Document:

Long Term Incentive Plan

 Exhibit 10.4 
 HEALTH INSURANCE INNOVATIONS, INC. 
 LONG TERM INCENTIVE PLAN

 Section 1. Purpose. The purpose of the Health Insurance Innovations, Inc. Long Term Incentive Plan
(the “Plan”) is to motivate and reward those executives and other individuals who are expected to contribute significantly to the success of Health Insurance Innovations, Inc. (the “Company”) and its Affiliates to
perform at the highest level and to further the best interests of the Company and its shareholders. Capitalized terms used herein shall have the respective meanings set forth in Section 19. 

Section 2. Eligibility.  
 (a) Any employee, Non-Employee Director, consultant or other advisor of, or any other individual who provides services to, the Company or any Affiliate shall be eligible to be selected to receive
an Award under the Plan. 
 (b) Holders of equity compensation awards granted by a company acquired by the Company (or
whose business is acquired by the Company) or with which the Company combines are eligible for grants of Replacement Awards under the Plan. 
 Section 3. Administration.  
 (a) The Plan shall be
administered by the Committee. The Committee shall be appointed by the Board and shall consist of not less than three directors of the Board. To the extent necessary to comply with applicable regulatory regimes, any action by the Committee shall
require the approval of Committee members who are (i) independent, within the meaning of and to the extent required by applicable rulings and interpretations of the principal stock market or exchange on which the Shares are quoted or traded;
(ii) each a non-employee director within the meaning of Rule 16b-3 under the Exchange Act; and (iii) each an outside director within the meaning of Section 162(m) of the Code. The Board may designate one or more directors as a
subcommittee who may act for the Committee if necessary to satisfy the requirements of this Section. To the extent permitted by applicable law, the Committee may delegate to one or more officers of the Company the authority to grant Awards, except
that such delegation shall not be applicable to any Award for a person then covered by Section 16 of the Exchange Act or for a Non-Employee Director. The Committee may issue rules and regulations for administration of the Plan. It shall meet at
such times and places as it may determine. For the purposes of this Section 3(a), “officer” means an executive of the Company who is elected to his or her position by the Board. 

 (b) Subject to the terms of the Plan and applicable law, the Committee (or its
delegate) shall have full power and authority to: (i) designate Participants; (ii) determine the type or types of Awards (including Replacement Awards) to be granted to each Participant under the Plan; (iii) determine the number of
Shares to be covered by (or with respect to which payments, rights or other matters are to be calculated in connection with) Awards; (iv) determine the terms and conditions of any Award; (v) determine whether, to what extent and under what
circumstances Awards may be settled or exercised in cash, Shares, other Awards, other property, net settlement or any combination thereof, or canceled, forfeited or suspended, and the method or methods by which Awards may be settled, exercised,
canceled, forfeited or suspended; (vi) determine whether, to what extent and under what circumstances cash, Shares, other Awards, other property and other amounts payable with respect to an Award under the Plan shall be deferred either
automatically or at the election of the holder thereof or of the Committee; (vii) interpret and administer the Plan and any instrument or agreement relating to, or Award made under, the Plan; (viii) establish, amend, suspend or waive such
rules and regulations and appoint such agents as it shall deem appropriate for the proper administration of the Plan; and (ix) make any other determination and take any other action that the Committee deems necessary or desirable for the
administration of the Plan. 
 (c) All decisions of the Committee shall be final, conclusive and binding upon all
parties, including the Company, its shareholders and Participants and any Beneficiaries thereof. 
 Section 4.
Shares Available for Awards.  
 (a) Subject to adjustment as provided in Section 4(b), (i) the maximum
number of Shares available for issuance under the Plan shall not exceed 1,250,000 Shares and (ii) no Participant may receive under the Plan in any calendar year (A) Options and SARs that relate to more than 200,000 Shares or (B) if
and to the extent that any such Awards are intended to constitute Section 162(m) Compensation and denominated in Shares, Restricted Stock, RSUs, Performance Awards or Other Stock-Based Awards that relate to more than 525,000 Shares. Shares
underlying Replacement Awards and Shares remaining available for grant under a plan of an acquired company or of a company with which the Company combines, appropriately adjusted to reflect the acquisition or combination transaction, shall not
reduce the number of Shares remaining available for grant hereunder. The maximum number of Shares available for issuance under Incentive Stock Options shall be 600,000 and shall not be increased by operation of Section 4(b). 

(b) Any Shares subject to an Award (other than a Replacement Award and any Award granted out of the authorized shares of an
acquired plan), that expires, is canceled, forfeited or otherwise terminates without the delivery of such Shares, including (i) the number of Shares surrendered or withheld in 

  
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payment of any grant, acquisition, exercise or hurdle price of such Award or award or taxes related to such Award or award and (ii) any Shares subject to such Award or award to the extent
that Award or award is settled without the issuance of Shares, shall again be, or shall become, available for issuance under the Plan 
 (c) In the event that, as a result of any dividend or other distribution (whether in the form of cash, Shares or other securities), recapitalization, stock split, reverse stock split,
reorganization, merger, consolidation, split-up, spin-off, combination, repurchase or exchange of Shares or other securities of the Company, issuance of warrants or other rights to acquire Shares or other securities of the Company, issuance of
Shares pursuant to the anti-dilution provisions of securities of the Company, or other similar corporate transaction or event affecting the Shares, an adjustment is necessary in order to prevent dilution or enlargement of the benefits or potential
benefits intended to be made available under the Plan, then the Committee, in its discretion, shall adjust equitably any or all of: 
 (i) the number and type of Shares (or other securities) which thereafter may be made the subject of Awards, including the aggregate and individual limits specified in Section 4(a); 

(ii) the number and type of Shares (or other securities) subject to outstanding Awards; and 

(iii) the grant, acquisition, exercise or hurdle price with respect to any Award or, if deemed appropriate, make
provision for a cash payment to the holder of an outstanding Award; 
 provided, however, that the number of Shares subject to any Award
denominated in Shares shall always be a whole number. 
 (d) Any Shares delivered pursuant to an Award may consist, in
whole or in part, of authorized and unissued Shares or Shares acquired by the Company. 
 Section 5. Options.
The Committee is authorized to grant Options to Participants with the following terms and conditions and with such additional terms and conditions, in either case not inconsistent with the provisions of the Plan, as the Committee shall
determine. 
 (a) The exercise price per Share under an Option shall be determined by the Committee; provided,
however, that, except to the extent provided in Section 4(c) or in the case of Replacement Awards, such exercise price shall not be less than the Fair Market Value of a Share on the date of grant of such Option. The Committee shall not
lower the exercise price of an outstanding Option except to the extent permitted in Section 4(c) or as provided in Section 12(b). 

