0001379041-21-000136.txt : 20210819 0001379041-21-000136.hdr.sgml : 20210819 20210819131353 ACCESSION NUMBER: 0001379041-21-000136 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210818 FILED AS OF DATE: 20210819 DATE AS OF CHANGE: 20210819 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Blakey Richard W CENTRAL INDEX KEY: 0001388045 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33245 FILM NUMBER: 211189578 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_162939321835418.xml FORM 4 X0306 4 2021-08-18 0 0001379041 Employers Holdings, Inc. EIG 0001388045 Blakey Richard W 10375 PROFESSIONAL CIRCLE RENO NV 89521 1 0 0 0 Common Stock, par value $0.01 4647 D Common Stock, par value $0.01 58926 I The Richard Blakey Family Trust Dividend Equivalent Rights 2021-08-18 4 A 0 22 0 A Common Stock, par value $0.01 22.0 695 D Includes 2,288 shares of Common Stock previously reported as directly owned. 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/ Lori A. Brown, attorney in fact 2021-08-19