Filing Details

Accession Number:
0001140361-17-035053
Form Type:
4
Zero Holdings:
No
Publication Time:
2017-09-11 16:50:41
Reporting Period:
2017-09-07
Accepted Time:
2017-09-11 16:50:41
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1561387 Health Insurance Innovations Inc. HIIQ () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1366008 Sheldon Wang C/O Health Insurance Innovations, Inc.
15438 N. Florida Ave., Suite 201
Tampa FL 33613
Chief Technology Officer Yes Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Class A Common Stock Acquisiton 2017-09-07 893 $12.13 224,894 No 4 M Direct
Class A Common Stock Disposition 2017-09-07 326 $33.25 224,568 No 4 D Direct
Class A Common Stock Disposition 2017-09-07 567 $33.25 224,001 No 4 S Direct
Class A Common Stock Acquisiton 2017-09-07 5,000 $6.77 229,001 No 4 M Direct
Class A Common Stock Disposition 2017-09-07 1,037 $32.65 227,964 No 4 D Direct
Class A Common Stock Disposition 2017-09-07 3,963 $32.65 224,001 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 D Direct
No 4 S Direct
No 4 M Direct
No 4 D Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Class A Common Stock Stock Appreciation Rights Disposition 2017-09-07 893 $0.00 893 $12.13
Class A Common Stock Stock Appreciation Rights Disposition 2017-09-07 5,000 $0.00 5,000 $6.77
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
5,107 2021-07-14 No 4 M Direct
26,039 2021-05-25 No 4 M Direct
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Class A Common Stock Stock Appreciation Rights $4.95 2022-07-01 20,000 20,000 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
2022-07-01 20,000 20,000 Direct
Footnotes
  1. Shares retained by the issuer to satisfy the exercise price of stock appreciation rights exercised by the reporting person.
  2. The price reported in Column 4 is a weighted average price. The shares were sold in multiple transactions at prices ranging from $32.65 to $32.70, inclusive. The Reporting Person undertakes to provide the Company, any security holder of the Company, or the staff of the Securities & Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth.
  3. These stock-settled stock appreciation rights were previously granted under the Plan and are scheduled to vest in increments of 20%, 20%, 20%, and 40% on successive anniversary dates of the grant, subject to the terms of the plan and an award agreement under the plan.
  4. These stock-settled stock appreciation rights were granted under the Issuer's Long Term Incentive Plan (the "Plan") and are vested as of the date of this Form 4.
  5. These stock-settled stock appreciation rights were previously granted under the Plan and are scheduled to vest in increments of 25%, 25%, and 50% on successive anniversary dates of the grant, subject to the terms of the Plan and an award agreement under the Plan.