Delaware
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010306
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58-1407235
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(State or other jurisdiction of
incorporation or organization)
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(Commission File Number)
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(I.R.S. Employer Identification No.)
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96 Cummings Point Road, Stamford, Connecticut
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06902
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(Address of principal executive offices)
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(Zip Code)
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o
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Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
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o
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Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240a-12)
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o
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Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
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o
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Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13a-4(c))
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Item 5.02
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Compensatory Arrangements of Certain Officers.
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Exhibit Number
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Description
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10.1
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Officer Employment Agreement, by and among Independence Holding Company, Standard Security Life Insurance Company of New York and Mr. David T. Kettig, dated as of April 18, 2011.
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10.2
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Officer Employment Agreement, by and among Independence Holding Company, Madison National Life Insurance Company, Inc. and Mr. Larry R. Graber, dated as of April 18, 2011.
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10.3
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Officer Employment Agreement, by and among Independence Holding Company, IHC Health Solutions, Inc. and Mr. Jeffrey C. Smedsrud, dated as of April 18, 2011.
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10.4
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Officer Employment Agreement, by and among Independence Holding Company, Actuarial Management Corporation and Mr. Bernon R. Erickson, Jr., dated as of April 18, 2011.
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10.5
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Officer Employment Agreement, by and between Independence Holding Company and Ms. Teresa A. Herbert, dated as of April 18, 2011.
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SIGNATURE
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INDEPENDENCE HOLDING COMPANY
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(Registrant)
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/s/
Adam C. Vandervoort
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Date:
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April 22, 2011
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Adam C. Vandervoort
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||
Vice President, General Counsel and Secretary
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A.
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The Employee is the Chief Operating Officer and Senior Vice President of the Guarantor and the Senior Vice President of the Company.
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B.
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The Company wishes to employ the Employee, and the Employee wishes to be employed by the Company, in the capacity and on the terms and conditions set forth herein.
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(i)
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the Employee’s refusal to perform the Duties, as the Duties exist as of the Date hereof (other than by reason of physical or mental illness, injury, or condition), after the Employee has been given notice by the Company of such default and a reasonable opportunity to cure same;
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(ii)
|
the Employee’s material failure to comply with applicable, material Company policies in effect as of the date hereof, after the Employee has been given notice of such failure and a reasonable opportunity to cure same;
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(iii)
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the Employee’s breach of any of his obligations under Section 4 of this Agreement; or
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(iv)
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the Employee’s conviction of a felony or the Employee’s commission of any crime involving financial or accounting fraud upon the Company, its corporate affiliates or their respective clients or policyholders.
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(i)
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a material diminution in the Employee’s authority, duties and responsibilities or the assignation to the Employee of duties and responsibilities that are materially inconsistent with the Employee’s apparent authority or title with the Company or with the Guarantor, considered equitably under the circumstances and with reference to officers with similar titles at companies within the Company’s industry; or
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(ii)
|
other circumstances that would constitute “constructive termination” under applicable employment law.
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(i)
|
the Company’s or the Guarantor’s breach of any material provision of this Agreement, after the Company or the Guarantor (as the case may be) has been given notice of such breach and a reasonable opportunity to cure such breach;
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(ii)
|
the occurrence of a Diminution of Responsibility;
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(iii)
|
the Employee’s receipt of a Non-Renewal Notice; or
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(iv)
|
the occurrence of a Non-Qualifying Change in Control Event.
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(i)
|
if a Notice is delivered in person, then upon delivery to the recipient’s address;
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(ii)
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if a Notice is sent by registered or certified U.S. Mail or nationally recognized overnight courier, three (3) business days after being mailed or delivered to such courier;
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(iii)
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if a Notice is sent by facsimile, upon receipt by the party giving the Notice of an acknowledgment or transmission report generated by the machine from which the facsimile was sent indicating that the facsimile was sent in its entirety to the Addressee’s facsimile number; or
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(iv)
|
if the Addressee rejects or otherwise refuses to accept the Notice, or if the Notice cannot be delivered because of a change in address for which no Notice was given, then upon the rejection, refusal or inability to deliver the Notice.
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(i)
|
the amount of expenses eligible for reimbursement, or in-kind benefits provided, during each calendar year cannot affect the expenses eligible for reimbursement, or in-kind benefits to be provided, in any other calendar year;
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(ii)
|
any reimbursement of an eligible expense shall be paid to the Employee on or before the last day of the calendar year following the calendar year in which the expense was incurred; and
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(iii)
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any right to reimbursements or in-kind benefits under this Agreement shall not be subject to liquidation or exchange for another benefit.
