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