0001567619-19-011452.txt : 20190516 0001567619-19-011452.hdr.sgml : 20190516 20190516180553 ACCESSION NUMBER: 0001567619-19-011452 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190514 FILED AS OF DATE: 20190516 DATE AS OF CHANGE: 20190516 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: 19833601 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 2019-05-14 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 2019-05-14 4 A 0 3513 0 A 38005 D Class A Common Stock 5000 I By Robert Murley Revocable Trust Class A Common Stock 1500 I By Murley Enterprises These restricted shares were granted under the Issuer's Long Term Incentive Plan ("Plan") and are scheduled to vest 50% on May 14, 2020 and 50% on May 14, 2021, subject to the terms and conditions of the Plan and a Restricted Stock Award Agreement under the Plan. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose. /s/ Michael Hershberger, Attorney-in-Fact for Robert S. Murley 2019-05-16