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Independence Holding Company
,
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Mr. David T. Kettig
,
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a Delaware limited liability company
|
an individual resident in the State of
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New York
|
|
By:
/s/ Roy T.K. Thung
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/s/ David T. Kettig
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Name: Mr. Roy T.K. Thung
|
|
Title: Chief Executive Officer and President
|
|
485 Madison Avenue, 14
th
Floor
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10 Byron Lane
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New York, New York 10022
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Larchmont, New York 10538
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Attn: General Counsel
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Telephone No.: (914) 552-1285
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Telephone No.: (212) 355-4141
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Facsimile No.: (212) 504-0894
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Standard Security Life Insurance Company of New York
,
|
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a New York corporation
|
|
|
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By:
/s/ Adam C. Vandervoort
|
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Name: Mr. Adam C. Vandervoort
|
|
Title: Senior Vice President
|
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485 Madison Avenue, 14
th
Floor
|
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New York, New York 10022
|
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Attn: General Counsel
|
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Telephone No.: (212) 355-4141
|
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Facsimile No.: (212) 504-0894
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A.
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The Employee is the Senior Vice President – Life and Annuities of the Guarantor and the President of the Company.
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B.
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The Company wishes to employ the Employee, and the Employee wishes to be employed by the Company, in the capacity and on the terms and conditions set forth herein.
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(i)
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the Employee’s refusal to perform the Duties, as the Duties exist as of the Date hereof (other than by reason of physical or mental illness, injury, or condition), after the Employee has been given notice by the Company of such default and a reasonable opportunity to cure same;
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(ii)
|
the Employee’s material failure to comply with applicable, material Company policies in effect as of the date hereof, after the Employee has been given notice of such failure and a reasonable opportunity to cure same;
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(iii)
|
the Employee’s breach of any of his obligations under Section 4 of this Agreement; or
|
(iv)
|
the Employee’s conviction of a felony or the Employee’s commission of any crime involving financial or accounting fraud upon the Company, its corporate affiliates or their respective clients or policyholders.
|
(i)
|
a material diminution in the Employee’s authority, duties and responsibilities or the assignation to the Employee of duties and responsibilities that are materially inconsistent with the Employee’s apparent authority or title with the Company or with the Guarantor, considered equitably under the circumstances and with reference to officers with similar titles at companies within the Company’s industry; or
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(ii)
|
other circumstances that would constitute “constructive termination” under applicable employment law.
|
(i)
|
the Company’s or the Guarantor’s breach of any material provision of this Agreement, after the Company or the Guarantor (as the case may be) has been given notice of such breach and a reasonable opportunity to cure such breach;
|
(ii)
|
the occurrence of a Diminution of Responsibility;
|
(iii)
|
the Employee’s receipt of a Non-Renewal Notice; or
|
(iv)
|
the occurrence of a Non-Qualifying Change in Control Event.
|
(i)
|
if a Notice is delivered in person, then upon delivery to the recipient’s address;
|
(ii)
|
if a Notice is sent by registered or certified U.S. Mail or nationally recognized overnight courier, three (3) business days after being mailed or delivered to such courier;
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(iii)
|
if a Notice is sent by facsimile, upon receipt by the party giving the Notice of an acknowledgment or transmission report generated by the machine from which the facsimile was sent indicating that the facsimile was sent in its entirety to the Addressee’s facsimile number; or
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(iv)
|
if the Addressee rejects or otherwise refuses to accept the Notice, or if the Notice cannot be delivered because of a change in address for which no Notice was given, then upon the rejection, refusal or inability to deliver the Notice.
|
(i)
|
the amount of expenses eligible for reimbursement, or in-kind benefits provided, during each calendar year cannot affect the expenses eligible for reimbursement, or in-kind benefits to be provided, in any other calendar year;
|
(ii)
|
any reimbursement of an eligible expense shall be paid to the Employee on or before the last day of the calendar year following the calendar year in which the expense was incurred; and
|
(iii)
|
any right to reimbursements or in-kind benefits under this Agreement shall not be subject to liquidation or exchange for another benefit.
|
Independence Holding Company
,
a Delaware limited liability company
By:
/s/ Roy T.K. Thung
Name: Mr. Roy T.K. Thung
Title: Chief Executive Officer and President
|
Mr. Larry R. Graber
,
an individual resident in the State of
Texas
/s/ Larry R. Graber
|
485 Madison Avenue, 14
th
Floor
New York, New York 10022
Attn: General Counsel
Telephone No.: (212) 355-4141
Facsimile No.: (212) 504-0894
|
8109 Crabtree Cove
Austin, Texas 78750
Telephone No.: (512) 576-2106
|
Madison National Life Insurance Company, Inc.
