X0202 4 2004-11-30 1 0001013220 WELLPOINT HEALTH NETWORKS INC /DE/ WLP:NYSE 0001243413 ROSENBLATT ALICE F 1 WELLPOINT WAY THOUSAND OAKS CA 91362 0 1 0 0 EVP, Integration & Chief Actua Common Stock 2004-11-30 4 D 0 76917 D 420 D Common Stock 2004-11-30 4 D 0 420 D 0 I 401(k) Deferred Comp Stock Units 0 2004-11-30 4 D 0 378 0 D Common Stock 378 10000 D Deferred Comp Stock Units 0 2004-11-30 4 D 0 10000 0 D Common Stock 10000 0 D Employee Stock Option (right to buy) 16.1505 2004-11-30 4 D 0 15476 0 D 2006-09-30 Common Stock 15476 384173 D Employee Stock Option (right to buy) 16.6515 2004-11-30 4 D 0 6002 0 D 2007-02-09 Common Stock 6002 378171 D Employee Stock Option (right to buy) 34.1875 2004-11-30 4 D 0 2924 0 D 2010-02-10 Common Stock 2924 375247 D Employee Stock Option (right to buy) 43.30 2004-11-30 4 D 0 8000 0 D 2011-06-03 Common Stock 8000 367247 D Employee Stock Option (right to buy) 60.81 2004-11-30 4 D 0 2239 0 D 2007-02-10 Common Stock 2239 365008 D Employee Stock Option (right to buy) 60.81 2004-11-30 4 D 0 1728 0 D 2006-10-01 Common Stock 1728 363280 D Employee Stock Option (right to buy) 60.81 2004-11-30 4 D 0 7062 0 D 2010-02-11 Common Stock 7062 356218 D Employee Stock Option (right to buy) 63.50 2004-11-30 4 D 0 80000 0 D 2012-02-06 Common Stock 80000 276218 D Employee Stock Option (right to buy) 68.01 2004-11-30 4 D 0 11303 0 D 2009-02-10 Common Stock 11303 264915 D Employee Stock Option (right to buy) 68.01 2004-11-30 4 D 0 9037 0 D 2010-02-10 Common Stock 9037 255878 D Employee Stock Option (right to buy) 68.33 2004-11-30 4 D 0 95000 0 D 2013-02-04 Common Stock 95000 160878 D Employee Stock Option (right to buy) 74.37 2004-11-30 4 D 0 1343 0 D 2008-02-11 Common Stock 1343 159535 D Employee Stock Option (right to buy) 74.37 2004-11-30 4 D 0 6212 0 D 2009-02-10 Common Stock 6212 153323 D Employee Stock Option (right to buy) 74.37 2004-11-30 4 D 0 1345 0 D 2010-02-10 Common Stock 1345 151978 D Employee Stock Option (right to buy) 78.00 2004-11-30 4 D 0 2940 0 D 2006-10-01 Common Stock 2940 149038 D Employee Stock Option (right to buy) 78.00 2004-11-30 4 D 0 4717 0 D 2011-06-03 Common Stock 4717 144321 D Employee Stock Option (right to buy) 78.00 2004-11-30 4 D 0 14532 0 D 2009-02-10 Common Stock 14532 129789 D Employee Stock Option (right to buy) 78.00 2004-11-30 4 D 0 10396 0 D 2007-02-10 Common Stock 10396 119393 D Disposed of pursuant to the Amended and Restated Agreement and Plan of Merger between Issuer, Anthem, Inc. and Anthem Holding Corp. for one share of Anthem, Inc. common stock and $23.80 cash for each share of Issuer common stock. Disposed of pursuant to the Amended and Restated Agreement and Plan of Merger between Issuer, Anthem, Inc. and Anthem Holding Corp. for the right to receive one share of Anthem, Inc. common stock and $23.80 cash for each share of Issuer common stock subject to the deferred stock units. Each deferred stock unit represents the right to receive, on a deferred basis under the Issuer's Comprehensive Executive Non-qualified Retirement Plan, either one share of the Issuer's common stock to be issued under the Issuer's 1999 Stock Incentive Plan or the cash equivalent thereof upon the expiration of the deferral period. Each of the deferred stock units is currently vested. Each deferred stock unit represents the right to receive, on a deferred basis under the Issuer's Comprehensive Executive Non-qualified Retirement Plan, one share of the Issuer's common stock to be issued under the Issuer's 1999 Stock Incentive Plan upon the expiration of the deferral period. Each of the deferred stockunits will vest in three successive equal annual installments, beginning January 26 2005, subject to acceleration in the event the reporting person should terminate employment with the Issuer under certain prescribed circumstances. Disposed of pursuant to the Amended and Restated Agreement and Plan of Merger between Issuer, Anthem, Inc., Anthem Holding Corp. in connection with the assumptions of such option by Anthem, Inc. and its resulting conversion into an option to acquire shares of Anthem, Inc. common stock at an adjusted exercise price per share, all in accordance with the option exchange ratio set forth in such Agreement and Plan of Merger. The options are fully vested as of the Transaction Date. The options are vested as of the Transaction Date with respect to 66,666 shares and will vest as to the remaining 13,334 shares on February 7, 2005. The options are vested as of the Transaction Date with respect to 47,500 shares and will vest as to the remaining 47,500 shares in three equal installments on February 5, 2005, August 5, 2005 and February 5, 2006. /s/ Monica M. Chizzo - Attorney-in-fact 2004-12-02