0001140361-17-021748.txt : 20170522 0001140361-17-021748.hdr.sgml : 20170522 20170522164851 ACCESSION NUMBER: 0001140361-17-021748 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: BARKETT ANTHONY CENTRAL INDEX KEY: 0001572024 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35811 FILM NUMBER: 17861507 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 2017-05-18 0 0001561387 Health Insurance Innovations, Inc. HIIQ 0001572024 BARKETT ANTHONY 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 18895 D Stock Appreciation Rights 13.97 2020-03-08 Class A Common Stock 30000 30000 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 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 May 1, 2015, subject to the terms of the Plan and an award agreement under the Plan. /s/ Michael Hershberger, Attorney-in-Fact for Anthony Barkett 2017-05-22