,
a Wisconsin corporation
By:
/s/ Adam C. Vandervoort
Name: Mr. Adam C. Vandervoort
Title: Secretary
|
|
485 Madison Avenue, 14
th
Floor
New York, New York 10022
Attn: General Counsel
Telephone No.: (212) 355-4141
Facsimile No.: (212) 504-0894
|
|
A.
|
The Guarantor, the Company and the Employee are parties to that certain Amended and Restated Employment Agreement, dated as of March 25, 2010 (the “
Prior Agreement
”), pursuant to which the Employee serves,
inter alia
, as Chief Marketing and Strategy Officer and Senior Vice President of the Guarantor and Chief Executive Officer and President of the Guarantor.
|
B.
|
The Company wishes to employ the Employee, and the Employee wishes to be employed by the Company, in the capacity and on the terms and conditions set forth herein.
|
(i)
|
the Employee’s refusal to perform the Duties, as the Duties exist as of the date hereof (other than by reason of physical or mental illness, injury, or condition), after the Employee has been given notice by the Company of such default and a reasonable opportunity to cure same;
|
(ii)
|
the Employee’s material failure to comply with applicable Company policies in effect as of the date hereof , after the Employee has been given notice of such failure and a reasonable opportunity to cure same;
|
(iii)
|
the Employee’s breach of any of his obligations under Section 4 of this Agreement; or
|
(iv)
|
the Employee’s conviction of a felony or the Employee’s commission of any crime involving financial or accounting fraud upon the Company, its corporate affiliates or their respective clients or policyholders.
|
(i)
|
a material diminution in the Employee’s authority, duties and responsibilities or the assignation to the Employee of duties and responsibilities that are materially inconsistent with the Employee’s apparent authority or title with the Company or with the Guarantor, considered equitably under the circumstances and with reference to officers with similar titles at companies within the Company’s industry; or
|
(ii)
|
other circumstances that would constitute “constructive termination” under applicable employment law.
|
(i)
|
the Company’s or the Guarantor’s breach of any material provision of this Agreement, after the Company or the Guarantor (as the case may be) has been given notice of such breach and a reasonable opportunity to cure such breach;
|
(ii)
|
the occurrence of a Diminution of Responsibility;
|
(iii)
|
the Employee’s receipt of a Non-Renewal Notice; or
|
(iv)
|
the occurrence of a Non-Qualifying Change in Control Event.
|
(i)
|
if a Notice is delivered in person, then upon delivery to the recipient’s address;
|
(ii)
|
if a Notice is sent by registered or certified U.S. Mail or nationally recognized overnight courier, three (3) business days after being mailed or delivered to such courier;
|
(iii)
|
if a Notice is sent by facsimile, upon receipt by the party giving the Notice of an acknowledgment or transmission report generated by the machine from which the facsimile was sent indicating that the facsimile was sent in its entirety to the Addressee’s facsimile number; or
|
(iv)
|
if the Addressee rejects or otherwise refuses to accept the Notice, or if the Notice cannot be delivered because of a change in address for which no Notice was given, then upon the rejection, refusal or inability to deliver the Notice.
|
(i)
|
the amount of expenses eligible for reimbursement, or in-kind benefits provided, during each calendar year cannot affect the expenses eligible for reimbursement, or in-kind benefits to be provided, in any other calendar year;
|
(ii)
|
any reimbursement of an eligible expense shall be paid to the Employee on or before the last day of the calendar year following the calendar year in which the expense was incurred; and
|
(iii)
|
any right to reimbursements or in-kind benefits under this Agreement shall not be subject to liquidation or exchange for another benefit.
|
|
A
.
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Underwriting Results
. Up to twenty-four percent (24%) of such base salary, calculated as follows: six thousand dollars ($6,000) per every one tenth of one percent (0.10%) of Underwriting Gain (as defined herein) above two and eight-tenths percent (2.8%). “Underwriting Gain” means, with respect to 2011, one hundred percent (100%) minus the loss ratio plus expenses (
i.e.
