0001156039-21-000026.txt : 20210303 0001156039-21-000026.hdr.sgml : 20210303 20210303163302 ACCESSION NUMBER: 0001156039-21-000026 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210301 FILED AS OF DATE: 20210303 DATE AS OF CHANGE: 20210303 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Alter Jeffrey D. CENTRAL INDEX KEY: 0001813868 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16751 FILM NUMBER: 21709485 MAIL ADDRESS: STREET 1: 4330 LA JOLLA VILLAGE DRIVE STREET 2: SUITE 200 CITY: SAN DIEGO STATE: CA ZIP: 92122 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_161480714779253.xml FORM 4 X0306 4 2021-03-01 0 0001156039 Anthem, Inc. ANTM 0001813868 Alter Jeffrey D. 220 VIRGINIA AVENUE INDIANAPOLIS IN 46204 0 1 0 0 EVP, IngenioRx & Anthem Health Common Stock 2021-03-01 4 A 0 2649 0 A 5395 D Employee Stock Option (Right to Buy) 311.48 2021-03-01 4 A 0 10876 0 A 2031-03-01 Common Stock 10876.0 10876 D Represents restricted share units. Restrictions lapse as follows: 883 shares each on 3/1/2022, 3/1/2023 and 3/1/2024. The option represents a right to purchase a total of 10,876 shares, and is exercisable in three annual installments, with two installments of 3,625 shares each and one installment of 3,626 shares, beginning on 3/1/2022, which is the one-year anniversary of the option grant date. /s/ Kathleen S. Kiefer, Attorney in fact 2021-03-03