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