0001140361-17-034302.txt : 20170905 0001140361-17-034302.hdr.sgml : 20170905 20170905161437 ACCESSION NUMBER: 0001140361-17-034302 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170901 FILED AS OF DATE: 20170905 DATE AS OF CHANGE: 20170905 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: 171068894 MAIL ADDRESS: STREET 1: 4025 S. RIVERPOINT PARKWAY STREET 2: M/S CF-K815 CITY: PHOENIX STATE: AZ ZIP: 85040 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: 813-397-1187 MAIL ADDRESS: STREET 1: 15438 N. FLORIDA AVENUE STREET 2: SUITE 201 CITY: TAMPA STATE: FL ZIP: 33613 4 1 doc1.xml FORM 4 X0306 4 2017-09-01 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 2017-09-01 4 P 0 3000 30.2133 A 34734 D Stock Appreciation Rights 7.97 2015-10-28 2021-10-28 Class A Common Stock 20000 20000 D The price reported in Column 4 is a weighted average price. The shares were sold in multiple transactions at prices ranging from $30.10 to $30.40, inclusive. The Reporting Person undertakes to provide Health Insurance Innovations Inc. (the Company"), any security holder of the Company, or the staff of the Securities & Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth herein. These stock-settled stock appreciation rights were previously granted under the 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 2017-09-05