Filing Details
- Accession Number:
- 0001140361-17-027338
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2017-07-06 16:20:11
- Reporting Period:
- 2017-07-03
- Filing Date:
- 2017-07-06
- Accepted Time:
- 2017-07-06 16:20:11
- 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 |
|---|---|---|---|---|---|---|---|
| 1569128 | D Michael Hershberger | C/O Health Insurance Innovations, Inc. 15438 North Florida Ave., Suite 201 Tampa FL 33613 | Cfo, Secretary And Treasurer | 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 | Disposition | 2017-07-03 | 5,000 | $23.22 | 105,369 | No | 4 | S | Direct | |
| Class A Common Stock | Disposition | 2017-07-03 | 3,300 | $23.50 | 102,069 | No | 4 | F | Direct |
| Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|
| No | 4 | S | Direct | |
| No | 4 | F | Direct |
Reported Derivative Holdings
| Sec. Name | Sec. Type | Price | Date | Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
|---|---|---|---|---|---|---|---|
| Common Stock | Stock Appreciation RIghts | $10.45 | 2021-05-21 | 25,000 | 25,000 | Direct | |
| Common Stock | Stock Appreciation RIghts | $4.95 | 2022-07-01 | 30,000 | 30,000 | Direct | |
| Common Stock | Stock Appreciation RIghts | $4.99 | 2022-09-16 | 30,000 | 30,000 | Direct | |
| Common Stock | Stock Appreciation RIghts | $5.20 | 2023-09-16 | 40,972 | 40,972 | Direct |
| Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
|---|---|---|---|
| 2021-05-21 | 25,000 | 25,000 | Direct |
| 2022-07-01 | 30,000 | 30,000 | Direct |
| 2022-09-16 | 30,000 | 30,000 | Direct |
| 2023-09-16 | 40,972 | 40,972 | Direct |
Footnotes
- Sale made pursuant to 10b5-1 plan executed on November 18, 2016.
- The price reported in Column 4 is a weighted average price. The shares were sold in multiple transactions at prices ranging from $22.90 to $23.65, inclusive. The Reporting Person undertakes to provide Health Insurance Innovations Inc., any security holder of Health Insurance Innovations Inc., or the staff of the Securities & Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth herein.
- Represents withholding of shares by Issuer to satisfy tax liability of Reporting Person incident to vesting of restricted stock.
- These stock-settled stock appreciation rights were granted under the Long Term Incentive Plan of Health Insurance Innovations, Inc. (the "Plan") and vest 20% on the first three anniversaries of grant date and 40% on the fourth anniversary, subject to the terms of the Plan and an award agreement under the Plan.
- These stock-settled stock appreciation rights were granted under the Plan and vest 25% on the first and second anniversaries of grant date and 50% on the third anniversary, subject to the terms of the Plan and an award agreement under the Plan.
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