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