0001062993-23-002435.txt : 20230208 0001062993-23-002435.hdr.sgml : 20230208 20230208152536 ACCESSION NUMBER: 0001062993-23-002435 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230201 FILED AS OF DATE: 20230208 DATE AS OF CHANGE: 20230208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Renaudin George II CENTRAL INDEX KEY: 0001964078 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-05975 FILM NUMBER: 23598842 MAIL ADDRESS: STREET 1: 500 W. MAIN SREET 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 3/A 1 form3a.xml AMENDED INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES X0206 3/A 2023-02-01 2023-02-01 0 0000049071 HUMANA INC HUM 0001964078 Renaudin George II HUMANA INC. 500 W. MAIN STREET LOUISVILLE KY 40202 0 1 0 0 President, Medicare & Medicaid Humana Common 0 D Humana Common 474 I See Footnote Restricted Stock Units 0 Humana Common 241 D Restricted Stock Units 0 Humana Common 1241 D Restricted Stock Units 0 Humana Common 459 D Restricted Stock Units 0 Humana Common 609 D Phantom Stock Units 0 Humana Common 148 I See Footnote Shares held for the benefit of reporting person as of January 31, 2023 under the Humana Retirement Savings Plan including routine payroll deductions, quarterly dividend allocation, and a routine disposition of shares to fund an administrative fee assessment under a Tax-Conditioned Plan, exempt under Rule 16b-3(c). 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 2/22/2021, 33% of the award is vesting on 12/15/21, 12/15/22, and 12/15/23. Amount reported is what remains unvested. Restricted stock units granted to reporting person on 9/1/2021, 100% of the award is vesting on 9/1/2024. Restricted stock units granted to reporting person on 2/21/2022, 33% of the award is vesting on 12/15/22, 12/15/23, and 12/15/24. Amount reported is what remains unvested. Restricted stock units granted to reporting person on 10/1/2022, 100% of the award is vesting on 10/1/2025. Phantom Stock Units held for the benefit of reporting person as of January 31, 2023 based on the value of Humana common stock on a 1-for-1 basis, under the Humana Retirement Equalization Plan. The ending number of units reflects normal fluctuation due to changes in stock price. This form is being amended due to an administrative error that incorrectly reported the amount of indirect shares owned in Humana Retirement Savings Plan (see footnote 1). Shares reported on this form are correct as of 1/31/23. This form is being amended due to an administrative error that incorrectly reported the amount of indirect shares owned in Humana Retirement Equalization Plan (see footnote 7). Shares reported on this form are correct as of 1/31/23. George Renaudin II 2023-02-07