, the “combined ratio”) on IHC retained premium, after profit shares and applicable reinsurance adjustments and allowances, on fully insured medical (including dental and vision) policies insured or reinsured by Standard Security Life Insurance Company of New York, Madison National Life Insurance Company, Inc. and Independence American Insurance Company, expressed as a percentage;
provided
,
however
, that, should such Underwriting Gain equal or be less than two and eight-tenths percent (2.8%), the bonus derived from this Paragraph A shall be zero.
|
|
B.
|
FI Operating Results
. Up to twelve percent (12%) of such base salary, varying from zero to twelve percent in direct proportion to the total annual (for 2011) operating profits (excluding extraordinary, non-recurring items) of IHC Health Solutions, Inc. between one million two hundred thousand dollars ($1,200,000) and one million six hundred thousand dollars ($1,600,000). Any provision of this Paragraph B to the contrary notwithstanding, should such total annual (for 2011) operating profits (excluding extraordinary, non-recurring items) be less than one million two hundred thousand dollars ($1,200,000), the bonus derived from this Paragraph B shall be zero.
|
|
C
.
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Discretionary Portion
. Up to twelve percent (12%) of such base salary, based on such criteria as IHC may determine.
|
|
D
.
|
AMIC FI Operating Results
. An amount equal to four percent (4%) of total annual (for 2011) operating profits (excluding extraordinary, non-recurring items) of both (in aggregate) of (i) HealthInsurance.org, LLC and (ii) Independent Producers of America, LLC, in both cases in such amount as attributable to American Independence Corp. in respect of American Independence Corp.’s indirect equity ownership of such company,
provided
,
however
, that, (i) to the extent such aggregate exceeds one million dollars ($1,000,000) up to one million four hundred thousand dollars ($1,400,000) such percentage shall be five percent (5%) and (ii) to the extent such aggregate exceeds one million four hundred thousand dollars ($1,400,000), such percentage shall be six percent (6%)
|
A.
|
The Guarantor and the Employee are parties to that certain Amended and Restated Employment Agreement, dated as of March 25, 2010 (the “
Prior Agreement
”), pursuant to which the Employee serves,
inter alia
, as Chief Health Actuary and Senior Vice President of the Guarantor and Chief Executive Officer and President of the Company.
|
B.
|
The Company wishes to employ the Employee, and the Employee wishes to be employed by the Company, in the capacity and on the terms and conditions set forth herein.
|
(i)
|
the Employee’s refusal to perform the Duties, as the Duties exist as of the Date hereof (other than by reason of physical or mental illness, injury, or condition), after the Employee has been given notice by the Company of such default and a reasonable opportunity to cure same;
|
(ii)
|
the Employee’s material failure to comply with applicable, material Company policies in effect as of the date hereof, after the Employee has been given notice of such failure and a reasonable opportunity to cure same;
|
(iii)
|
the Employee’s breach of any of his obligations under Section 4 of this Agreement; or
|
(iv)
|
the Employee’s conviction of a felony or the Employee’s commission of any crime involving financial or accounting fraud upon the Company, its corporate affiliates or their respective clients or policyholders.
|
(i)
|
a material diminution in the Employee’s authority, duties and responsibilities or the assignation to the Employee of duties and responsibilities that are materially inconsistent with the Employee’s apparent authority or title with the Company or with the Guarantor, considered equitably under the circumstances and with reference to officers with similar titles at companies within the Company’s industry; or
|
(ii)
|
other circumstances that would constitute “constructive termination” under applicable employment law.
|
(i)
|
the Company’s or the Guarantor’s breach of any material provision of this Agreement, after the Company or the Guarantor (as the case may be) has been given notice of such breach and a reasonable opportunity to cure such breach;
|
(ii)
|
the occurrence of a Diminution of Responsibility;
|
(iii)
|
the Employee’s receipt of a Non-Renewal Notice; or
|
(iv)
|
the occurrence of a Non-Qualifying Change in Control Event.
