0001379041-21-000142.txt : 20211027 0001379041-21-000142.hdr.sgml : 20211027 20211027190152 ACCESSION NUMBER: 0001379041-21-000142 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211027 FILED AS OF DATE: 20211027 DATE AS OF CHANGE: 20211027 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mutschink John M. CENTRAL INDEX KEY: 0001791757 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33245 FILM NUMBER: 211354536 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 3 1 wf-form3_163537569153982.xml FORM 3 X0206 3 2021-10-27 0 0001379041 Employers Holdings, Inc. EIG 0001791757 Mutschink John M. 10375 PROFESSIONAL CIRCLE RENO NV 89521 0 1 0 0 EVP, Chief Admin Officer Common Stock, par value $0.01 3755 D Includes (i) 915 restricted stock units that vest in three equal annual installments beginning on March 15, 2022 (subject to the reporting person's continued employment on such dates); and (ii) 2,299 restricted stock units that vest in four equal annual installments beginning on March 15, 2022 (subject to the reporting person's continued employment on such dates). This Form 3 is being filed to reinstate the reporting person as a Section 16 insider effective October 27, 2021. /s/ John M. Mutschink 2021-10-27