-----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, LBt3dv82+qIqeKtGnkQ2BTrjbKXgQEoEDrdXrIh8hv+NqMSv9ByFiwYWqDeVHiG8 7z5pm8Hz7hEUOCjSZDQ6Hw== 0001156039-06-000134.txt : 20060518 0001156039-06-000134.hdr.sgml : 20060518 20060518163715 ACCESSION NUMBER: 0001156039-06-000134 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060516 FILED AS OF DATE: 20060518 DATE AS OF CHANGE: 20060518 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PISANO JANE G CENTRAL INDEX KEY: 0001243396 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16751 FILM NUMBER: 06852534 BUSINESS ADDRESS: STREET 1: C/O WELLPOINT HEALTH NETWORKS STREET 2: 1 WELLPOINT WAY CITY: THOUSAND OAKS STATE: CA ZIP: 91362 BUSINESS PHONE: 8055576119 MAIL ADDRESS: STREET 1: 900 EXPOSITION BLVD CITY: LOS ANGELES STATE: CA ZIP: 90007 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2006-05-16 0001156039 WELLPOINT INC WLP 0001243396 PISANO JANE G 120 MONUMENT CIRCLE INDIANAPOLIS IN 46204 1 0 0 0 Phantom Stock Units 0 2006-05-16 4 A 0 3430 72.87 A Common Stock 3430 3430 D The phantom stock units were accrued under the WellPoint, Inc. ("Company") Board of Directors Deferred Compensation Plan ("the Plan"). The Conversion or Exercise Price of the Derivative Security is 1-for-1. The phantom stock units shall be payable in Company common stock upon the first to occur of (a) five years from the date of grant or (b) the date the Reporting Person ceases to be a member of the Registrant's board of directors; unless a later date is designated in the Reporting Person's election made under the Plan in accordance with the terms of the Plan. Nancy Purcell, Attorney-in-fact 2006-05-18 -----END PRIVACY-ENHANCED MESSAGE-----