  
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 (b) The term of each Option shall be fixed by the Committee but shall not exceed 10
years from the date of grant of such Option. 
 (c) The Committee shall determine at the time of grant the time or times
at which an Option may be exercised in whole or in part. 
 (d) The Committee shall determine the method or methods by
which, and the form or forms, including cash, Shares, other Awards, other property, net settlement or any combination thereof, having a Fair Market Value on the exercise date equal to the relevant exercise price, in which payment of the exercise
price with respect thereto may be made or deemed to have been made. 
 (e) The terms of any Incentive Stock Option
granted under the Plan shall comply in all respects with the provisions of Section 422 of the Code. 

Section 6. Stock Appreciation Rights. The Committee is authorized to grant SARs to Participants with the following
terms and conditions and with such additional terms and conditions, in either case not inconsistent with the provisions of the Plan, as the Committee shall determine. 
 (a) SARs may be granted under the Plan to Participants either alone (“freestanding”) or in addition to other Awards granted under the Plan (“tandem”) and may, but need not,
relate to a specific Option granted under Section 5. 
 (b) The exercise or hurdle price per Share under a SAR shall
be determined by the Committee; provided, however, that, except to the extent provided in Section 4(c) or in the case of Replacement Awards, such exercise or hurdle price shall not be less than the Fair Market Value of a Share on the
date of grant of such SAR (or if granted in connection with an Option, on the grant date of such Option). The Committee shall not lower the exercise or hurdle price of an outstanding SAR except to the extent permitted in Section 4(c) or as
provided in Section 12(b). 
 (c) The term of each SAR shall be fixed by the Committee but shall not exceed 10 years
from the date of grant of such SAR. 
 (d) The Committee shall determine at the time of grant the time or times at which
a SAR may be exercised or settled in whole or in part. 
 (e) The Committee shall determine the method or methods by
which, and the form or forms, including cash, Shares, other Awards, other property, net settlement or any combination thereof, in which payment of the amount owing upon exercise or settlement of an SAR may be made. 

Section 7. Restricted Stock and RSUs. The Committee is authorized to grant Awards of Restricted Stock and RSUs to
Participants with the following 

  
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terms and conditions and with such additional terms and conditions, in either case not inconsistent with the provisions of the Plan, as the Committee shall determine. 

(a) Shares of Restricted Stock and RSUs shall be subject to such restrictions as the Committee may impose; provided,
however, shares of Restricted Stock issued hereunder shall have voting rights. If the Restricted Stock Award relates to Shares on which dividends are declared during the period that the Award is outstanding, such dividends shall be paid to
the Participant at the time that the portion of the Award to which dividends or other distributions relate vests and becomes non-forfeitable. Unless otherwise elected by the Participant, the Award shall be paid out no later than March 15th of
the year following the date of vesting. 
 (b) Any share of Restricted Stock granted under the Plan may be evidenced in
such manner as the Committee may deem appropriate, including book-entry registration or issuance of a stock certificate or certificates. In the event any stock certificate is issued in respect of shares of Restricted Stock granted under the Plan,
such certificate shall be registered in the name of the Participant and shall bear an appropriate legend referring to the terms, conditions and restrictions applicable to such Restricted Stock. 

(c) If and to the extent that the Committee intends that an Award granted under this Section 7 shall constitute or give rise
to Section 162(m) Compensation, such Award may be structured in accordance with the requirements of Section 8, including the performance criteria and the Award limitation set forth therein, and any such Award shall be considered a
Performance Award for purposes of the Plan. 
 (d) The Committee may provide in an Award Document that an Award of
Restricted Stock is conditioned upon the Participant making or refraining from making an election with respect to the Award under Section 83(b) of the Code. If a Participant makes an election pursuant to Section 83(b) of the Code with
respect to an Award of Restricted Stock, the Participant shall be required to file promptly a copy of such election with the Company. 
 (e) The Committee may determine the form or forms (including cash, Shares, other Awards, other property or any combination thereof) in which payment of the amount owing upon settlement of any RSU
Award may be made. 
 Section 8. Performance Awards. The Committee is authorized to grant Performance Awards
to Participants with the following terms and conditions and with such additional terms and conditions, in either case not inconsistent with the provisions of the Plan, as the Committee shall determine. 

(a) Performance Awards may be denominated as a cash amount, a number of Shares or a combination thereof and are Awards which may
be earned 

  
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upon achievement or satisfaction of performance conditions specified by the Committee. In addition, the Committee may specify that any other Award shall constitute a Performance Award by
conditioning the right of a Participant to exercise the Award or have it settled, and the timing thereof, upon achievement or satisfaction of such performance conditions as may be specified by the Committee. The Committee may use such business
criteria and other measures of performance as it may deem appropriate in establishing any performance conditions. Subject to the terms of the Plan, the performance goals to be achieved during any Performance Period, the length of any Performance
Period, the amount of any Performance Award granted and the amount of any payment or transfer to be made pursuant to any Performance Award shall be determined by the Committee. If the Performance Award relates to Shares on which dividends are
declared during the Performance Period, the Performance Award shall not provide for the payment of such dividend (or dividend equivalent) to the Participant prior to the time at which such Performance Award, or the applicable portion thereof, is
earned. 
 (b) Every Performance Award shall, if the Committee intends that such Award should constitute
Section 162(m) Compensation, include a pre-established formula, such that payment, retention or vesting of the Award is subject to the achievement during a Performance Period or Performance Periods, as determined by the Committee, of a level or
levels of, or increases in, in each case as determined by the Committee, one or more of the following performance measures with respect to the Company or any Subsidiary or business unit thereof: overhead costs, general and administration expense,
market price of a Share, market price appreciation of Share value, cash flow, reserve value, net asset value, firm value, economic value added, earnings, earnings per Share, total shareholder return, net income, operating income, cash from
operations, increases in hospital indemnity plans in force, improvements in capital structure, revenue growth, margin, pre-tax income, EBIT (earnings before interest and taxes), EBITDA (earnings before interest, taxes, depreciation and
amortization), net capital employed, return on assets, stockholder return, reserve replacement, return on equity, return on capital, production, assets, asset turnover, inventory turnover, unit volume, sales, sales growth, capacity utilization,
market share, increase in customer base, environmental health and safety, diversity, quality, or strategic business criteria. Performance criteria may be measured on an absolute (e.g., plan or budget) or relative basis. Relative performance
may be measured against a group of peer companies, a financial market index or other acceptable objective and quantifiable indices. Except in the case of an award intended to qualify as Section 162(m) Compensation, if the Committee determines
that a change in the business, operations, corporate structure or capital structure of the Company, or the manner in which the Company conducts its business, or other events or circumstances render the performance objectives unsuitable, the
Committee may modify the performance objectives or the related minimum acceptable level of achievement, in whole or in part, as the Committee deems appropriate and 

