0000049071-19-000120.txt : 20191213 0000049071-19-000120.hdr.sgml : 20191213 20191213091428 ACCESSION NUMBER: 0000049071-19-000120 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191211 FILED AS OF DATE: 20191213 DATE AS OF CHANGE: 20191213 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Agrawal Vishal CENTRAL INDEX KEY: 0001761461 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05975 FILM NUMBER: 191283523 MAIL ADDRESS: STREET 1: 500 W MAIN ST CITY: LOUISVILLE STATE: KY ZIP: 40202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HUMANA INC CENTRAL INDEX KEY: 0000049071 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 610647538 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 500 W MAIN ST CITY: LOUISVILLE STATE: KY ZIP: 40202 BUSINESS PHONE: 5025801000 MAIL ADDRESS: STREET 1: 500 W. MAIN ST CITY: LOUISVILLE STATE: KY ZIP: 40202 FORMER COMPANY: FORMER CONFORMED NAME: EXTENDICARE INC DATE OF NAME CHANGE: 19740404 FORMER COMPANY: FORMER CONFORMED NAME: HERITAGE HOUSE OF AMERICA INC DATE OF NAME CHANGE: 19671129 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2019-12-11 0000049071 HUMANA INC HUM 0001761461 Agrawal Vishal HUMANA INC. 500 W MAIN ST LOUISVILLE KY 40202 0 1 0 0 Chief Strat & Corp Dev Officer Humana Common 2019-12-11 4 M 0 811 0 A 811 D Humana Common 2019-12-11 4 F 0 256 344.725 D 555 D Options 308.31 2025-12-11 Humana Common 10577 10577 D Options 307.965 2026-02-25 Humana Common 5388 5388 D Restricted Stock Units 2019-12-11 4 M 0 811 0 D Humana Common 811 1622 D Restricted Stock Units Humana Common 1218 1218 D Right to buy pursuant to Company's 2011 Stock Incentive Plan. Incentive & Non-Qualified stock options granted to reporting person on 12/11/2018, vesting in three increments from 12/11/19 to 12/11/21. Right to buy pursuant to Company's 2011 Stock Incentive Plan. Incentive & Non-Qualified stock options granted to reporting person on 02/25/2019, vesting in three increments from 02/25/20 to 02/25/22. Right to receive one share per restricted stock unit pursuant to the Company's 2011 Stock Incentive Plan. Each restricted stock unit represents a contingent right to receive one share of Humana Inc. common stock, exempt under Rule 16b-3(d)(1) & (3). Restricted stock units granted to reporting person on 12/11/2018, 33% of the award is vesting on 12/11/2019, 12/11/2020 and 12/11/2021. Restricted stock units granted to reporting person on 02/25/2019, 33% of the award is vesting on 12/15/2019, 12/15/2020 and 12/15/2021. Vishal Agrawal 2019-12-13