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Filing Details

Accession Number:: 0001140361-19-021966
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2019-12-05 08:19:56
Reporting Period:: 2019-12-04

Accepted Time:: 2019-12-05 08:19:56
SEC Url:: Form 4 Filing

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1561387	Health Insurance Innovations Inc.	HIIQ	Insurance Agents, Brokers & Service (6411)	461282634

Insiders

Cik	Name	Reported Address	Director	Officer	Large Shareholder	Other
1569146	W Michael Kosloske	16221 Villarreal De Avila Tampa FL 33613	No	No	No	No
1571685	Health Plan Intermediaries Sub, Llc	C/O Health Insurance Innovations, Inc. 15438 N. Florida Avenue, Suite 201 Tampa FL 33613	No	No	No	No
1571686	Health Plan Intermediaires, Llc	C/O Health Insurance Innovations, Inc. 15438 N. Florida Avenue, Suite 201 Tampa FL 33613	No	No	No	No

Reported Non-Derivative Transactions

Show Other Fields >>

Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Class A Common Stock	Disposition	2019-12-04	6,250	$18.88	0	No	4	S	Indirect	See Footnote

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	S	Indirect	See Footnote

Reported Non-Derivative Holdings

Sec. Name	Remaning Holdings	Nature of Ownership	Explanation
Class A Common Stock	5,643	Indirect	See Footnote
Class B Common Stock	1,916,667	Indirect	See Footnote

Footnotes

Represents the weighted average of a range of sale prices from $18.68 to $19.04. The reporting person undertakes to provide to the Staff of the Securities and Exchange Commission, the Company or any stockholder of the Company, upon request, full information regarding the number of shares sold at each separate price.
This number of shares consists of shares of Class A Common Stock held of record by Health Plan Intermediaries Sub, LLC ("HPIS"). Michael Kosloske is the sole member and primary manager of Health Plan Intermediaries, LLC ("HPI"), which is the sole managing member of HPIS and has sole voting and dispositive power over the shares held by HPIS. Mr. Kosloske, by virtue of his control of HPI and HPI's control of HPIS, may be deemed to beneficially own all the shares of Class A Common Stock held of record by HPIS.
By Lori Kosloske. Michael Kosloske and Lori Kosloske are husband and wife.
Each share of Class B Common Stock held by the reporting persons, together with one Series B Membership Interest held by the reporting persons in Health Plan Intermediaries Holdings, LLC ("HPIH"), are together exchangeable, at any time, at the reporting persons' election, for one share of Class A Common Stock. This exchange right has no expiration date.
This number of shares consists of 1,896,701 shares of Class B Common Stock held of record by HPI and 19,966 shares of Class B Common Stock held by HPIS. Michael Kosloske is the sole member and primary manager of HPI, and has sole voting and dispositive power over the shares held by HPI. HPI is the sole managing member of HPIS and has sole voting and dispositive power over the shares held by HPIS. Mr. Kosloske, by virtue of his control of HPI and HPI's control of HPIS, may be deemed to beneficially own all the shares of Class B Common Stock held of record by each of HPI and HPIS.