  
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equitable. Performance measures may vary from Performance Award to Performance Award, and from Participant to Participant, and may be established on a stand-alone basis, in tandem or in the
alternative. The performance goals for the Performance Period must be established, in writing, no later than the lesser of either ninety (90) or the number of days equal to 25 percent of the Performance Period after the commencement of the
Performance Period. Except as otherwise permitted by Section 162(m) of the Code, the minimum level at which a Participant will earn any performance-based compensation, the level at which a Participant will earn the maximum performance-based
compensation and the interpolation guidelines for calculating payments within that range must be established by the Committee, in writing, no later than the lesser of either ninety (90) days or the number of days equal to 25 percent of the
Performance Period after the commencement of the Performance Period. The Committee shall have the power to impose such other restrictions on Awards subject to this Section 8(b) as it may deem necessary or appropriate to ensure that such Awards
satisfy all requirements for Section 162(m) Compensation. The maximum amount of any Performance Award denominated in cash that is intended to constitute Section 162(m) Compensation that may be earned in any calendar year shall not exceed
$2,000,000. 
 (c) Settlement of Performance Awards; Committee Certification; Other Terms. Settlement of
Performance Awards shall be in cash, Shares, other Awards, other property, net settlement or any combination thereof, in the discretion of the Committee. Performance Awards will be settled only after the end of the relevant Performance Period. The
Committee may, in its discretion, increase or reduce the amount of a settlement otherwise to be made in connection with a Performance Award but may not exercise discretion to increase any amount payable to a Covered Employee in respect of a
Performance Award intended to qualify as Section 162(m) Compensation. As soon as reasonably practicable after the end of each Performance Period, and prior to the payment of any Section 162(m) Compensation to a Participant, the Committee
shall certify, in writing, that the performance goals for such Performance Period were satisfied. Any settlement that changes the form of payment from that originally specified shall be implemented in a manner such that the Performance Award and
other related Awards do not, solely for that reason, fail to qualify as Section 162(m) Compensation. 

Section 9. Other Share-Based Awards. The Committee is authorized, subject to limitations under applicable law, to
grant to Participants such other Awards that may be denominated or payable in, valued in whole or in part by reference to, or otherwise based on, or related to, Shares or factors that may influence the value of Shares, including convertible or
exchangeable debt securities, other rights convertible or exchangeable into Shares, acquisition rights for Shares, Awards with value and payment contingent upon performance of the Company or business units thereof or any other factors designated by
the 

  
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Committee. The Committee shall determine the terms and conditions of such Awards. Shares delivered pursuant to an Award in the nature of an acquisition right granted under this Section 9
shall be acquired for such consideration, paid for at such times, by such methods and in such forms, including cash, Shares, other Awards, other property or any combination thereof, as the Committee shall determine; provided that the
acquisition price therefor shall not be less than the Fair Market Value of such Shares on the date of grant of such right. 

Section 10. Effect of Termination of Service or a Change in Control on Awards. 

(a) The Committee may provide, by rule or regulation or in any Award Document, or may determine in any individual case, the
circumstances in which, and the extent to which, an Award may be exercised, settled, vested, paid or forfeited in the event of a Participant’s Termination of Service prior to the end of a Performance Period or the vesting, exercise or
settlement of such Award. 
 (b) In the event that a Participant’s employment or service is terminated by the
Company other than for Cause or, to the extent provided in the Participant’s employment agreement, if any, the Participant terminates employment for Good Reason, in either case during the 24-month period beginning on the date of a Change in
Control, (i) Options and Stock Appreciation Rights granted to such Participant which are not yet exercisable shall become fully exercisable; (ii) any restrictions applicable to any RSUs or Restricted Stock awarded to such Participant shall
lapse; and (iii) any restrictions applicable to Performance Awards shall lapse and such performance Awards shall be deemed to have been satisfied at target. 
 Section 11. General Provisions Applicable to Awards. 
 (a)
Awards shall be granted for no cash consideration or for such minimal cash consideration as may be required by applicable law. 
 (b) Awards may, in the discretion of the Committee, be granted either alone or in addition to or in tandem with any other Award or any award granted under any other plan of the Company. Awards
granted in addition to or in tandem with other Awards, or in addition to or in tandem with awards granted under any other plan of the Company, may be granted either at the same time as or at a different time from the grant of such other Awards or
awards. 
 (c) Subject to the terms of the Plan, payments or transfers to be made by the Company upon the grant, exercise
or settlement of an Award may be made in the form of cash, Shares, other Awards, other property, net settlement or any combination thereof, as determined by the Committee in its discretion, and may be made in a single payment or transfer, in
installments or on a deferred basis, in each case in accordance with rules and procedures established by the Committee. 

  
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Such rules and procedures may include provisions for the payment or crediting of reasonable interest on installment or deferred payments or the grant or crediting of dividend equivalents in
respect of installment or deferred payments. 
 (d) Except as may be permitted by the Committee or as specifically
provided in an Award Document, (i) no Award and no right under any Award shall be assignable, alienable, saleable or transferable by a Participant otherwise than by will or pursuant to Section 11(d) and (ii) during a
Participant’s lifetime, each Award, and each right under any Award, shall be exercisable only by the Participant or, if permissible under applicable law, by the Participant’s guardian or legal representative; provided, however, that
the Committee shall not permit, and an Award Document shall not provide for, any Award to be transferred or transferable to a third party for value or consideration without the approval of the Company’s shareholders. The provisions of this
Section 11(d) shall not apply to any Award that has been fully exercised or settled, as the case may be, and shall not preclude forfeiture of an Award in accordance with the terms thereof. 

