UICI·5

Feb 10, 12:02 PM ET

UICI 5

5 · UICI · Filed Feb 10, 2005

Insider Transaction Report

Form 5
Period: 2004-12-31
UICIUCI
HAUPTMAN MARK D
Vice President and CFO
Transactions
  • Other

    Common Stock

    2004-12-31+840.30117,443.294 total(indirect: By Trust)
Holdings
  • Common Stock

    13,928
  • Stock Option

    Exercise: $6.63From: 2001-03-10Exp: 2005-04-09Common Stock (1,000 underlying)
    1,000
  • Stock Option

    Exercise: $11.40From: 2002-12-08Exp: 2007-01-07Common Stock (5,000 underlying)
    5,000
  • Stock Option

    Exercise: $11.50From: 2004-02-12Exp: 2008-03-13Common Stock (10,000 underlying)
    10,000
Footnotes (4)
  • [F1]Acquisition of 200 shares reported in May 2004 was erroneously reported as indirect ownership. Adjusted to move indirect ownership of the 200 shares to direct ownership. No change in beneficial ownership reported.
  • [F2]*J - Participant and Company Ongoing Contributions to 401(k)/ESOP during 2004 Plan Year
  • [F3]Various prices depending on market price upon purchase by Trustee during Plan Year
  • [F4]Options vest 20% per year over a five-year period

Documents

2 files
  • 5
    doc5.xmlPrimary

    FORM 5 SUBMISSION

  • EX-24.5_72284

    POA DOCUMENT