Filing Details

Accession Number:
0001127602-17-010136
Form Type:
4
Zero Holdings:
No
Publication Time:
2017-03-03 16:17:04
Reporting Period:
2017-03-01
Filing Date:
2017-03-03
Accepted Time:
2017-03-03 16:17:04
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
1659075 W Ronald Penczek 120 Monument Circle
Indianapolis IN 46204
Svp, Chief Accounting Officer 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 Disposition 2017-03-01 72 $166.97 1,248 No 4 F Direct
Common Stock Acquisiton 2017-03-01 525 $0.00 1,773 No 4 A Direct
Common Stock Acquisiton 2017-03-01 810 $131.80 2,583 No 4 M Direct
Common Stock Disposition 2017-03-01 810 $166.44 1,773 No 4 S Direct
Common Stock Disposition 2017-03-02 31 $165.97 1,742 No 4 F Direct
Common Stock Disposition 2017-03-02 118 $166.81 1,624 No 4 S Direct
Common Stock Acquisiton 2017-03-02 285 $89.44 1,909 No 4 M Direct
Common Stock Disposition 2017-03-02 285 $166.81 1,624 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 F Direct
No 4 A Direct
No 4 M Direct
No 4 S Direct
No 4 F Direct
No 4 S Direct
No 4 M 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) Acquisiton 2017-03-01 2,141 $0.00 2,141 $166.97
Common Stock Employee Stock Option (Right to Buy) Disposition 2017-03-01 810 $0.00 810 $131.80
Common Stock Employee Stock Option (Right to Buy) Disposition 2017-03-02 285 $0.00 285 $89.44
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
2,141 2027-03-01 No 4 A Direct
1,622 2026-03-01 No 4 M Direct
286 2021-03-03 No 4 M Direct
Footnotes
  1. PAYMENT OF TAX LIABILITY BY WITHHOLDING STOCK INCIDENT TO THE VESTING OF PREVIOUSLY GRANTED RESTRICTED STOCK.
  2. Represents restricted share units. Restrictions lapse as follows: 175 shares each on 3/1/2018, 3/1/2019 and 3/1/2020.
  3. The option represents a right to purchase a total of 2,141 shares, and is exercisable in six semi-annual installments, with one installment of 356 shares and five installments of 357 shares each, beginning on September 1, 2017, which is the six-month anniversary of the option grant date.
  4. The option represents a right to purchase a total of 2,432 shares, became exercisable in six semi-annual installments, with four installments of 405 shares each and two installments of 406 shares each, beginning on September 1, 2016, which was the six-month anniversary of the option grant date.
  5. The option represents a right to purchase a total of 1,711 shares, and is exercisable in five semi-annual installments of 285 shares each and one installment of 286 shares beginning on September 3, 2014, which is the six-month anniversary of the date on which the option was granted.