(e) A Participant may designate a Beneficiary or change a previous Beneficiary designation at such times prescribed by the
Committee by using forms and following procedures approved or accepted by the Committee for that purpose. 
 (f) All
certificates for Shares and/or other securities delivered under the Plan pursuant to any Award or the exercise thereof shall be subject to such stop transfer orders and other restrictions as the Committee may deem advisable under the Plan or the
rules, regulations and other requirements of the Securities and Exchange Commission, any stock market or exchange upon which such Shares or other securities are then quoted, traded or listed, and any applicable securities laws, and the Committee may
cause a legend or legends to be put on any such certificates to make appropriate reference to such restrictions. 
 (g)
The Committee may specify in an Award Document that the Participant’s rights, payments and benefits with respect to an Award shall be subject to reduction, cancellation, forfeiture or recoupment upon the occurrence of certain specified
events, in addition to any otherwise applicable vesting or performance conditions of an Award. Such events may include a Termination of Service with or without Cause (and, in the case of any Cause that is resulting from an indictment or other
non-final determination, the Committee may provide for such Award to be held in escrow or abeyance until a final resolution of the matters related to such event occurs, at which time the Award shall either be reduced, cancelled or forfeited (as
provided in such Award Document) or remain in effect, depending on the outcome), violation of material policies, breach of noncompetition, confidentiality or other restrictive covenants that may apply to the Participant, or other conduct by the
Participant that is detrimental to the business or reputation of the Company and/or its Affiliates. 

  
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 (h) If the Company is required to prepare an accounting restatement due to the
material noncompliance of the Company, as a result of misconduct, with any financial reporting requirement under the securities laws, and if the Participant knowingly or grossly negligently engaged in the misconduct, or knowingly or grossly
negligently failed to prevent the misconduct, or if the Participant is one of the individuals subject to automatic forfeiture under Section 304 of the United States Sarbanes-Oxley Act of 2002 (and not otherwise exempted), the Participant shall
reimburse the Company the amount of any payment in settlement of any Award earned or accrued during the twelve-month period following the first public issuance or filing with the United States Securities and Exchange Commission (whichever first
occurred) of the financial document not in compliance with such financial reporting requirement. Rights, payments and benefits under any Award shall be subject to repayment to or recoupment (clawback) by the Company in accordance with such policies
and procedures as the Committee or Board may adopt from time to time, including policies and procedures to implement applicable law (including, but not limited to, Section 954 of the Dodd-Frank Act), stock market or exchange rules and
regulations or accounting or tax rules and regulations. 
 Section 12. Amendments and Termination.

 (a) Except to the extent prohibited by applicable law and unless otherwise expressly provided in an
Award Document or in the Plan, the Board may amend, alter, suspend, discontinue or terminate the Plan or any portion thereof at any time; provided, however, that no such amendment, alteration, suspension, discontinuation or termination
shall be made without (i) shareholder approval, if such approval is required by applicable law or the rules of the stock market or exchange, if any, on which the Shares are principally quoted or traded or (ii) the consent of the affected
Participant, if such action would materially adversely affect the rights of such Participant under any outstanding Award, except to the extent any such amendment, alteration, suspension, discontinuance or termination is made to cause the Plan to
comply with applicable law, stock market or exchange rules and regulations or accounting or tax rules and regulations. Notwithstanding anything to the contrary in the Plan, the Committee may amend the Plan in such manner as may be necessary to
enable the Plan to achieve its stated purposes in any jurisdiction in a tax-efficient manner and in compliance with local laws, rules and regulations. 
 (b) The Committee may waive any conditions or rights under, amend any terms of, or amend, alter, suspend, discontinue or terminate any Award theretofore granted, prospectively or retroactively,
without the consent of any relevant Participant or holder or Beneficiary of an Award; provided, however, that no such action shall materially adversely affect the rights of any affected Participant or holder or Beneficiary under any Award
theretofore granted under the Plan, except to the extent any such action is made to cause the Plan to comply 

  
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with applicable law, stock market or exchange rules and regulations or accounting or tax rules and regulations; provided further that, except as provided in Section 4(c), the
Committee shall not without the approval of the Company’s shareholders (a) lower the exercise price per Share of an Option or SAR after it is granted or take any other action that would be treated as a repricing of such Award under the
rules of the principal stock market or exchange on which the Company’s Shares are quoted or traded, or (b) cancel an Option or SAR when the exercise price per Share exceeds the Fair Market Value in exchange for cash or another Award (other
than in connection with a Change in Control); and provided further, that the Committee’s authority under this Section 12(b) is limited by the provisions of Section 11(d) and, in the case of Awards subject to Section 8(b),
as provided in Section 8(b). 
 (c) Except as provided in Section 8(b), the Committee shall be authorized to
make adjustments in the terms and conditions of, and the criteria included in, Awards in recognition of events (including the events described in Section 4(b)) affecting the Company, or the financial statements of the Company, or of changes in
applicable law, stock market or exchange rules and regulations or accounting or tax rules and regulations, whenever the Committee determines that such adjustments are appropriate in order to prevent dilution or enlargement of the benefits or
potential benefits intended to be made available under the Plan. 
 (d) The Committee may correct any defect, supply any
omission or reconcile any inconsistency in the Plan or any Award in the manner and to the extent it shall deem desirable to carry the Plan into effect. 
 Section 13. Miscellaneous.  
 (a) No employee,
Participant or other person shall have any claim to be granted any Award under the Plan, and there is no obligation for uniformity of treatment of employees, Participants or holders or Beneficiaries of Awards under the Plan. The terms and conditions
of Awards need not be the same with respect to each recipient. Any Award granted under the Plan shall be a one-time Award that does not constitute a promise of future grants. The Company, in its sole discretion, maintains the right to make available
future grants under the Plan. 
 (b) The grant of an Award shall not be construed as giving a Participant the right to be
retained in the employ of, or to continue to provide services to, the Company or any Affiliate. Further, the Company or the applicable Affiliate may at any time dismiss a Participant, free from any liability, or any claim under the Plan, unless
otherwise expressly provided in the Plan or in any Award Document or in any other agreement binding the parties. The receipt of any Award under the Plan is not intended to confer any rights on the receiving Participant except as set forth in the
applicable Award Document. 

