0001062993-21-013089.txt : 20211217 0001062993-21-013089.hdr.sgml : 20211217 20211217112956 ACCESSION NUMBER: 0001062993-21-013089 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211215 FILED AS OF DATE: 20211217 DATE AS OF CHANGE: 20211217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Schick Susan D. CENTRAL INDEX KEY: 0001881150 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05975 FILM NUMBER: 211500245 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 form4.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0306 4 2021-12-15 0000049071 HUMANA INC HUM 0001881150 Schick Susan D. HUMANA INC. 500 W. MAIN ST. LOUISVILLE KY 40202 0 1 0 0 Seg Pres. Grp. & Military Bus. Humana Common 2021-12-15 4 M 0 238 0 A 843 D Humana Common 2021-12-15 4 F 0 74 459.85 D 769 D Humana Common 2021-12-15 4 M 0 1603 0 A 2372 D Humana Common 2021-12-15 4 F 0 602 459.85 D 1770 D Humana Common 2021-12-15 4 M 0 189 0 A 1959 D Humana Common 2021-12-15 4 F 0 87 459.85 D 1872 D Options 403.05 2028-09-01 Humana Common 1765 1765 D Restricted Stock Units 2021-12-15 4 M 0 238 0 D Humana Common 238 238 D Restricted Stock Units 2021-12-15 4 M 0 1603 0 D Humana Common 1603 1603 D Restricted Stock Units 2021-12-15 4 M 0 189 0 D Humana Common 189 379 D Restricted Stock Units Humana Common 434 434 D Right to buy pursuant to Company's 2019 Amended & Restated Stock Incentive Plan. Incentive and Non-Qualified stock options granted to reporting person on 9/1/2021, vesting in three annual increments from 9/1/22 to 9/1/24. Right to receive one share per restricted stock unit pursuant to the Company's 2019 Amended & Restated 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 2/24/2020, 33% of the award is vesting on 12/15/20, 12/15/21, and 12/15/22. Unvested restricted stock units were inadvertently omitted from Table II in Form 3 and Form 4 filed on 9/1/21. Table II is current and updated moving forward. Restricted stock units granted to reporting person on 3/1/2020, 33% of the award is vesting on 12/15/20, 12/15/21, and 12/15/22. Unvested restricted stock units were inadvertently omitted from Table II in Form 3 and Form 4 filed on 9/1/21. Table II is current and updated moving forward. Restricted stock units granted to reporting person on 2/22/2021, 33% of the award is vesting on 12/15/21, 12/15/22, and 12/15/23. Unvested restricted stock units were inadvertently omitted from Table II in Form 3 and Form 4 filed on 9/1/21. Table II is current and updated moving forward. Restricted stock units granted to reporting person on 9/1/2021, 33% of the award is vesting on 9/1/22, 9/1/23, and 9/1/24. Susan D. Schick 2021-12-17