Filing Details

Accession Number:
0001140361-17-019771
Form Type:
4
Zero Holdings:
No
Publication Time:
2017-05-11 16:27:01
Reporting Period:
2017-05-09
Filing Date:
2017-05-11
Accepted Time:
2017-05-11 16:27:01
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1561387 Health Insurance Innovations Inc. HIIQ () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1366007 Bruce Telkamp C/O Health Insurance Innovations, Inc.
15438 N. Florida Ave., Suite 201
Tampa FL 33613
Ceo Of Healthpocket, Inc.* Yes 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 2017-05-09 15,000 $6.77 116,501 No 4 M Direct
Class A Common Stock Disposition 2017-05-09 5,040 $17.06 111,461 No 4 D Direct
Class A Common Stock Disposition 2017-05-09 9,960 $19.97 101,501 No 4 S Direct
Class A Common Stock Acquisiton 2017-05-09 14,000 $6.77 115,501 No 4 M Direct
Class A Common Stock Disposition 2017-05-09 4,681 $17.50 110,820 No 4 D Direct
Class A Common Stock Disposition 2017-05-09 9,319 $20.33 101,501 No 4 S Direct
Class A Common Stock Acquisiton 2017-05-10 7,290 $6.77 108,791 No 4 M Direct
Class A Common Stock Disposition 2017-05-10 2,390 $18.30 106,401 No 4 D Direct
Class A Common Stock Disposition 2017-05-10 4,900 $20.65 101,501 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 D Direct
No 4 S Direct
No 4 M Direct
No 4 D Direct
No 4 S Direct
No 4 M Direct
No 4 D Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Class A Common Stock Stock Appreciation Rights Disposition 2017-05-09 15,000 $0.00 15,000 $6.77
Class A Common Stock Stock Appreciation Rights Disposition 2017-05-09 14,000 $0.00 14,000 $6.77
Class A Common Stock Stock Appreciation Rights Disposition 2017-05-10 7,290 $0.00 7,290 $6.77
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
69,000 2021-05-25 No 4 M Direct
55,000 2021-05-25 No 4 M Direct
47,710 2021-05-25 No 4 M 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 $12.13 2021-07-14 6,000 6,000 Direct
Class A Common Stock Stock Appreciation Rights $4.95 2022-07-01 30,000 30,000 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
2021-07-14 6,000 6,000 Direct
2022-07-01 30,000 30,000 Direct
Footnotes
  1. Shares retained by the issuer to satisfy the exercise price of stock appreciation rights exercised by the reporting person.
  2. The price in Column 4 is a weighted average price. The prices actually received ranged from $19.60 to $20.35. The reporting person has provided to the issuer, and will provide to any security holder of the issuer, or the SEC staff, upon request, information regarding the number of shares sold at each price within the range for all transactions reported in this Form 4 utilizing a weighted average price.
  3. The price in Column 4 is a weighted average price. The prices actually received ranged from $20.25 to $20.50. The reporting person has provided to the issuer, and will provide to any security holder of the issuer, or the SEC staff, upon request, information regarding the number of shares sold at each price within the range for all transactions reported in this Form 4 utilizing a weighted average price.
  4. The price in Column 4 is a weighted average price. The prices actually received ranged from $20.65 to $20.675. The reporting person has provided to the issuer, and will provide to any security holder of the issuer, or the SEC staff, upon request, information regarding the number of shares sold at each price within the range for all transactions reported in this Form 4 utilizing a weighted average price.
  5. These stock-settled stock appreciation rights were granted under the Issuer's Long-Term Incentive Plan (the "Plan") and became vested as follows: (i) 42,000 on the first date on which the average trading price of the Company's Class A common stock was at or above $12.00 per share for the preceding 30 consecutive trading days, and (ii) 42,000 on the first date on which the average trading price of the Company's Class A common stock was at or above $16.00 per share for the preceding 30 consecutive trading days, all subject to the terms of the Plan and an award agreement under the Plan.
  6. These stock-settled stock appreciation rights were previously granted under the Plan and are scheduled to vest in increments of 20%, 20%, 20%, and 40% on successive anniversary dates of the grant, subject to the terms of the Plan and an award agreement under the Plan.
  7. These stock-settled stock appreciation rights were previously granted under the Plan and are scheduled to vest in increments of 25%, 25%, and 50% on successive anniversary dates of the grant, subject to the terms of the Plan and an award agreement under the Plan.