  
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 (c) Nothing contained in the Plan shall prevent the Company from adopting or
continuing in effect other or additional compensation arrangements, and such arrangements may be either generally applicable or applicable only in specific cases. 
 (d) The Company shall be authorized to withhold from any Award granted or any payment due or transfer made under any Award or under the Plan or from any compensation or other amount owing to a
Participant the amount (in cash, Shares, other Awards, other property, net settlement or any combination thereof) of applicable withholding taxes due in respect of an Award, its exercise or settlement or any payment or transfer under such Award or
under the Plan and to take such other action (including providing for elective payment of such amounts in cash or Shares by the Participant) as may be necessary in the opinion of the Company to satisfy all obligations for the payment of such taxes.

 (e) If any provision of the Plan or any Award Document is or becomes or is deemed to be invalid, illegal or
unenforceable in any jurisdiction, or as to any person or Award, or would disqualify the Plan or any Award under any law deemed applicable by the Committee, such provision shall be construed or deemed amended to conform to applicable laws, or if it
cannot be so construed or deemed amended without, in the determination of the Committee, materially altering the intent of the Plan or the Award Document, such provision shall be stricken as to such jurisdiction, person or Award, and the remainder
of the Plan and any such Award Document shall remain in full force and effect. 
 (f) Neither the Plan nor any Award
shall create or be construed to create a trust or separate fund of any kind or a fiduciary relationship between the Company and a Participant or any other person. To the extent that any person acquires a right to receive payments from the Company
pursuant to an Award, such right shall be no greater than the right of any unsecured general creditor of the Company. 
 (g)
No fractional Shares shall be issued or delivered pursuant to the Plan or any Award, and the Committee shall determine whether cash or other securities shall be paid or transferred in lieu of any fractional Shares, or whether such fractional
Shares or any rights thereto shall be canceled, terminated or otherwise eliminated. 
 (h) Awards may be granted to
Participants who are non-United States nationals or employed or providing services outside the United States, or both, on such terms and conditions different from those applicable to Awards to Participants who are employed or providing services in
the United States as may, in the judgment of the Committee, be necessary or desirable to recognize differences in local law, tax policy or custom. The Committee also may impose conditions on the exercise or vesting of Awards in order to minimize the

  
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Company’s obligation with respect to tax equalization for Participants on assignments outside their home country. 
 (i) The Company shall take responsibility for the information set out in the Plan. 
 Section 14. Effective Date of the Plan. The Plan shall be effective as of the Effective Date. 
 Section 15. Term of the Plan. No Award shall be granted under the Plan after the earliest to occur of (i) the ten-year anniversary of the Effective Date, (ii) the maximum
number of Shares available for issuance under the Plan have been issued or (iii) the Board terminates the Plan in accordance with Section 12(a). However, unless otherwise expressly provided in the Plan or in an applicable Award Document,
any Award theretofore granted may extend beyond such date, and the authority of the Committee to amend, alter, adjust, suspend, discontinue or terminate any such Award, or to waive any conditions or rights under any such Award, and the authority of
the Board to amend the Plan, shall extend beyond such date. 
 Section 16. Section 409A of the Code.
With respect to Awards subject to Section 409A of the Code, the Plan is intended to comply with the requirements of Section 409A of the Code, and the provisions of the Plan and any Award Document shall be interpreted in a manner that
satisfies the requirements of Section 409A of the Code, and the Plan shall be operated accordingly. If any provision of the Plan or any term or condition of any Award would otherwise frustrate or conflict with this intent, the provision, term
or condition will be interpreted and deemed amended so as to avoid this conflict. If an amount payable under an Award as a result of the Participant’s Termination of Service (other than due to death) occurring while the Participant is a
“specified employee” under Section 409A of the Code constitutes a deferral of compensation subject to Section 409A of the Code, then payment of such amount shall not occur until six months and one day after the date of the
Participant’s Termination of Service, except as permitted under Section 409A of the Code. Notwithstanding the foregoing, the tax treatment of the benefits provided under the Plan or any Award Document is not warranted or guaranteed.

 Section 17. Data Protection. By participating in the Plan, the Participant consents to the holding and
processing of personal information provided by the Participant to the Company or any Affiliate, trustee or third party service provider, for all purposes relating to the operation of the Plan. These include, but are not limited to: 

(i) administering and maintaining Participant records; 
 (ii) providing information to the Company, Affiliates, trustees of any 

  
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employee benefit trust, registrars, brokers or third party administrators of the Plan; 
 (iii) providing information to future purchasers or merger partners of the Company or any Affiliate, or the business in which the Participant works; and 

(iv) transferring information about the Participant to any country or territory that may not provide the same protection for the
information as the Participant’s home country. 
 Section 18. Governing Law. The Plan and each Award
Document shall be governed by the laws of the state of Florida, without application of the conflicts of law principles thereof. 

Section 19. Definitions. As used in the Plan, the following terms shall have the meanings set forth below: 

(a) “Affiliate” means (i) any entity that, directly or indirectly, is controlled by the Company and
(ii) any entity in which the Company, directly or indirectly, has a significant equity interest, in each case as determined by the Committee. 
 (b) “Award” means any Option, SAR, Restricted Stock, RSU, Performance Award or Other Stock-Based Award granted under the Plan. 

(c) “Award Document” means any agreement, contract or other instrument or document, which may be in electronic
format, evidencing any Award granted under the Plan, which may, but need not, be executed or acknowledged by a Participant. 

(d) “Beneficiary” means a person entitled to receive payments or other benefits or exercise rights that are
available under the Plan in the event of the Participant’s death. If no such person is named by a Participant, or if no Beneficiary designated by the Participant is eligible to receive payments or other benefits or exercise rights that are
available under the Plan at the Participant’s death, such Participant’s Beneficiary shall be such Participant’s estate. 
 (e) “Board” means the board of directors of the Company. 

(f) “Cause” means, with respect to any Participant, “cause” as defined in such Participant’s
Employment Agreement, if any, or if not so defined, except as otherwise provided in such Participant’s Award Document, such Participant’s: 
 (i) commission of a willful act of dishonesty in the course of Participant’s duties, 

  
 14 

 (ii) conviction by a court of competent jurisdiction of, or plea of no
contest to, a crime constituting a felony or conviction in respect of any act involving fraud, dishonesty or moral turpitude, 
 (iii) Participant’s performance under the influence of controlled substances (other than those taken pursuant to a medical doctor’s orders), or continued habitual intoxication, during working
hours, 
 (iv) frequent or extended, and unjustifiable, absenteeism, 

(v) Participant’s personal misconduct or refusal to perform duties and responsibilities or to carry out directives of
the Company, which, if capable of being cured shall not have been cured, within 5 days after the Company shall have advised Participant in writing of its intention to terminate Participant’s employment, or 

(vi) material non-compliance with the terms of any applicable Employment Agreement. 

