0001156039-22-000040.txt : 20220314 0001156039-22-000040.hdr.sgml : 20220314 20220314163648 ACCESSION NUMBER: 0001156039-22-000040 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220310 FILED AS OF DATE: 20220314 DATE AS OF CHANGE: 20220314 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Haytaian Peter D CENTRAL INDEX KEY: 0001608538 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16751 FILM NUMBER: 22737108 MAIL ADDRESS: STREET 1: 220 VIRGINIA AVE CITY: INDIANAPOLIS STATE: IN ZIP: 46204 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Anthem, 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: 220 VIRGINIA AVENUE CITY: INDIANAPOLIS STATE: IN ZIP: 46204 BUSINESS PHONE: 3174886000 MAIL ADDRESS: STREET 1: 220 VIRGINIA AVENUE CITY: INDIANAPOLIS STATE: IN ZIP: 46204 FORMER COMPANY: FORMER CONFORMED NAME: WELLPOINT, INC DATE OF NAME CHANGE: 20100105 FORMER COMPANY: FORMER CONFORMED NAME: WELLPOINT INC DATE OF NAME CHANGE: 20041130 FORMER COMPANY: FORMER CONFORMED NAME: ANTHEM INC DATE OF NAME CHANGE: 20010730 4 1 wf-form4_164729006481345.xml FORM 4 X0306 4 2022-03-10 0 0001156039 Anthem, Inc. ANTM 0001608538 Haytaian Peter D 220 VIRGINIA AVENUE INDIANAPOLIS IN 46204 0 1 0 0 EVP & Pres., DBG & IngenioRx Common Stock 2022-03-10 4 M 0 1848 131.80 A 29864 D Common Stock 2022-03-10 4 S 0 2170 458.68 D 27694 D Common Stock 2022-03-10 4 S 0 4274 459.75 D 23420 D Common Stock 2022-03-10 4 S 0 4105 460.68 D 19315 D Common Stock 2022-03-10 4 S 0 5874 461.72 D 13441 D Common Stock 2022-03-10 4 S 0 1240 462.73 D 12201 D Common Stock 2022-03-10 4 S 0 40 463.40 D 12161 D Employee Stock Option (Right to Buy) 131.8 2022-03-10 4 M 0 1848 0 D 2026-03-01 Common Stock 1848.0 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 February 1, 2022. This transaction was executed in multiple trades at prices ranging from $458.18 to $459.13. The price reported reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. This transaction was executed in multiple trades at prices ranging from $459.25 to $460.24. The price reported reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. This transaction was executed in multiple trades at prices ranging from $460.26 to $461.19. The price reported reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. This transaction was executed in multiple trades at prices ranging from $461.27 to $462.26. The price reported reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. This transaction was executed in multiple trades at prices ranging from $462.34 to $463.25. The price reported reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. The option represents a right to purchase a total of 24,348 shares and is exercisable in six semi-annual installments, with six installments of 4,058 shares each beginning on September 1, 2016, which is the six-month anniversary of the date on which the option was granted. /s/ Kathleen S. Kiefer, Attorney in fact 2022-03-14