0001127602-19-009912.txt : 20190305 0001127602-19-009912.hdr.sgml : 20190305 20190305161325 ACCESSION NUMBER: 0001127602-19-009912 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190301 FILED AS OF DATE: 20190305 DATE AS OF CHANGE: 20190305 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Patel Prakash R CENTRAL INDEX KEY: 0001751045 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16751 FILM NUMBER: 19658464 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: 220 VIRGINIA AVENUE CITY: INDIANAPOLIS STATE: IN ZIP: 46204 BUSINESS PHONE: 3174886000 MAIL ADDRESS: STREET 1: 220 VIRGINIA AVENUE 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 2019-03-01 0001156039 Anthem, Inc. ANTM 0001751045 Patel Prakash R 220 VIRGINIA AVENUE INDIANAPOLIS IN 46204 1 EVP & President, DBG Common Stock 2019-03-01 4 A 0 2032 0 A 3218 D Employee Stock Option (Right to Buy) 307.68 2019-03-01 4 A 0 9378 0 A 2029-03-01 Common Stock 9378 9378 D Represents restricted share units. Restrictions lapse as follows: 677 shares each on 3/1/2020 and 3/1/2021, and 678 on 3/1/2022. The option represents a right to purchase a total of 9,378 shares, and is exercisable in three annual installments of 3,126 shares each, beginning on 3/1/2020, which is the one-year anniversary of the option grant date. /s/ Kathleen S. Kiefer, Attorney in fact 2019-03-05