The occurrence of any such event that is susceptible to cure or remedy shall not constitute Cause if such Participant cures or remedies
such event within 30 days after the Company provides notice to such Participant. 
 (g) “Change in
Control” means the occurrence of any one or more of the following events, except as otherwise provided in a Participant’s Award Document: 
 (i) a direct or indirect change in ownership or control of the Company effected through one transaction or a series of related transactions within a 12-month period, whereby any “person” (as
defined in Section 3(a)(9) of the Exchange Act) or any two or more persons deemed to be one “person” (as used in Sections 13(d)(3) and 14(d)(2) of the Exchange Act) (in each case a “Person”) other than the Company or an
employee benefit plan maintained by the Company, directly or indirectly acquire or maintain “beneficial ownership” (within the meaning of Rule 13d-3 under the Exchange Act) of securities of the Company constituting more than 50% of the
total combined voting power of the Company’s equity securities outstanding immediately after such acquisition; 
 (ii) at any time during a period of 12 consecutive months, individuals who at the beginning of such period constituted the Board cease for any reason to constitute a majority of members of the Board;
provided, however, that any new member of the Board whose election or nomination for election was approved by a vote of at least a majority of the directors then still in office who either were directors at the beginning of such period or
whose election or nomination for election was so 

  
 15 

 
approved, shall be considered as though such individual were a member of the Board at the beginning of the period, but excluding, for this purpose, any such individual whose initial assumption of
office occurs as a result of an actual or threatened election contest with respect to the election or removal of directors or other actual or threatened solicitation of proxies or consents by or on behalf of a Person other than the Board;

 (iii) the consummation of a merger or consolidation of the Company or any of its subsidiaries with any other
corporation or entity, other than a merger or consolidation which would result in the voting securities of the Company outstanding immediately prior to such merger or consolidation continuing to represent (either by remaining outstanding or being
converted into voting securities of the surviving entity or, if applicable, the ultimate parent thereof) at least 50% of the combined voting power and total fair market value of the securities of the Company or such surviving entity or parent
outstanding immediately after such merger or consolidation; or 
 (iv) the consummation of any sale, lease,
exchange or other transfer to any Person (other than an Affiliate of the Company), in one transaction or a series of related transactions within a 12-month period, of all or substantially all of assets of the Company and its subsidiaries.

 (h) “Code” means the United States Internal Revenue Code of 1986, as amended from time to time, and
the rules, regulations and guidance thereunder. Any reference to a provision in the Code shall include any successor provision thereto. 
 (i) “Committee” means the Compensation and Human Resources Committee of the Board or such other committee as may be designated by the Board; provided that, with respect to
any Award granted to any Non-Employee Director, the “Committee” means the Nominating and Corporate Governance Committee of the Board or such other committee as may be designated by the Board. If the Board does not designate the
Committee, references herein to the “Committee” shall refer to the Board. 
 (j) “Covered
Employee” means an individual who is (i) either a “covered employee” or expected by the Committee to be a “covered employee,” in each case within the meaning of Section 162(m)(3) of the Code or
(ii) expected by the Committee to be the recipient of compensation (other than Section 162(m) Compensation) in excess of $1,000,000 for the tax year of the Company with regard to which a deduction in respect of such individual’s Award
would be claimed. 

  
 16 

 (k) “Disability” means, with respect to any Participant,
“disability” as defined in such Participant’s Employment Agreement, if any, or if not so defined, except as otherwise provided in such Participant’s Award Document: 

(i) a permanent and total disability that entitles the Participant to disability income payments under any long-term
disability plan or policy provided by the Company under which the Participant is covered, as such plan or policy is then in effect; or 
 (ii) if such Participant is not covered under a long-term disability plan or policy provided by the Company at such time for whatever reason, then a “permanent and total disability” as defined
in Section 22(e)(3) of the Code and, in this case, the existence of any such Disability will be certified by a physician acceptable to the Company. 
 (l) “Effective Date” means the date on which the Plan is adopted by the Board and approved by the shareholders of the Company. 

(m) “Employment Agreement” means any employment, severance, consulting or similar agreement (including any offer
letter) between the Company or any of its Affiliates and a Participant. 
 (n) “Exchange Act” means the
United States Securities Exchange Act of 1934, as amended from time to time, and the rules, regulations and guidance thereunder. Any reference to a provision in the Exchange Act shall include any successor provision thereto. 

(o) “Fair Market Value” means (i) with respect to a Share, the closing price of a Share on the date in
question (or, if there is no reported sale on such date, on the last preceding date on which any reported sale occurred) on the principal stock market or exchange on which the Shares are quoted or traded, or if Shares are not so quoted or traded,
the fair market value of a Share as determined by the Committee, and (ii) with respect to any property other than Shares, the fair market value of such property determined by such methods or procedures as shall be established from time to time
by the Committee in compliance with Section 409A of the Code. 
 (p) “Good Reason” means, with
respect to any Participant, “good reason” as defined such Participant’s Employment Agreement, if any, or if not so defined, then such Participant shall have no Good Reason rights under the Plan or any Award granted hereunder.

 (q) “Incentive Stock Option” means an option representing the right to acquire Shares from the
Company, granted in accordance with the provisions of Section 5, that meets the requirements of Section 422 of the Code. 

  
 17 

 (r) “Intrinsic Value” with respect to an Option or SAR Award means
(i) the excess, if any, of the price or implied price per Share in a Change in Control or other event over the exercise or hurdle price of such Award multiplied by (ii) the number of Shares covered by such Award. 

(s) “Lock-Up Agreement” means any agreement between the Company or any of its Affiliates and a Participant that
provides for restrictions on the transfer of Shares held by such Participant. 
 (t) “Non-Employee
Director” means a member of the Board who is not an employee of the Company or an Affiliate. 
 (u)
“Non-Qualified Stock Option” means an option representing the right to acquire Shares from the Company, granted in accordance with the provisions of Section 5, that is not an Incentive Stock Option. 

(v) “Option” means an Incentive Stock Option or a Non-Qualified Stock Option; provided, however, that any
Option granted to a Non-Employee Director, consultant or other advisor shall be a Non-Qualified Stock Option. 
 (w)
“Other Stock-Based Award” means an Award granted in accordance with the provisions of Section 9. 

(x) “Participant” means the recipient of an Award granted under the Plan. 

