Filing Details

Accession Number:
0001140361-17-034304
Form Type:
4
Zero Holdings:
No
Publication Time:
2017-09-05 17:16:24
Reporting Period:
2017-09-01
Accepted Time:
2017-09-05 16:16:24
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.* 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 2017-09-01 2,000 $12.13 19,500 No 4 M Direct
Class A Common Stock Disposition 2017-09-01 668 $36.19 18,832 No 4 D Direct
Class A Common Stock Disposition 2017-09-01 1,332 $36.19 17,500 No 4 S Direct
Class A Common Stock Acquisiton 2017-09-01 10,000 $4.95 27,500 No 4 M Direct
Class A Common Stock Disposition 2017-09-01 1,362 $36.19 26,138 No 4 D Direct
Class A Common Stock Disposition 2017-09-01 8,638 $36.19 17,500 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
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Class A Common Stock Stock Appreciation Rights Disposition 2017-09-01 2,000 $0.00 2,000 $12.13
Class A Common Stock Stock Appreciation Rights Disposition 2017-09-01 10,000 $0.00 10,000 $4.95
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
4,000 2021-07-14 No 4 M Direct
20,000 2022-07-01 No 4 M Direct
Footnotes
  1. These stock-settled stock appreciation rights were previously granted under the Issuer's Long Term Incentive Plan, as amended ("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.
  2. 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.
  3. Shares retained by the issuer to satisfy the exercise price of stock appreciation rights exercised by the reporting person.
  4. The price reported in Column 4 is a weighted average price. The shares were sold in multiple transactions at prices ranging from $36.00 to $36.35, inclusive. The Reporting Person undertakes to provide Health Insurance Innovations Inc. (the "Company"), any security holder of the Company, 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.