0001140361-17-023797.txt : 20170605 0001140361-17-023797.hdr.sgml : 20170605 20170605170625 ACCESSION NUMBER: 0001140361-17-023797 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170601 FILED AS OF DATE: 20170605 DATE AS OF CHANGE: 20170605 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Health Insurance Innovations, Inc. CENTRAL INDEX KEY: 0001561387 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 461282634 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 15438 N. FLORIDA AVENUE STREET 2: SUITE 201 CITY: TAMPA STATE: FL ZIP: 33613 BUSINESS PHONE: 813-397-1187 MAIL ADDRESS: STREET 1: 15438 N. FLORIDA AVENUE STREET 2: SUITE 201 CITY: TAMPA STATE: FL ZIP: 33613 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Telkamp Bruce CENTRAL INDEX KEY: 0001366007 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35811 FILM NUMBER: 17892004 MAIL ADDRESS: STREET 1: 440 EAST MIDDLEFIELD ROAD CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 4 1 doc1.xml FORM 4 X0306 4 2017-06-01 0 0001561387 Health Insurance Innovations, Inc. HIIQ 0001366007 Telkamp Bruce C/O HEALTH INSURANCE INNOVATIONS, INC. 15438 N. FLORIDA AVE., SUITE 201 TAMPA FL 33613 0 1 0 0 CEO of HealthPocket, Inc.* Class A Common Stock 2017-06-01 4 M 0 11442 6.77 A 112943 D Class A Common Stock 2017-06-01 4 D 0 3428 22.6 D 109515 D Class A Common Stock 2017-06-01 4 S 0 8014 22.6 D 101501 D Stock Appreciation Rights 6.77 2017-06-01 4 M 0 11442 0 D 2021-05-25 Class A Common Stock 11442 0 D Stock Appreciation Rights 12.13 2021-07-14 Class A Common Stock 6000 6000 D Stock Appreciation Rights 4.95 2022-07-01 Class A Common Stock 30000 30000 D Shares retained by the issuer to satisfy the exercise price of stock appreciation rights exercised by the reporting person. These stock-settled stock appreciation rights were granted under the Issuer's Long-Term Incentive Plan (the "Plan") and are all currently vested. 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. 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. * HealthPocket, Inc. is a subsidiary of Issuer. /s/ Michael Hershberger, Attorney-in-Fact for Bruce Telkamp 2017-06-05