0001156039-20-000086.txt : 20201019 0001156039-20-000086.hdr.sgml : 20201019 20201019163151 ACCESSION NUMBER: 0001156039-20-000086 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201015 FILED AS OF DATE: 20201019 DATE AS OF CHANGE: 20201019 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: 201246495 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 wf-form4_160313949706885.xml FORM 4 X0306 4 2020-10-15 0 0001156039 Anthem, Inc. ANTM 0001608538 Haytaian Peter D 220 VIRGINIA AVENUE INDIANAPOLIS IN 46204 0 1 0 0 EVP & President, Commercial Common Stock 2020-10-15 4 M 0 4667 100.77 A 42602 D Common Stock 2020-10-15 4 S 0 1000 287.58 D 41602 D Common Stock 2020-10-15 4 S 0 800 290.30 D 40802 D Common Stock 2020-10-15 4 S 0 1600 292.13 D 39202 D Common Stock 2020-10-15 4 S 0 1120 293.33 D 38082 D Common Stock 2020-10-15 4 S 0 147 293.98 D 37935 D Common Stock 2020-10-15 4 S 0 1167 295 D 36768 D Employee Stock Option (Right to Buy) 100.77 2020-10-15 4 M 0 4667 0 D 2021-05-01 Common Stock 4667.0 781 D The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on August 14, 2020. This transaction was executed in multiple trades at prices ranging from $287.17 to $287.90. The price reported reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares sold at each separate price within the ranges set forth in footnotes (2) through (6) to this Form 4. This transaction was executed in multiple trades at prices ranging from $289.81 to $290.79. The price reported reflects the weighted average sale price. This transaction was executed in multiple trades at prices ranging from $291.71 to $292.62. The price reported reflects the weighted average sale price. This transaction was executed in multiple trades at prices ranging from $292.75 to $293.64. The price reported reflects the weighted average sale price. This transaction was executed in multiple trades at prices ranging from $293.87 to $294.04. The price reported reflects the weighted average sale price. The option represents a right to purchase a total of 10,127 shares, and is exercisable in six semi-annual installments with one installment of 1,687 shares and five installments of 1,688 shares each beginning on November 1, 2014, which is the six-month anniversary of the date on which the option was granted. /s/ Kathleen S. Kiefer, Attorney in fact 2020-10-19