SEC Form 4 · accession 0001140361-17-027903

Health Insurance Innovations, Inc. · HIIQ

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

Reporting owner

Officer — Chief Technology Officer · Director

Period of report

Jul 13, 2017

Accepted (ET)

Jul 14, 2017 · 5:42 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001561387

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Class A Common Stock	Jul 13, 2017	S	4,750	$25.80	D	224,001	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Stock Appreciation Rights^F2	$6.77	holding	—	—	—	—	May 25, 2021	Class A Common Stock	41,039	41,039	D
Stock Appreciation Rights^F3	$12.13	holding	—	—	—	—	Jul 14, 2021	Class A Common Stock	6,000	6,000	D
Stock Appreciation Rights^F4	$4.95	holding	—	—	—	—	Jul 1, 2022	Class A Common Stock	30,000	30,000	D

F1These sales were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person in November, 2016.
F2These 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.
F3These 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.
F4These 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.