SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Ware Bryan C

(Last) (First) (Middle)
10375 PROFESSIONAL CIRCLE

(Street)
RENO NV 89521

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/24/2016
3. Issuer Name and Ticker or Trading Symbol
Employers Holdings, Inc. [ EIG ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP, Chief Actuary
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock, par value $0.01 7,656(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (right to buy) (2) 03/21/2020 Common Stock, par value $0.01 4,500 $22.73 D
Employee Stock Option (right to buy) (3) 03/11/2021 Common Stock, par value $0.01 3,300 $20.87 D
Employee Stock Option (right to buy) (4) 03/10/2022 Common Stock, par value $0.01 4,200 $24.2 D
Employee Stock Option (right to buy) (5) 03/14/2023 Common Stock, par value $0.01 3,900 $27.72 D
Explanation of Responses:
1. Includes (i) 475 restricted stock units that vest on March 19, 2017 (subject to the reporting person's continued employment on such date); (ii) 654 restricted stock units that vest in two equal annual installments beginning on March 11, 2017 (subject to the reporting person's continued employment on such dates); (iii) 1,950 restricted stock units that vest in three equal annual installments beginning on March 15, 2017 (subject to the reporting person's continued employment on such dates); and (iv) 2,592 restricted stock units that vest in four equal annual installments beginning on March 15, 2017 (subject to the reporting person's continued employment on such dates).
2. The option vests in four equal annual installments beginning on March 19, 2014 (subject to the reporting person's continued employment on such dates).
3. The option vests in four equal annual installments beginning on March 11, 2015 (subject to the reporting person's continued employment on such dates).
4. The option vests in four equal annual installments beginning on March 15, 2016 (subject to the reporting person's continued employment on such dates).
5. The option vests in four equal annual installments beginning on March 15, 2017 (subject to the reporting person's continued employment on such dates).
Remarks:
/s/ Bryan C. Ware 06/02/2016
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.