Nominees

If you, for the beneficial interest of any person or entity other than yourself, purchased the publicly traded HIIQ common stock during the Relevant Period of March 2, 2017, through March 21, 2019, inclusive, you must, within ten (10) calendar days of receipt of the Notice, either:

  1. Request from the Fund Administrator sufficient copies of the Notice to forward to all such beneficial owners and mail those Notices yourself within ten (10) business days after receiving them, and also provide the Fund Administrator with email addresses for all such beneficial owners; or
  2. Within ten (10) calendar days of receipt of the Notice, provide a list of the names, addresses, and email addresses of all such beneficial owners to the Fund Administrator.

If you are providing a list of names, addresses, and email addresses to the Fund Administrator:

  1. Compile a list of names and addresses of the beneficial owners that purchased publicly traded HIIQ common stock during the Relevant Period of March 2, 2017, through March 12, 2019, inclusive
  2. Prepare the list in Microsoft Excel format. A preformatted spreadsheet can be found by clicking here.
  3. Then do one of the following:

    1. Email the spreadsheet to info@HealthInsuranceInnovationsFairFund.com;
    2. Upload the spreadsheet here; or
    3. Burn the Microsoft Excel file(s) to a CD or DVD and mail the CD or DVD to:

      Health Insurance Innovations Fair Fund
      c/o Fund Administrator
      P.O. Box 4349
      Portland, OR 97208-4349

      or

If you are mailing the Plan Notice to beneficial owners:

If you elect to mail the Plan Notice to beneficial owners yourself, additional copies of the Plan Notice may be requested via email to info@HealthInsuranceInnovationsFairFund.com. You must mail the Plan Notice to the beneficial owners within seven (7) calendar days of your receipt of the Plan Notice from the Fund Administrator.

If you have any questions, contact the Fund Administrator at info@HealthInsuranceInnovationsFairFund.com or by calling 1-877-676-3395.

If you are filing electronic claims:

A nominee may also submit a Claim Form on behalf of multiple clients who are beneficial owners by using the links below.

Click here to download the Claim Form.

Click here to download a properly formatted spreadsheet for submitting your transactions.

You may upload your master Claim Form and completed spreadsheet online here.

Expense Reimbursement:

You are entitled to reimbursement for your reasonable expenses actually incurred in complying with the foregoing, including reimbursement of reasonable postage expenses and reasonable costs of obtaining the names and addresses of beneficial owners, provided you timely submit an invoice to the Fund Administrator. Please submit a copy of your invoice to the Fund Administrator within one month of the completing the mailing or providing the list of names, addresses and email addresses.