(y) “Performance Award” means an Award granted in accordance with the provisions of Section 8. 

(z) “Performance Period” means the period established by the Committee at the time any Performance Award is
granted or at any time thereafter during which any performance goals specified by the Committee with respect to such Award are measured. 
 (aa) “Replacement Award” means an Award granted in assumption of, or in substitution for, an outstanding award previously granted by a company or business acquired by the Company
or with which the Company, directly or indirectly, combines. 
 (bb) “Restricted Stock” means any Share
granted in accordance with the provisions of Section 7. 
 (cc) “RSU” means a contractual right
granted in accordance with the provisions of Section 7 that is denominated in Shares. Each RSU represents a right to receive the value of one Share. Awards of RSUs may include the right to receive dividend equivalents. 

  
 18 

 (dd) “SAR” means any right granted in accordance with the provisions
of Section 6 to receive upon exercise by a Participant or settlement the excess of (i) the Fair Market Value of one Share on the date of exercise or settlement over (ii) the exercise or hurdle price of the right on the date of grant,
or if granted in connection with an Option, on the date of grant of the Option. 
 (ee) “Section 162(m)
Compensation” means “qualified performance-based compensation” within the meaning of Section 162(m) of the Code. 
 (ff) “Shares” means ordinary Class A shares of the Company. 
 (gg) “Termination of Service” means, 
 (i)
in the case of a Participant who is an employee of the Company or an Affiliate, cessation of the employment relationship such that the Participant is no longer an employee of the Company or Affiliate; 

(ii) in the case of a Participant who is a Non-Employee Director, the date that the Participant ceases to be a member of
the Board for any reason; or 
 (iii) in the case of a Participant who is a consultant or other advisor, the
effective date of the cessation of the performance of services for the Company or an Affiliate; 
 provided, however, that in the case of
an employee, the transfer of employment from the Company to an Affiliate, from an Affiliate to the Company, from one Affiliate to another Affiliate or, unless the Committee determines otherwise, the cessation of employee status but the continuation
of the performance of services for the Company or an Affiliate as a member of the Board or a consultant or other advisor shall not be deemed a cessation of service that would constitute a Termination of Service; and provided further, that a
Termination of Service will be deemed to occur for a Participant employed by an Affiliate when an Affiliate ceases to be an Affiliate, unless such Participant’s employment continues with the Company or another Affiliate. 

  
 19Restricted Stock Award Agreement

 Exhibit 10.5 
 HEALTH INSURANCE INNOVATIONS, INC. 
 LONG TERM INCENTIVE PLAN

 Restricted Stock Award Agreement 
 You have been granted Restricted Stock (this “Award”) on the following terms and subject to the provisions of Attachment A and the Long Term Incentive Plan (the “Plan”)
of Health Insurance Innovations, Inc. (the “Company”). Unless defined in this Award agreement (including Attachment A, this “Agreement”), capitalized terms will have the meanings assigned to them in the Plan. In the
event of a conflict among the provisions of the Plan, this Agreement and any descriptive materials provided to you, the provisions of the Plan will prevail. 
  

			
	Participant	 	Michael D. Hershberger
		
	Number of Shares Underlying Award	 	400,000 Shares (to the extent not vested as of any applicable date, the “Restricted Shares”)
		
	Grant Date	 	February 13, 2013
	  
 Vesting Schedule

(subject to Section 3 of Attachment A)

 

	Vesting	 	Subject to Section 3 of Attachment A, 20% of the Restricted Shares shall vest and become non-forfeitable on the six-month anniversary of the Grant Date, with the balance vesting
and becoming non-forfeitable in four equal tranches on the first day of October, 2013, 2014, 2015 and 2016.

 Attachment A 
 Restricted Stock Award Agreement 
 Terms and Conditions 

Grant to: Michael D. Hershberger 
 Section 1. Grant of Restricted Stock Award. Subject to the terms and conditions of the Plan and this Agreement, the Company hereby grants this Award to the Participant on the Grant Date on the
terms set forth on the cover page of this Agreement, as more fully described in this Attachment A. This Award is granted under the Plan, which is incorporated herein by this reference and made a part of this Agreement. 

Section 2. Issuance of Shares.  
 (a) The Restricted Shares shall be evidenced by entry into the register of members of the Company; provided, however, that the Committee may determine that the Restricted Shares shall be
evidenced in such other manner as it deems appropriate, including the issuance of a share certificate or certificates. In the event that any share certificate is issued in respect of the Restricted Shares, such certificate shall (i) be
registered in the name of the Participant, (ii) bear an appropriate legend referring to the terms, conditions and restrictions applicable to the Restricted Shares and (iii) be held in custody by the Company. 

(b) Voting Rights. The Participant shall have voting rights with respect to the Restricted Shares. 

(c) Dividends. All cash and other dividends and distributions, if any, that are paid with respect to the Restricted Shares shall
be paid to the Participant at the time that the portion of this Award to which such dividends or other distributions relate vests and becomes nonforfeitable. 
 (d) Transferability. Unless and until the Restricted Shares become vested in accordance with this Agreement, the Restricted Shares shall not be assigned, sold, transferred or otherwise be subject
to alienation by the Participant. 
 (e) Section 83(b) Election. If the Participant chooses,
the Participant may make an election under Section 83(b) of the Code with respect to the Restricted Shares, which would cause the Participant currently to recognize income for U.S. federal income tax purposes in an amount equal to the excess
(if any) of the Fair Market Value of the Restricted Shares (determined as of the Grant Date) over the amount, if any, that the Participant paid for the Restricted Shares, which excess will be subject to U.S. federal income tax. The form for making a
Section 83(b) election is available from the Company at the address indicated in Section 4(a). The Participant acknowledges that (i) the Participant is solely responsible for the decision whether or not to make a Section 83(b)
election, 

