Statement of Changes in Beneficial Ownership (4)
December 17 2020 - 2:06PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
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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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1. Name and Address of Reporting Person
*
Huval Timothy S. |
2. Issuer Name and Ticker or Trading Symbol
HUMANA INC
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HUM
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
Chief Administrative Officer |
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(Last)
(First)
(Middle)
HUMANA INC., 500 WEST MAIN STREET |
3. Date of Earliest Transaction
(MM/DD/YYYY)
12/15/2020 |
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(Street)
LOUISVILLE, KY 40202
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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| Humana Common | 12/15/2020 | | M | | 513 | A | $0 | 7435 | D |
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| Humana Common | 12/15/2020 | | F | | 235 | D | $390.485 | 7200 | D |
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| Humana Common | 12/15/2020 | | M | | 460 | A | $0 | 7660 | D |
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| Humana Common | 12/15/2020 | | F | | 211 | D | $390.485 | 7449 | D |
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| Humana Common | 12/15/2020 | | M | | 404 | A | $0 | 7853 | D |
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| Humana Common | 12/15/2020 | | F | | 185 | D | $390.485 | 7668 | D |
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| Humana Common | 12/16/2020 | | S | | 746 | D | $387.2668 (9) | 6922 | D |
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 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 of Derivative Security: 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 |
| Options (1) | $268.47 | | | | | | | (1) | 2/19/2025 | Humana Common | 2208 | | 2208 | D |
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| Options (2) | $307.965 | | | | | | | (2) | 2/25/2026 | Humana Common | 4071 | | 4071 | D |
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| Options (3) | $350.7875 | | | | | | | (3) | 2/24/2027 | Humana Common | 6088 | | 6088 | D |
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| Restricted Stock Units (4) | (4) | 12/15/2020 | | M | | | 513 | (6) | (6) | Humana Common | 513 | $0 | 0 | D |
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| Restricted Stock Units (4) | (4) | 12/15/2020 | | M | | | 460 | (7) | (7) | Humana Common | 460 | $0 | 460 | D |
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| Restricted Stock Units (5) | (5) | 12/15/2020 | | M | | | 404 | (8) | (8) | Humana Common | 404 | $0 | 808 | D |
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| Explanation of Responses: |
| (1) | Right to buy pursuant to Company's 2011 Stock Incentive Plan. Incentive and Non-Qualified stock options granted to reporting person on 02/19/18, vesting in three increments from 02/19/19 to 02/19/21. |
| (2) | Right to buy pursuant to the Company's 2011 Stock Incentive Plan. Incentive and Non-Qualified stock options granted to reporting person on 02/25/19, vesting in three increments from 02/25/20 to 02/25/22. |
| (3) | Right to buy pursuant to Company's 2019 Amended & Restated Stock Incentive Plan. Incentive and Non-Qualified stock options granted to reporting person on 02/24/2020, vesting in three annual increments from 2/24/21 to 2/24/23. |
| (4) | Right 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). |
| (5) | Right to receive one share per restricted stock unit pursuant to the Company's 2019 Amended & Restated 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). |
| (6) | Restricted stock units granted to reporting person on 02/19/18, 33% of the award is vesting on 12/15/18, 12/15/19, and 12/15/20. |
| (7) | Restricted stock units granted to reporting person on 02/25/19, 33% of the award is vesting on 12/15/19, 12/15/20, and 12/15/21. |
| (8) | Restricted stock units granted to reporting person on 02/24/2020, 33% of the award is vesting on 12/15/20, 12/15/21, and 12/15/22. |
| (9) | All shares sold at reported price. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Huval Timothy S.
HUMANA INC.
500 WEST MAIN STREET
LOUISVILLE, KY 40202 |
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| Chief Administrative Officer |
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Signatures
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| Timothy S. Huval | | 12/17/2020 |
| **Signature of Reporting Person | Date |
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