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Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
Checkbox not checked   Rule 13d-1(b)
Checkbox not checked   Rule 13d-1(c)
Checkbox not checked   Rule 13d-1(d)




X0202 SCHEDULE 13D/A 0001845711 XXXXXXXX LIVE 4 Class A Common Stock 09/17/2026 false 0001956439 29333R107 Enhanced Group Inc. 169 Madison Ave Suite 15101 New York NY 10016 Sanad Abushala 356 9960 9158 Centris Business Gateway - Level 0/C Triq is-Salib tal-Imriehel Birkirkara O1 CBD 3020 0001845711 N Apeiron Investment Group Ltd. OO N O1 0 48697705 0 48697705 48697705 N 34.3 CO 0002132854 N Enhanced Holdings LP OO N E9 0 48697705 0 48697705 48697705 N 34.3 PN Y Enhanced Holdings GP OO N E9 0 48697705 0 48697705 48697705 N 34.3 PN 0001845872 N Christian Angermayer OO N 2M 0 48697705 0 48697705 48697705 N 34.3 IN Class A Common Stock Enhanced Group Inc. 169 Madison Ave Suite 15101 New York NY 10016 This Amendment No. 4 to Schedule 13D amends and supplements the statement on Schedule 13D originally filed with the United States Securities and Exchange Commission on May 14, 2026 (as amended, the "Schedule 13D"), relating to the Class A Common Stock. Capitalized terms used herein without definition shall have the meaning set forth in the Schedule 13D. Item 3 of the Schedule 13D is hereby amended and supplemented as follows: On September 17, 2026, the Reporting Persons purchased an aggregate of 6,080,047 shares of Class A Common Stock for aggregate consideration of $7,000,000. The Reporting Persons used working capital to purchase the shares. In addition, from September 2, 2026 to September 9, 2026 the Reporting Persons purchased an aggregate of 312,820 shares of Class A Common Stock for aggregate consideration of approximately $496,128. The Reporting Persons used working capital to purchase the shares. Item 5 of the Schedule 13D is hereby amended and restated in its entirety as follows: The information contained on the cover pages to this Schedule 13D is incorporated herein by reference. The securities reported herein include (i) 43,343,818 shares of Class A Common Stock and (ii) 5,353,887 shares of Class A Common Stock underlying warrants, which are currently exercisable. The ownership percentage set forth herein is based on 136,538,129 shares of Class A Common Stock outstanding as of August 19, 2026 as disclosed in the Issuer's Prospectus filed with the Securities and Exchange Commission on September 4, 2026. The information herein excludes 258,837,933 shares of Class B Common Stock held by the Reporting Persons. The information contained on the cover pages is incorporated by reference to this Item 5. The securities reported herein are held of record by Apeiron Investment Group Limited, as nominee for Enhanced Holdings LP. Christian Angermayer is the sole voting shareholder of Apeiron Investment Group Ltd., which is the sole shareholder of Enhanced Holdings GP, which is the general partner of Enhanced Holdings LP. As a result, each of the foregoing entities and Mr. Angermayer may be deemed to share beneficial ownership over the securities reported herein. Mr. Angermayer disclaims beneficial ownership of such securities. On September 17, 2026, the Reporting Persons purchased an aggregate of 6,080,047 shares of Class A Common Stock for $1.15 per share pursuant to a privately negotiated transaction. In addition, from September 2 to September 9, 2026, the Reporting Persons purchased an aggregate of 312,820 shares of Class A Common Stock for the prices listed below. Except as described herein, none of the Reporting Persons has effected any transactions in the Class A Common Stock since Amendment No. 3. September 2, 2026 107,693 shares of Class A Common Stock at $1.5751 per share September 3, 2026 25,414 shares of Class A Common Stock at $1.5799 per share September 4, 2026 21,034 shares of Class A Common Stock at $1.6116 per share September 8, 2026 59,337 shares of Class A Common Stock at $1.5686 per share September 9, 2026 99,342 shares of Class A Common Stock at $1.6043 per share None. Not applicable. Apeiron Investment Group Ltd. /s/ Sanad Abushala Sanad Abushala, Director 09/21/2026 Enhanced Holdings LP By: Enhanced Holdings GP, its general partner, By: Apeiron Investment Group Ltd., By: /s/ Sanad Abushala Sanad Abushala, Director 09/21/2026 Enhanced Holdings GP By: Apeiron Investment Group Ltd., its sole stockholder, By: /s/ Sanad Abushala Sanad Abushala, Director 09/21/2026 Christian Angermayer /s/ Christian Angermayer Christian Angermayer 09/21/2026