  
 A-1

 
and the Company is not making any recommendation with respect thereto, (ii) it is the Participant’s sole responsibility to timely file the Section 83(b) election within 30 days
after the Grant Date, if the Participant decides to make such election, and (iii) if the Participant does not make a valid and timely Section 83(b) election, the Participant will be required to recognize ordinary income at the time of
vesting on any future appreciation on the Restricted Shares. 
 (f) Withholding Requirements. The Company may
withhold any tax (or other governmental obligation) that becomes due with respect to the Restricted Shares (or any dividend or distribution thereon), and the Participant shall make arrangements satisfactory to the Company to enable the Company to
satisfy all such withholding requirements. Notwithstanding the foregoing, the Committee, in its sole discretion, may permit the Participant to satisfy any such withholding requirement by transferring to the Company pursuant to such procedures as the
Committee may require, effective as of the date on which such requirement arises, a number of vested Shares owned and designated by the Participant having an aggregate Fair Market Value as of such date that is equal to the minimum amount required to
be withheld. If the Committee permits the Participant to satisfy any such withholding requirement pursuant to the preceding sentence, the Company shall remit to the Internal Revenue Service and appropriate state and local revenue agencies, for the
credit of the Participant, an amount of cash withholding equal to the Fair Market Value of the Shares transferred to the Company as provided above. 
 Section 3. Accelerated Vesting and Forfeiture upon Termination of Service; Accelerated Vesting Generally. 
 (a) Death, Disability, without Cause or for Good Reason. In the event of the Participant’s Termination of Service at any time due to the Participant’s death or Disability, by the Company
or any Affiliate without Cause or by the Participant’s Resignation for Good Reason, the Restricted Shares shall fully vest and become non-forfeitable on the date of any such termination. For purposes of this Agreement, Cause and Resignation for
Good Reason shall have the respective meanings set forth in the Employment Agreement between the Participant and the Company. 

(b) For Any Other Reason. In the event of the Participant’s Termination of Service at any time under circumstances not
described in Section 3(a), the Restricted Shares shall be forfeited in their entirety without any payment to the Participant. 
 (c) Generally. In the event that Michael Kosloske ceases to be either the Chief Executive Officer of the Company or the Chairman of the Company’s board of directors, any unvested Restricted
Shares shall fully vest and become non-forfeitable. 

  
 A-2

 (d) Effect of Vesting. Subject to the provisions of this Agreement, upon the vesting
of any of the Restricted Shares, the restrictions under this Award with respect to such Shares shall lapse. Subject to any applicable Lock Up Agreement, such Shares shall be fully assignable, saleable and transferable by the Participant, and the
Company shall deliver such Shares to the Participant by transfer to the Depository Trust Company for the benefit of the Participant or by delivery of a share certificate registered in the Participant’s name and such transfer shall be evidenced
in the register of members of the Company. 
 Section 4. Miscellaneous Provisions. 

(a) Notices. All notices, requests and other communications under this Agreement shall be in writing and shall be delivered in
person (by courier or otherwise), mailed by certified or registered mail, return receipt requested, or sent by facsimile transmission, as follows: 
 if to the Company, to: 
 Health Insurance Innovations, Inc. 

15438 N. Florida Avenue, Suite 201 
 Tampa, Florida, 33613 
 Attention: Michael W. Kosloske 

Telecopy: (877) 376-5832 
 with a copy to (which shall not constitute notice hereunder): 
 Gary Raeckers

 if to the Participant, to the address that the Participant most recently provided to the Company, 

or to such other address or facsimile number as such party may hereafter specify for the purpose by notice to the other parties hereto. All such notices,
requests and other communications shall be deemed received on the date of receipt by the recipient thereof if received prior to 5:00 p.m. on a business day in the place of receipt. Otherwise, any such notice, request or communication shall be deemed
received on the next succeeding business day in the place of receipt. 
 (b) Entire Agreement. This Agreement, the Plan
and any other agreements referred to herein and therein and any attachments referred to herein or therein, constitute the entire agreement and understanding between the parties in respect of the subject matter hereof and supersede all prior and
contemporaneous arrangements, agreements and understandings, both oral and written, whether in term sheets, presentations or otherwise, between the parties with respect to the subject matter hereof. 

(c) Amendment; Waiver. No amendment or modification of any provision of this Agreement shall be effective unless signed in writing
by or on 

  
 A-3

 
behalf of the Company and the Participant, except that the Committee may amend or modify this Agreement without the Participant’s consent in accordance with the provisions of the Plan or as
otherwise set forth in this Agreement. No waiver of any breach or condition of this Agreement shall be deemed to be a waiver of any other or subsequent breach or condition whether of like or different nature. Any amendment or modification of or to
any provision of this Agreement, or any waiver of any provision of this Agreement, shall be effective only in the specific instance and for the specific purpose for which made or given. 

(d) Assignment. Neither this Agreement nor any right, remedy, obligation or liability arising hereunder or by reason hereof shall
be assignable by the Participant. 
 (e) Successors and Assigns; No Third Party Beneficiaries. This Agreement shall inure
to the benefit of and be binding upon the Company and the Participant and their respective heirs, successors, legal representatives and permitted assigns. Nothing in this Agreement, expressed or implied, is intended to confer on anyone other than
the Company and the Participant, and their respective heirs, successors, legal representatives and permitted assigns, any rights, remedies, obligations or liabilities under or by reason of this Agreement. 

(f) Counterparts. This Agreement may be signed in any number of counterparts, each of which shall be an original, with the same
effect as if the signatures thereto and hereto were upon the same instrument. 
 (g) Plan. The Participant acknowledges
and understands that material definitions and provisions concerning this Award and the Participant’s rights and obligations with respect thereto are set forth in the Plan. The Participant has read carefully, and understands, the provisions of
the Plan. 
 (h) Governing Law. The Agreement shall be governed by the laws of the State of Florida, without application
of the conflicts of law principles thereof. 
 (i) No Right to Continued Service. The granting of the Award evidenced
hereby and this Agreement shall impose no obligation on the Company or any Affiliate to continue the service of the Participant and shall not lessen or affect the right that the Company or any Affiliate may have to terminate the service of such
Participant. 
 (j) WAIVER OF JURY TRIAL. EACH OF THE PARTIES HERETO IRREVOCABLY WAIVES ANY AND ALL RIGHT TO TRIAL BY
JURY IN ANY LEGAL PROCEEDING ARISING OUT OF OR RELATED TO THIS AGREEMENT OR THE TRANSACTIONS CONTEMPLATED HEREBY. 

  
 A-4

 IN WITNESS WHEREOF, the parties have executed this Agreement as of the day and year first
written above. 
  

					
	HEALTH INSURANCE INNOVATIONS, INC.
		
	By:	 	 /s/ Michael W. Kosloske

		 	Name:	 	Michael W. Kosloske
		 	Title:	 	Chairman, President and Chief Executive Officer
	
	PARTICIPANT
		
		 	 /s/ Michael D. Hershberger

		 	Name:	 	Michael D. Hershberger

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