0001140361-17-021751.txt : 20170522
0001140361-17-021751.hdr.sgml : 20170522
20170522165119
ACCESSION NUMBER: 0001140361-17-021751
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170518
FILED AS OF DATE: 20170522
DATE AS OF CHANGE: 20170522
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Health Insurance Innovations, Inc.
CENTRAL INDEX KEY: 0001561387
STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411]
IRS NUMBER: 461282634
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 15438 N. FLORIDA AVENUE
STREET 2: SUITE 201
CITY: TAMPA
STATE: FL
ZIP: 33613
BUSINESS PHONE: 813-280-1289
MAIL ADDRESS:
STREET 1: 15438 N. FLORIDA AVENUE
STREET 2: SUITE 201
CITY: TAMPA
STATE: FL
ZIP: 33613
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Murley Robert S
CENTRAL INDEX KEY: 0001523923
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35811
FILM NUMBER: 17861539
MAIL ADDRESS:
STREET 1: 4025 S. RIVERPOINT PARKWAY
STREET 2: M/S CF-K815
CITY: PHOENIX
STATE: AZ
ZIP: 85040
4
1
doc1.xml
FORM 4
X0306
4
2017-05-18
0
0001561387
Health Insurance Innovations, Inc.
HIIQ
0001523923
Murley Robert S
C/O HEALTH INSURANCE INNOVATIONS, INC.
15438 NORTH FLORIDA AVENUE, SUITE 201
TAMPA
FL
33613
1
0
0
0
Class A Common Stock
2017-05-18
4
A
0
2195
0
A
27895
D
Stock Appreciation Rights
7.97
2015-10-28
2021-10-28
Class A Common Stock
20000
20000
D
These restricted shares were granted under the Issuer's Long Term Incentive Plan ("Plan") and are scheduled to vest 50% on May 18, 2018 and 50% on May 18, 2019, subject to the terms and conditions of the Plan and a Restricted Stock Award Agreement under the Plan.
These stock-settled stock appreciation rights were previously granted under the Issuer's Long Term Incentive Plan and became fully vested on October 28, 2016, subject to the terms of the plan and an award agreement under the plan.
/s/ Michael Hershberger, Attorney-in-Fact for Robert S. Murley
2017-05-22