Filing Details

Accession Number:
0001127602-14-034688
Form Type:
4
Zero Holdings:
No
Publication Time:
2014-12-10 16:03:06
Reporting Period:
2014-12-08
Filing Date:
2014-12-10
Accepted Time:
2014-12-10 16:03:06
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1156039 Anthem Inc. ANTM Hospital & Medical Service Plans (6324) 352145715
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1608538 D Peter Haytaian 120 Monument Circle
Indianapolis IN 46260
Evp & Pres., Govt. Bus. Div. No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2014-12-08 3,761 $61.88 48,798 No 4 M Direct
Common Stock Acquisiton 2014-12-08 1,934 $60.15 50,732 No 4 M Direct
Common Stock Disposition 2014-12-08 12,026 $127.70 38,706 No 4 S Direct
Common Stock Disposition 2014-12-08 800 $128.17 37,906 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 M Direct
No 4 S Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Employee Stock Option (Right to Buy) Disposition 2014-12-08 3,761 $0.00 3,761 $61.88
Common Stock Employee Stock Option (Right to Buy) Disposition 2014-12-08 1,934 $0.00 1,934 $60.15
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
3,762 2020-03-01 No 4 M Direct
1,936 2019-09-28 No 4 M Direct
Footnotes
  1. The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on October 30, 2014.
  2. This transaction was executed in multiple trades at prices ranging from $127.15 to $128.06. 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 and prices at which the transaction was effected.
  3. The option, representing a right to purchase a total of 7,523 shares, became exercisable in one installment of 1,253 shares and five equal semi-annual installments of 1,254 shares each beginning on September 1, 2013, which was the six-month anniversary of the date on which the option was granted.
  4. The option, representing a right to purchase a total of 3,870 shares, became exercisable in two equal annual installments of 967 shares each and two equal annual installments of 968 shares each beginning on December 31, 2012, which was the three-month anniversary of the date on which the option was granted.