-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Lvtvl+KNb+F/LNtiHlQOBlcHytODE563rpWBt+9I7G4IyKFa7z3BHwdvE7lHuw1g pTUaj8o0OpwDZFmuU/Z5fw== 0001127602-10-014985.txt : 20100520 0001127602-10-014985.hdr.sgml : 20100520 20100520164352 ACCESSION NUMBER: 0001127602-10-014985 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100518 FILED AS OF DATE: 20100520 DATE AS OF CHANGE: 20100520 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JOBE WARREN Y CENTRAL INDEX KEY: 0001231020 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16751 FILM NUMBER: 10848345 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 X0303 4 2010-05-18 0001156039 WELLPOINT, INC WLP 0001231020 JOBE WARREN Y 120 MONUMENT CIRCLE INDIANAPOLIS IN 46204 1 Phantom Stock Units 0 2010-05-18 4 A 0 4709 0 A Common Stock 4709 4709 D The phantom stock units were accrued under the WellPoint, Inc. ("Company") Board of Directors Deferred Compensation Plan ("the Plan"). The Conversion or Exercise Price of the Derivative Security is 1-for-1. The phantom stock units shall be payable in Company common stock upon the first to occur of (a) five years from the date of grant or (b) the date the Reporting Person ceases to be a member of the Company's board of directors, unless a later date is designated in the Reporting Person's election made under the Plan in accordance with the terms of the Plan. /s/ Kathleen S. Kiefer, Attorney in fact 2010-05-20 -----END PRIVACY-ENHANCED MESSAGE-----