SEC Form 4 · accession 0000049071-16-000202
HUMANA INC · HUM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Roy A Beveridge
Officer — Sr. VP & Chief Medical Officer
Period of report
Dec 20, 2016
Accepted (ET)
Dec 22, 2016 · 9:57 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000049071
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Humana Common | Dec 20, 2016 | M | 8,500 | $81.795 | A | 13,760 | D | |
| Humana CommonF8 | Dec 20, 2016 | F | 5,972 | $201.26 | D | 7,788 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| OptionsF1 | $81.795 | Dec 20, 2016 | M | 8,500 | D | — | Jun 17, 2020 | Humana Common | 8,500 | 15,581 | D |
| OptionsF2 | $102.155 | holding | — | — | — | — | Feb 18, 2021 | Humana Common | 15,086 | 15,086 | D |
| OptionsF3 | $164.645 | holding | — | — | — | — | Feb 24, 2022 | Humana Common | 14,913 | 14,913 | D |
| OptionsF4 | $167.805 | holding | — | — | — | — | Feb 18, 2023 | Humana Common | 14,764 | 14,764 | D |
| Restricted Stock UnitsF5,F6 | — | holding | — | — | — | — | — | Humana Common | 3,304 | 3,304 | D |
| Restricted Stock UnitsF5,F7 | — | holding | — | — | — | — | — | Humana Common | 2,186 | 2,186 | D |
Explanation of responses
- F1Right to buy pursuant to Humana Inc.'s 2011 Stock Incentive Plan. Incentive and Non-Qualified stock options granted to reporting person on 06/17/13, vesting in three increments from 06/17/14 to 06/17/16.
- F2Right to buy pursuant to Humana Inc.'s 2011 Stock Incentive Plan. Incentive and Non-Qualified stock options granted to reporting person on 02/18/14, vesting in three increments from 02/18/15 to 02/18/17.
- F3Right to buy pursuant to Humana Inc.'s 2011 Stock Incentive Plan. Incentive and Non-Qualified stock options granted to reporting person on 02/24/15, vesting in three increments from 02/24/16 to 02/24/18.
- F4Right to buy pursuant to Company's 2011 Stock Incentive Plan. Incentive and Non-Qualified stock options granted to reporting person on 02/18/16, vesting in three increments from 02/18/17 to 02/18/19.
- F5Right to receive one share per restricted stock unit pursuant to the Company's 2011 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).
- F6Restricted stock units granted to Reporting Person on 02/18/14, 100% of the award is vesting on 02/18/17.
- F7Restricted stock units granted to reporting person on 02/18/16, 33% of the award is vesting on 12/15/16, 12/15/17, and 12/15/18.
- F8The total amount of shares withheld for taxes and swapped for purchase price is 5,960. The amount of shares required for swap on purchase price for shares exercised under the Company's 2011 Stock Incentive Plan was determined using a Fair Market Value ("FMV") of $202.9150 on 12/19/2016, pursuant to the Plan. Shares withheld for taxes was determined using the FMV on 12/20/2016 ($201.260), pursuant to the Plan.