0001127602-14-031047.txt : 20141104
0001127602-14-031047.hdr.sgml : 20141104
20141104161412
ACCESSION NUMBER: 0001127602-14-031047
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20141031
FILED AS OF DATE: 20141104
DATE AS OF CHANGE: 20141104
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: WELLPOINT, INC
CENTRAL INDEX KEY: 0001156039
STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324]
IRS NUMBER: 352145715
STATE OF INCORPORATION: IN
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 120 MONUMENT CIRCLE
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
BUSINESS PHONE: 3174886000
MAIL ADDRESS:
STREET 1: 120 MONUMENT CIRCLE
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
FORMER COMPANY:
FORMER CONFORMED NAME: WELLPOINT INC
DATE OF NAME CHANGE: 20041130
FORMER COMPANY:
FORMER CONFORMED NAME: ANTHEM INC
DATE OF NAME CHANGE: 20010730
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NUSSBAUM SAMUEL R MD
CENTRAL INDEX KEY: 0001199310
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-16751
FILM NUMBER: 141193347
MAIL ADDRESS:
STREET 1: WELLPOINT, INC
STREET 2: 120 MONUMENT CIRCLE
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2014-10-31
0001156039
WELLPOINT, INC
WLP
0001199310
NUSSBAUM SAMUEL R MD
120 MONUMENT CIRCLE
INDIANAPOLIS
IN
46204
1
EVP & Chief Medical Officer
Common Stock
2014-10-31
4
M
0
40000
63.36
A
143757.51
D
Common Stock
2014-10-31
4
S
0
40000
125.00
D
103757.51
D
Employee Stock Option (Right to Buy)
63.36
2014-10-31
4
M
0
40000
0
D
2015-04-04
Common Stock
40000
0
D
The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on September 12, 2014.
The option, representing a right to purchase a total of 80,000 shares, became exercisable in four equal semi-annual installments of 13,333 shares each and two equal semi-annual installments of 13,334 shares each beginning on October 4, 2005, which was the six-month anniversary of the date on which the option was granted.
/s/ Kathleen S. Kiefer, Attorney in fact
2014-11-04