0001127602-12-007112.txt : 20120221 0001127602-12-007112.hdr.sgml : 20120220 20120221160510 ACCESSION NUMBER: 0001127602-12-007112 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120216 FILED AS OF DATE: 20120221 DATE AS OF CHANGE: 20120221 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WARD JACKIE M CENTRAL INDEX KEY: 0001086247 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16751 FILM NUMBER: 12626902 MAIL ADDRESS: STREET 1: WELLPOINT, INC STREET 2: 120 MONUMENT CIRCLE CITY: INDIANAPOLIS STATE: IN ZIP: 46204 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 4 1 form4.xml PRIMARY DOCUMENT X0304 4 2012-02-16 0001156039 WELLPOINT, INC WLP 0001086247 WARD JACKIE M 120 MONUMENT CIRCLE INDIANAPOLIS IN 46204 1 Common Stock 2012-02-16 4 M 0 20000 34.45 A 23430 D Common Stock 2012-02-16 4 M 0 10000 35.85 A 33430 D Common Stock 2012-02-16 4 M 0 10000 44.18 A 43430 D Common Stock 2012-02-16 4 S 0 22570 66.17 D 20860 D Common Stock 108 I Shares Owned By Spouse Stock Option (Right to Buy) 34.45 2012-02-16 4 M 0 20000 0 D 2012-08-01 Common Stock 20000 0 D Stock Option (Right to Buy) 35.85 2012-02-16 4 M 0 10000 0 D 2013-05-12 Common Stock 10000 0 D Stock Option (Right to Buy) 44.18 2012-02-16 4 M 0 10000 0 D 2014-05-17 Common Stock 10000 0 D This transaction was executed in multiple trades at prices ranging from $66.15 to $66.20. 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. Exercised options vested as follows: 6,666 on 8/1/03; 6,667 each on 8/1/04 and 11/30/04. Exercised options vested as follows: 3,333 each on 5/12/04 and 11/30/04; 3,334 on 11/30/04. Exercised options vested as follows: 3,333 each on 5/17/05 and 5/17/06; 3,334 on 5/17/07. /s/ Kathleen S. Kiefer, Attorney in fact 2012-02-22