-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, IAkU0Y3R4OvUITPReYEEHxF/HTCDVVrWGZRMjOcDjkz72NiL3l4uJk1tJRrY2Yxb GffdBfM/OPuZ6xrTzi8o7g== 0001156039-05-000161.txt : 20050412 0001156039-05-000161.hdr.sgml : 20050412 20050412174138 ACCESSION NUMBER: 0001156039-05-000161 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050401 FILED AS OF DATE: 20050412 DATE AS OF CHANGE: 20050412 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KAPUSTAY REBECCA A CENTRAL INDEX KEY: 0001243401 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16751 FILM NUMBER: 05746944 BUSINESS ADDRESS: STREET 1: C/O WELLPOINT HEALTH NETWORKS STREET 2: 1 WELLPOINT WAY CITY: THOUSAND OAKS STATE: CA ZIP: 91362 BUSINESS PHONE: 8055576119 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: ANTHEM INC DATE OF NAME CHANGE: 20010730 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2005-04-01 1 0001156039 WELLPOINT INC WLP 0001243401 KAPUSTAY REBECCA A 120 MONUMENT CIRCLE INDIANAPOLIS IN 46204 0 1 0 0 EVP Common Stock 2005-04-01 4 M 0 7070 0 A 36841 D Common Stock 2005-04-01 4 F 0 2284 124.65 D 34557 D Common Stock 7573 I By husband Common Stock 40 I 401(k) Common Stock 132 I IRA Common Stock 107236 I Rebecca A. Kapustay 1999 Trust Deferred Comp Stock Units 0 2005-04-01 4 M 0 7070 0 D Common Stock 7070 0 D Deferred share right grant made in the Company's Comprehensive Executive Non-qualified Retirement Plan and awarded pursuant to the Company's 1999 Stock Incentive Plan. The deferred shares vested upon the officer's termination date 4/1/05. Nancy Purcell, Attorney-in-fact 2005-04-12 -----END PRIVACY-ENHANCED MESSAGE-----