0001140361-18-016496.txt : 20180402 0001140361-18-016496.hdr.sgml : 20180402 20180402173334 ACCESSION NUMBER: 0001140361-18-016496 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180329 FILED AS OF DATE: 20180402 DATE AS OF CHANGE: 20180402 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: 18730511 MAIL ADDRESS: STREET 1: 440 EAST MIDDLEFIELD ROAD CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 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 4 1 doc1.xml FORM 4 X0306 4 2018-03-29 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 2017-09-01 4 M 0 2000 12.13 A 19500 D Class A Common Stock 2017-09-01 4 D 0 668 36.1885 D 18832 D Class A Common Stock 2017-09-01 4 S 0 1332 36.1885 D 17500 D Class A Common Stock 2017-09-01 4 M 0 10000 4.95 A 27500 D Class A Common Stock 2017-09-01 4 D 0 1362 36.1885 D 26138 D Class A Common Stock 2017-09-01 4 S 0 8638 36.1885 D 17500 D Stock Appreciation Rights 12.13 2017-09-01 4 M 0 2000 0 D 2021-07-14 Class A Common Stock 2000 4000 D Stock Appreciation Rights 4.95 2017-09-01 4 M 0 10000 0 D 2022-07-01 Class A Common Stock 10000 20000 D 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. 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. Shares retained by the issuer to satisfy the exercise price of stock appreciation rights exercised by the reporting person. 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. * HealthPocket, Inc. is a subsidiary of Issuer. /s/ Michael Hershberger, Attorney-in-Fact for Bruce Telkamp 2017-09-05