0001209191-12-053161.txt : 20121115 0001209191-12-053161.hdr.sgml : 20121115 20121115115025 ACCESSION NUMBER: 0001209191-12-053161 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20121113 FILED AS OF DATE: 20121115 DATE AS OF CHANGE: 20121115 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PALACIOS CONNIE CENTRAL INDEX KEY: 0001182259 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14953 FILM NUMBER: 121207657 MAIL ADDRESS: STREET 1: 1106 OLDE TOWNE CITY: IRVING STATE: TX ZIP: 75061 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HealthMarkets, Inc. CENTRAL INDEX KEY: 0000773660 STANDARD INDUSTRIAL CLASSIFICATION: ACCIDENT & HEALTH INSURANCE [6321] IRS NUMBER: 752044750 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 9151 BOULEVARD 26 CITY: N RICHLAND HILLS STATE: TX ZIP: 76180 BUSINESS PHONE: 8172555200 MAIL ADDRESS: STREET 1: 9151 BOULEVARD 26 CITY: N RICHLAND HILLS STATE: TX ZIP: 76180 FORMER COMPANY: FORMER CONFORMED NAME: UICI DATE OF NAME CHANGE: 19970630 FORMER COMPANY: FORMER CONFORMED NAME: UNITED INSURANCE COMPANIES INC DATE OF NAME CHANGE: 19920703 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2012-11-13 0 0000773660 HealthMarkets, Inc. N/A 0001182259 PALACIOS CONNIE 9151 BOULEVARD 26 NORTH RICHLAND HILLS TX 76180 0 1 0 0 SVP/Principal Acctng Officer Class A-1 Common Stock 2847 D Stock Option 7.34 2011-09-07 2020-09-07 Class A-1 Common Stock 25000 25000 D Stock Option 10.15 2012-11-13 4 A 0 15000 10.15 A 2013-11-13 2022-11-13 Class A-1 Common Stock 15000 15000 D The options vest and become exercisable in equal 20% installments on each of the first five (5) anniversaries of the effective date of grant, subject to optionee remaining in the continuous employ of the Company (Issuer) or any subsidiary through the applicable vesting date. Connie Palacios By: /s/ Peggy G. Simpson, POA 2012-11-15 EX-24.4_444516 2 poa.txt POA DOCUMENT POWER OF ATTORNEY FOR EXECUTING FORMS 3, 4 AND 5 KNOW ALL MEN BY THESE PRESENTS, that the undersigned hereby constitutes and appoints each of Glenn W. Reed and Peggy G. Simpson signing singly, his/her true and lawful attorney-in-fact to: (1) execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director of UICI (the "Company"), Forms 3, 4 and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 (the "Act"), and the rules thereunder; (2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Forms 3, 4 or 5, complete and execute any amendments thereto, and timely file such form with the United States Securities and Exchange Commission and any stock exchange or similar authority; and (3) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion. The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform all and every act and thing whatsoever requisite, necessary and proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution and revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Act. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigned's holdings or and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact. IN WITNESS WHEREOF, the undersigned has executed this Power of Attorney as of this 22nd day of August, 2002. /s/ Connie Palacios