0001379041-18-000203.txt : 20181126 0001379041-18-000203.hdr.sgml : 20181126 20181126162300 ACCESSION NUMBER: 0001379041-18-000203 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181121 FILED AS OF DATE: 20181126 DATE AS OF CHANGE: 20181126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rumbolz Michael D CENTRAL INDEX KEY: 0001313332 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33245 FILM NUMBER: 181201099 MAIL ADDRESS: STREET 1: 3201 WEST COUNTY ROAD 42, SUITE 106 CITY: BURNSVILLE STATE: MN ZIP: 55306 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Employers Holdings, Inc. CENTRAL INDEX KEY: 0001379041 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 043850065 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 10375 PROFESSIONAL CIRCLE CITY: RENO STATE: NV ZIP: 89521 BUSINESS PHONE: 775-327-2936 MAIL ADDRESS: STREET 1: 10375 PROFESSIONAL CIRCLE CITY: RENO STATE: NV ZIP: 89521 4 1 wf-form4_154326736366932.xml FORM 4 X0306 4 2018-11-21 0 0001379041 Employers Holdings, Inc. EIG 0001313332 Rumbolz Michael D 10375 PROFESSIONAL CIRCLE RENO NV 89521 1 0 0 0 Dividend Equivalent Rights 2018-11-21 4 A 0 84 0 A Common Stock, par value $0.01 84.0 1154 D The dividend equivalent rights ("DERs") accrued on vested restricted stock units ("RSUs") previously granted to the reporting person where the reporting person has voluntarily deferred delivery of such RSUs until six months following termination of service on the board of directors. The DERs become exercisable proportionately with the RSUs to which they relate. Each DER is the economic equivalent of one share of common stock of Employers Holdings, Inc. /s/ Lenard T. Ormsby, attorney in fact 2018-11-26