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