SEC Form 3 · accession 0001379041-16-000361

Employers Holdings, Inc. · EIG

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — EVP, Chief Actuary

Period of report

May 24, 2016

Accepted (ET)

Jun 3, 2016 · 3:11 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001379041

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock, par value $0.01^F1	holding	—	—		—	7,656	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Employee Stock Option (right to buy)^F2	$22.73	holding	—	—	—	—	Mar 21, 2020	Common Stock, par value $0.01	4,500	—	D
Employee Stock Option (right to buy)^F3	$20.87	holding	—	—	—	—	Mar 11, 2021	Common Stock, par value $0.01	3,300	—	D
Employee Stock Option (right to buy)^F4	$24.20	holding	—	—	—	—	Mar 10, 2022	Common Stock, par value $0.01	4,200	—	D
Employee Stock Option (right to buy)^F5	$27.72	holding	—	—	—	—	Mar 14, 2023	Common Stock, par value $0.01	3,900	—	D

F1Includes (i) 475 restricted stock units that vest on March 19, 2017 (subject to the reporting person's continued employment on such date); (ii) 654 restricted stock units that vest in two equal annual installments beginning on March 11, 2017 (subject to the reporting person's continued employment on such dates); (iii) 1,950 restricted stock units that vest in three equal annual installments beginning on March 15, 2017 (subject to the reporting person's continued employment on such dates); and (iv) 2,592 restricted stock units that vest in four equal annual installments beginning on March 15, 2017 (subject to the reporting person's continued employment on such dates).
F2The option vests in four equal annual installments beginning on March 19, 2014 (subject to the reporting person's continued employment on such dates).
F3The option vests in four equal annual installments beginning on March 11, 2015 (subject to the reporting person's continued employment on such dates).
F4The option vests in four equal annual installments beginning on March 15, 2016 (subject to the reporting person's continued employment on such dates).
F5The option vests in four equal annual installments beginning on March 15, 2017 (subject to the reporting person's continued employment on such dates).