SEC Form 4 · accession 0000049071-17-000179
HUMANA INC · HUM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
M Todoroff Christopher
Officer — Sr. VP and General Counsel
Period of report
Dec 15, 2017
Accepted (ET)
Dec 19, 2017 · 11:32 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 15, 2017 | M | 2,726 | $0.00 | A | 10,726 | D | |
| Humana Common | Dec 15, 2017 | F | 1,368 | $253.62 | D | 9,358 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF5,F7,F6 | — | Dec 15, 2017 | M | 1,539 | D | — | — | Humana Common | 1,539 | 1,540 | D |
| Restricted Stock UnitsF5,F8 | — | Dec 15, 2017 | M | 1,187 | D | — | — | Humana Common | 1,187 | 2,377 | D |
| OptionsF1,F7 | $164.645 | holding | — | — | — | — | Feb 24, 2022 | Humana Common | 7,005 | 7,005 | D |
| OptionsF2,F7 | $167.805 | holding | — | — | — | — | Feb 18, 2023 | Humana Common | 13,870 | 13,870 | D |
| OptionsF3 | $217.415 | holding | — | — | — | — | Mar 8, 2024 | Humana Common | 15,498 | 15,498 | D |
| OptionsF4 | $239.12 | holding | — | — | — | — | Jun 28, 2024 | Humana Common | 7,366 | 7,366 | D |
| Restricted Stock UnitsF5,F9 | — | holding | — | — | — | — | — | Humana Common | 1,620 | 1,620 | D |
Explanation of responses
- F1Right to buy pursuant to Company'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.
- F2Right 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.
- F3Right to buy pursuant to Company's 2011 Stock Incentive Plan. Incentive and Non-Qualified stock options granted to reporting person on 03/08/2017, vesting in three annual increments.
- F4Right to buy pursuant to Company's 2011 Stock Incentive Plan. Incentive and Non-Qualified stock options granted to reporting person on 06/28/2017, 100% of the award is vesting on 06/28/20
- 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 02/18/16, 33% of the award is vesting on 12/15/16, 12/15/17, and 12/15/18.
- F7Reporting Person disclaims Beneficial Ownership of one-half of each option or restricted stock unit held as of December 2016 pursuant to Divorce Decree, exempt under Rule 16a-12.
- F8Restricted stock units granted to reporting person on 03/08/2017, 33% of the award is vesting on 12/15/17, 12/15/18, and 12/15/19.
- F9Restricted stock units granted to reporting person on 06/28/17, 100% of the award is vesting on 06/28/20.