Filing Details

Accession Number:
0001140361-17-021154
Form Type:
4
Zero Holdings:
No
Publication Time:
2017-05-17 16:18:22
Reporting Period:
2017-05-15
Filing Date:
2017-05-17
Accepted Time:
2017-05-17 16:18:22
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 2017-05-15 2,988 $6.77 104,489 No 4 M Direct
Class A Common Stock Disposition 2017-05-15 895 $22.60 103,594 No 4 D Direct
Class A Common Stock Disposition 2017-05-15 2,093 $22.60 101,501 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
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Class A Common Stock Stock Appreciation Rights Disposition 2017-05-15 2,988 $0.00 2,988 $6.77
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
17,012 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. 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.
  3. 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.
  4. 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.