Benefytt (BFYT) Form 4 Health Insurance Innovations / Michael W Kosloske ownership change

SEC Form 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

1. Name and Address of Reporting Person^*

Kosloske Michael W

(Last) (First) (Middle)

15438 N. FLORIDA AVENUE

SUITE 201

(Street)

TAMPA FL 33613

(City) (State) (Zip)

2. Issuer Name and Ticker or Trading Symbol
Health Insurance Innovations, Inc. [ HIIQ ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	X	10% Owner
X	Officer (give title below)		Other (specify below)
Chief of Product Innovation

3. Date of Earliest Transaction (Month/Day/Year)
06/07/2018

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

	Form filed by One Reporting Person
X	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
			Code	V	Amount	(A) or (D)	Price
Class A Common Stock	06/07/2018		S		1,300,000	D	$31	2,541,667(1)	I	See Footnote(1)
Class A Common Stock								100	D
Class A Common Stock								7,203	I	See Footnote(2)
Class A Common Stock								26,079	I	See Footnote(3)

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares

1. Name and Address of Reporting Person^*

Kosloske Michael W

(Last) (First) (Middle)

15438 N. FLORIDA AVENUE

SUITE 201

(Street)

TAMPA FL 33613

(City) (State) (Zip)

1. Name and Address of Reporting Person^*

Kosloske Lori

(Last) (First) (Middle)

15438 N. FLORIDA AVENUE

SUITE 201

(Street)

TAMPA FL 33613

(City) (State) (Zip)

1. Name and Address of Reporting Person^*

Health Plan Intermediaires, LLC

(Last) (First) (Middle)

C/O HEALTH INSURANCE INNOVATIONS, INC.

15438 N. FLORIDA AVENUE, SUITE 201

(Street)

TAMPA FL 33613

(City) (State) (Zip)

1. Name and Address of Reporting Person^*

Health Plan Intermediaries Sub, LLC

(Last) (First) (Middle)

C/O HEALTH INSURANCE INNOVATIONS, INC.

15438 N. FLORIDA AVENUE, SUITE 201

(Street)

TAMPA FL 33613

(City) (State) (Zip)

Explanation of Responses:

1. This number of shares consists of 2,515,451 shares of Class B Common Stock held of record by Health Plan Intermediaries, LLC ("HPI") and 26,216 shares of Class B Common Stock held by Health Plan Intermediaries Sub, LLC ("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. The shares of Class B Common Stock, together with the Series B Membership Interests of HPI, are exchangeable, at Mr. Kosloske's election, for equal numbers of shares of Class A Common Stock. This exchange right has no expiration date.

2. By Lori Kosloske. Michael Kosloske and Lori Kosloske are husband and wife.

3. By Michael W. Kosloske 2012 Descendants Trust Agreement dated December 7, 2012, Lori Kosloske as Directing Trustee.

	/s/ Michael Hershberger, as Attorney-in-Fact	06/07/2018
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
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