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