel & Secy No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Class A Common Stock Acquisiton 2015-05-19 5,000 $4.75 43,520 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Class A Common Stock Stock Appreciation Rights $11.75 2020-10-28 175,000 175,000 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
2020-10-28 175,000 175,000 Direct
Footnotes
  1. Includes 40,000 shares of restricted stock granted pursuant to the Issuer's Long Term Incentive Plan which vest as follows: 25% on the first anniversary of the date of grant; 25% on the second anniversary of the date of grant; and 50% on the third anniversary of the date of grant.
  2. Stock Appreciation Rights awarded pursuant to the issuer's Long Term Incentive Plan which vest as follows: 20% on the first anniversary of the date of grant, 20% on the second anniversary of the date of grant, 20% on the third anniversary of the date of grant and 40% on the fourth anniversary of the date of grant.