0001127602-13-024743.txt : 20130808 0001127602-13-024743.hdr.sgml : 20130808 20130808160444 ACCESSION NUMBER: 0001127602-13-024743 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130806 FILED AS OF DATE: 20130808 DATE AS OF CHANGE: 20130808 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: Goulet Kenneth R CENTRAL INDEX KEY: 0001415516 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16751 FILM NUMBER: 131021851 MAIL ADDRESS: STREET 1: 120 MONUMENT CIRCLE CITY: INDIANAPOLIS STATE: IN ZIP: 46204 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2013-08-06 0001156039 WELLPOINT, INC WLP 0001415516 Goulet Kenneth R 120 MONUMENT CIRCLE INDIANAPOLIS IN 46204 1 EVP, Commercial & Specialty Common Stock 2013-08-06 4 M 0 20000 63.36 A 110332 D Common Stock 2013-08-06 4 M 0 6681 44.90 A 117013 D Common Stock 2013-08-06 4 M 0 18102 44.90 A 135115 D Common Stock 2013-08-06 4 S 0 62643 87.36 D 72472 D Common Stock 5858.96 I Stock Units Held In 401(k) Plan Employee Stock Option (Right to Buy) 63.36 2013-08-06 4 M 0 20000 0 D 2015-04-04 Common Stock 20000 14662 D Employee Stock Option (Right to Buy) 44.90 2013-08-06 4 M 0 6681 0 D 2014-06-27 Common Stock 6681 0 D Employee Stock Option (Right to Buy) 44.90 2013-08-06 4 M 0 18102 0 D 2014-06-27 Common Stock 18102 0 D This transaction was executed in multiple trades at prices ranging from $87.28 to $87.47. 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 information in this report is based on the plan trustees calculation of stock units held as of August 6, 2013. Includes units acquired under WLP's Qualified 401(k) Plan (which represent 61.02 shares of WLP common stock) since the date of the reporting person's last ownership report. The option, representing a right to purchase a total of 34,662 shares, became exercisable in six equal semi-annual installments of 5,777 shares each beginning on October 4, 2005, which was the six-month anniversary of the date on which the option was granted. The option, representing a right to purchase a total of 8,908 shares, became exercisable in one semi-annual installment of 2,227 shares and three annual installments of 2,227 shares each beginning on December 28, 2004, which was the six-month anniversary of the date on which the option was granted. The option, representing a right to purchase a total of 40,692 shares, became exercisable in three equal semi-annual installments of 6,040 shares each, a semi-annual installment of 8,266 shares, a semi-annual installment of 6,038 shares and a semi-annual installment of 8,268 shares beginning on December 28, 2004, which was the six-month anniversary of the date on which the option was granted. Mary M. Kleiman, Attorney-in-fact 2013-08-08