|
(i)
|
if a Notice is delivered in person, then upon delivery to the recipient’s address;
|
(ii)
|
if a Notice is sent by registered or certified U.S. Mail or nationally recognized overnight courier, three (3) business days after being mailed or delivered to such courier;
|
(iii)
|
if a Notice is sent by facsimile, upon receipt by the party giving the Notice of an acknowledgment or transmission report generated by the machine from which the facsimile was sent indicating that the facsimile was sent in its entirety to the Addressee’s facsimile number; or
|
(iv)
|
if the Addressee rejects or otherwise refuses to accept the Notice, or if the Notice cannot be delivered because of a change in address for which no Notice was given, then upon the rejection, refusal or inability to deliver the Notice.
|
(i)
|
the amount of expenses eligible for reimbursement, or in-kind benefits provided, during each calendar year cannot affect the expenses eligible for reimbursement, or in-kind benefits to be provided, in any other calendar year;
|
(ii)
|
any reimbursement of an eligible expense shall be paid to the Employee on or before the last day of the calendar year following the calendar year in which the expense was incurred; and
|
(iii)
|
any right to reimbursements or in-kind benefits under this Agreement shall not be subject to liquidation or exchange for another benefit.
|
A.
|
The Employee is the Chief Financial Officer and Senior Vice President of the Company.
|
B.
|
The Company wishes to employ the Employee, and the Employee wishes to be employed by the Company, in the capacity and on the terms and conditions set forth herein.
|
(i)
|
the Employee’s refusal to perform the Duties, as the Duties exist as of the Date hereof (other than by reason of physical or mental illness, injury, or condition), after the Employee has been given notice by the Company of such default and a reasonable opportunity to cure same;
|
(ii)
|
the Employee’s material failure to comply with applicable, material Company policies in effect as of the date hereof, after the Employee has been given notice of such failure and a reasonable opportunity to cure same;
|
(iii)
|
the Employee’s breach of any of her obligations under Section 4 of this Agreement; or
|
(iv)
|
the Employee’s conviction of a felony or the Employee’s commission of any crime involving financial or accounting fraud upon the Company, its corporate affiliates or their respective clients or policyholders.
|
(i)
|
a material diminution in the Employee’s authority, duties and responsibilities or the assignation to the Employee of duties and responsibilities that are materially inconsistent with the Employee’s apparent authority or title with the Company, considered equitably under the circumstances and with reference to officers with similar titles at companies within the Company’s industry; or
|
(ii)
|
other circumstances that would constitute “constructive termination” under applicable employment law.
|
(i)
|
the Company’s breach of any material provision of this Agreement, after the Company has been given notice of such breach and a reasonable opportunity to cure such breach;
|
(ii)
|
the occurrence of a Diminution of Responsibility;
|
(iii)
|
the Employee’s receipt of a Non-Renewal Notice; or
|
(iv)
|
the occurrence of a Non-Qualifying Change in Control Event.
|
(i)
|
if a Notice is delivered in person, then upon delivery to the recipient’s address;
|
(ii)
|
if a Notice is sent by registered or certified U.S. Mail or nationally recognized overnight courier, three (3) business days after being mailed or delivered to such courier;
|
(iii)
|
if a Notice is sent by facsimile, upon receipt by the party giving the Notice of an acknowledgment or transmission report generated by the machine from which the facsimile was sent indicating that the facsimile was sent in its entirety to the Addressee’s facsimile number; or
|
(iv)
|
if the Addressee rejects or otherwise refuses to accept the Notice, or if the Notice cannot be delivered because of a change in address for which no Notice was given, then upon the rejection, refusal or inability to deliver the Notice.
|
(i)
|
the amount of expenses eligible for reimbursement, or in-kind benefits provided, during each calendar year cannot affect the expenses eligible for reimbursement, or in-kind benefits to be provided, in any other calendar year;
|
(ii)
|
any reimbursement of an eligible expense shall be paid to the Employee on or before the last day of the calendar year following the calendar year in which the expense was incurred; and
|
(iii)
|
any right to reimbursements or in-kind benefits under this Agreement shall not be subject to liquidation or exchange for another benefit.
|
Independence Holding Company
,
a Delaware limited liability company
By:
/s/ Roy T.K. Thung
Name: Mr. Roy T.K. Thung
Title: Chief Executive Officer and President
|
Ms. Teresa A. Herbert
,
an individual resident in the State of
New York
/s/ Teresa A. Herbert
|
485 Madison Avenue, 14
th
Floor
New York, New York 10022
Attn: General Counsel
Telephone No.: (212) 355-4141
Facsimile No.: (212) 504-0894
|
112 North Hampton Drive
White Plains, New York 10603
Telephone No.: (914) 536-5802
|