0001127602-18-027110.txt : 20180907
0001127602-18-027110.hdr.sgml : 20180907
20180907163659
ACCESSION NUMBER: 0001127602-18-027110
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180906
FILED AS OF DATE: 20180907
DATE AS OF CHANGE: 20180907
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: 181060513
MAIL ADDRESS:
STREET 1: 120 MONUMENT CIRCLE
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: 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: 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
form4.xml
PRIMARY DOCUMENT
X0306
4
2018-09-06
0001156039
Anthem, Inc.
ANTM
0001608538
Haytaian Peter D
120 MONUMENT CIRCLE
INDIANAPOLIS
IN
46204
1
EVP & President, Commercial
Common Stock
2018-09-06
4
M
0
1936
60.15
A
58642
D
Common Stock
2018-09-06
4
S
0
1936
270.00
D
56706
D
Common Stock
2018-09-06
4
S
0
1000
270.00
D
55706
D
Employee Stock Option (Right to Buy)
60.15
2018-09-06
4
M
0
1936
0
D
2019-09-28
Common Stock
1936
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 March 9, 2018.
The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on July 26, 2018.
The option represents a right to purchase a total of 3,870 shares, and is exercisable in four annual installments, with two installments of 967 shares each and two installments of 968 shares each, beginning on December 31, 2012 which is the three-month anniversary of the option grant date.
/s/ Kathleen S. Kiefer, Attorney in fact
2018-09-07