SEC FORM
3
SEC Form 3
| FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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| OMB APPROVAL |
| OMB Number: |
3235-0104 |
| Estimated average burden |
| hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
| C/O EHEALTH, INC. |
| 440 EAST MIDDLEFIELD ROAD |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year)
07/02/2012
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3. Issuer Name and Ticker or Trading Symbol
eHealth, Inc.
[ EHTH ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
| X |
Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
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5. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
| X |
Form filed by One Reporting Person |
|
Form filed by More than One Reporting Person |
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| Table I - Non-Derivative Securities Beneficially Owned |
|---|
| 1. Title of Security (Instr.
4)
|
2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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| No securities beneficially owned. |
0 |
D |
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Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
|
|---|
| 1. Title of Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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| Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Explanation of Responses: |
| Remarks: |
|
|
/s/ Jennifer Cashio, as attorney-in-fact for Ellen O. Tauscher |
07/05/2012 |
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** Signature of Reporting Person |
Date |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
| * If the form is filed by more than one reporting person,
see
Instruction
5
(b)(v). |
| ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |
POWER OF ATTORNEY
The undersigned, as a Section 16 reporting person of eHealth, Inc. (the "Corporation")
under the Securities Exchange Act of 1934, as amended (the "Exchange Act"), hereby
constitutes and appoints Scott Giesler, General Counsel and Secretary
of the Corporation, Chi-Mei Cheng and Jennifer Cashio of the Corporation, and Patrick
Schultheis of Wilson Sonsini Goodrich and Rosati, P.C. ("WSGR"), each acting solely
in his or her capacity as an employee of the Corporation or WSGR, as applicable, and each of
them, as the undersigned's true and lawful attorney-in-fact for the following actions
(only for so long as such individual remains an employee of the Corporation or WSGR, as applicable):
* to complete and execute Forms 3, 4 and 5 and other forms and all amendments
thereto as such attorney-in-fact shall in his discretion determine to be required or
advisable pursuant to Section 16 of the Exchange Act and the rules and
regulations promulgated thereunder, or any successor laws and regulations, as a
consequence of the undersigned's ownership, acquisition or disposition of
securities of the Corporation; and
* to do all acts necessary in order to file such forms with the Securities and Exchange
Commission, any securities exchange or national association, the Corporation and such
other person or agency as the attorney-in-fact shall deem necessary or appropriate.
The undersigned hereby ratifies and confirms all that said attorneys-in-fact and agents
shall do or cause to be done by virtue hereof. The undersigned acknowledges that the
foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned,
are not assuming, nor is the Corporation assuming, any of the undersigned's responsibilities
to comply with Section 16 of the Exchange Act.
This Power of Attorney shall remain in full force and effect until the undersigned is no
longer required to file Forms 3, 4, and 5 with respect to the undersigned's holdings of
and transactions in securities issued by the Corporation, unless earlier revoked by the
undersigned in a signed writing delivered to the foregoing attorneys-in-fact.
I hereby revoke any and all powers of attorney relating to the foregoing actions that
previously have been signed by me. However, the preceding sentence shall not have the
effect of revoking any powers of attorney that are unrelated to the foregoing actions
that previously have been signed by me.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 30th day of June, 2012.
Signature: /s/ Ellen O. Tauscher
Print Name: Ellen O. Tauscher
