0001379041-21-000081.txt : 20210428 0001379041-21-000081.hdr.sgml : 20210428 20210428184917 ACCESSION NUMBER: 0001379041-21-000081 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210427 FILED AS OF DATE: 20210428 DATE AS OF CHANGE: 20210428 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brown Lori A. CENTRAL INDEX KEY: 0001763038 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33245 FILM NUMBER: 21866322 MAIL ADDRESS: STREET 1: 10375 PROFESSIONAL CIRCLE CITY: RENO STATE: NV ZIP: 89521 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_161965013579020.xml FORM 4 X0306 4 2021-04-27 0 0001379041 Employers Holdings, Inc. EIG 0001763038 Brown Lori A. 10375 PROFESSIONAL CIRCLE RENO NV 89521 0 1 0 0 EVP, Chief Legal Officer Common Stock, par value $0.01 2021-04-27 4 M 0 1200 27.72 A 9359 D Common Stock, par value $0.01 2021-04-27 4 M 0 1500 24.20 A 10859 D Common Stock, par value $0.01 22347 I The Lori Ann Brown Revocable Trust Employee Stock Option (right to buy) 27.72 2021-04-27 4 M 0 1200 0 D 2023-03-14 Common Stock, par value $0.01 1200.0 0 D Employee Stock Option (right to buy) 24.2 2021-04-27 4 M 0 1500 0 D 2022-03-10 Common Stock, par value $0.01 1500.0 0 D The option is fully vested and immediately exercisable. /s/ Lori A. Brown 2021-04-28