X0202 3 2004-11-30 0 0001156039 WELLPOINT INC WLP 0001243413 ROSENBLATT ALICE F 120 MONUMENT CIRCLE INDIANAPOLIS IN 46204 0 1 0 0 EVP Common Stock 420 I 401(k) Common Stock 77406 D Deferred Comp Stock Units 0 Common Stock 378 D Deferred Comp Stock Units 0 Common Stock 10000 D Employee Stock Option (right to buy) 13.02 2006-09-30 Common Stock 19190 D Employee Stock Option (right to buy) 13.43 2007-02-09 Common Stock 7442 D Employee Stock Option (right to buy) 27.57 2010-02-10 Common Stock 3626 D Employee Stock Option (right to buy) 34.92 2011-06-03 Common Stock 9920 D Employee Stock Option (right to buy) 49.04 2007-02-10 Common Stock 2776 D Employee Stock Option (right to buy) 49.04 2006-10-01 Common Stock 2143 D Employee Stock Option (right to buy) 49.04 2010-02-11 Common Stock 8757 D Employee Stock Option (right to buy) 51.21 2012-02-06 Common Stock 99200 D Employee Stock Option (right to buy) 54.85 2009-02-10 Common Stock 14016 D Employee Stock Option (right to buy) 54.85 2010-02-10 Common Stock 11206 D Employee Stock Option (right to buy) 55.10 2013-02-04 Common Stock 117800 D Employee Stock Option (right to buy) 59.98 2008-02-11 Common Stock 1665 D Employee Stock Option (right to buy) 59.98 2009-02-10 Common Stock 7703 D Employee Stock Option (right to buy) 59.98 2010-02-10 Common Stock 1668 D Employee Stock Option (right to buy) 62.90 2006-10-01 Common Stock 3646 D Employee Stock Option (right to buy) 62.90 2011-06-03 Common Stock 5849 D Employee Stock Option (right to buy) 62.90 2009-02-10 Common Stock 18020 D Employee Stock Option (right to buy) 62.90 2007-02-10 Common Stock 12891 D Employee Stock Option (right to buy) 82.06 2014-01-25 Common Stock 74400 D Employee Stock Option (right to buy) 87.72 2007-02-10 Common Stock 996 D Employee Stock Option (right to buy) 87.72 2011-03-01 Common Stock 15093 D Employee Stock Option (right to buy) 87.72 2011-01-31 Common Stock 38237 D Employee Stock Option (right to buy) 87.72 2011-06-03 Common Stock 7145 D Employee Stock Option (right to buy) 87.72 2008-02-12 Common Stock 11796 D Employee Stock Option (right to buy) 87.72 2006-10-01 Common Stock 381 D 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 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 stock units 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. These options are fully vested. The options are vested with respect to 82,666 shares and will vest as to the remaining 16,534 shares on February 7, 2005. The options are vested with respect to 58,900 shares and will vest as to the remaining 58,900 shares in three equal installments on February 5, 2005, August 5, 2005, and February 5, 2006. The options are vested with respect to 12,400 shares and will vest as to the remaining 62,000 shares in three equal installments on January 26, 2005, July 26, 2005, and January 26, 2006. Nancy L. Purcell 2004-12-02