0001062993-22-005392.txt : 20220223 0001062993-22-005392.hdr.sgml : 20220223 20220223173503 ACCESSION NUMBER: 0001062993-22-005392 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220221 FILED AS OF DATE: 20220223 DATE AS OF CHANGE: 20220223 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Schick Susan D. CENTRAL INDEX KEY: 0001881150 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05975 FILM NUMBER: 22665207 MAIL ADDRESS: STREET 1: 500 W. MAIN ST. CITY: LOUISVILLE STATE: KY ZIP: 40202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HUMANA INC CENTRAL INDEX KEY: 0000049071 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 610647538 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 500 W MAIN ST CITY: LOUISVILLE STATE: KY ZIP: 40202 BUSINESS PHONE: 5025801000 MAIL ADDRESS: STREET 1: 500 W. MAIN ST CITY: LOUISVILLE STATE: KY ZIP: 40202 FORMER COMPANY: FORMER CONFORMED NAME: EXTENDICARE INC DATE OF NAME CHANGE: 19740404 FORMER COMPANY: FORMER CONFORMED NAME: HERITAGE HOUSE OF AMERICA INC DATE OF NAME CHANGE: 19671129 4 1 form4.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0306 4 2022-02-21 0000049071 HUMANA INC HUM 0001881150 Schick Susan D. HUMANA INC. 500 W. MAIN ST. LOUISVILLE KY 40202 0 1 0 0 Seg Pres. Grp. & Military Bus. Humana Common 1351 D Options 403.05 2028-09-01 Humana Common 1765 1765 D Options 425.055 2022-02-21 4 A 0 2685 0 A 2029-02-21 Humana Common 2685 2685 D Restricted Stock Units Humana Common 238 238 D Restricted Stock Units Humana Common 1603 1603 D Restricted Stock Units Humana Common 379 379 D Restricted Stock Units Humana Common 434 434 D Restricted Stock Units 2022-02-21 4 A 0 741 0 A Humana Common 741 741 D Right to buy pursuant to Company's 2019 Amended & Restated Stock Incentive Plan. Incentive and Non-Qualified stock options granted to reporting person on 9/1/2021, vesting in three annual increments from 9/1/22 to 9/1/24. Right to buy pursuant to Company's 2019 Amended & Restated Stock Incentive Plan. Incentive and Non-Qualified stock options granted to reporting person on 2/21/2022, vesting in three annual increments from 2/21/23 to 2/21/25. Right to receive one share per restricted stock unit pursuant to the Company's 2019 Amended & Restated Stock Incentive Plan. Each restricted stock unit represents a contingent right to receive one share of Humana Inc. common stock, exempt under Rule 16b-3(d)(1) & (3). Restricted stock units granted to reporting person on 2/24/2020, 33% of the award is vesting on 12/15/20, 12/15/21, and 12/15/22. Unvested restricted stock units were inadvertently omitted from Table II in Form 3 and Form 4 filed on 9/1/21. Table II is current and updated moving forward. Restricted stock units granted to reporting person on 3/1/2020, 33% of the award is vesting on 12/15/20, 12/15/21, and 12/15/22. Unvested restricted stock units were inadvertently omitted from Table II in Form 3 and Form 4 filed on 9/1/21. Table II is current and updated moving forward. Restricted stock units granted to reporting person on 2/22/2021, 33% of the award is vesting on 12/15/21, 12/15/22, and 12/15/23. Unvested restricted stock units were inadvertently omitted from Table II in Form 3 and Form 4 filed on 9/1/21. Table II is current and updated moving forward. Restricted stock units granted to reporting person on 9/1/2021, 33% of the award is vesting on 9/1/22, 9/1/23, and 9/1/24. Restricted stock units granted to reporting person on 2/21/2022, 33% of the award is vesting on 12/15/22, 12/15/23, and 12/15/24. Reporting person transferred a total of 521 shares of direct ownership on January 4, 2022 pursuant to a Domestic Relations Order. Reporting person was afforded a filing exemption under Rule 16a-12, which extends to securities transferred under a DRO. Susan D. Schick 2022-02-23