SEC Form 4 · accession 0001127602-15-010100
Elevance Health, Inc. · ELV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Joseph Swedish
Officer — President & CEO · Director
Period of report
Mar 2, 2015
Accepted (ET)
Mar 4, 2015 · 4:54 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001156039
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Mar 2, 2015 | A | 17,696 | $0.00 | A | 159,810 | D | |
| Common StockF2 | Mar 3, 2015 | A | 82,179 | $0.00 | A | 241,989 | D | |
| Common StockF3 | Mar 3, 2015 | F | 15,692 | $145.99 | D | 226,297 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Buy)F4 | $146.93 | Mar 2, 2015 | A | 77,495 | A | — | Mar 2, 2025 | Common Stock | 77,495 | 77,495 | D |
Explanation of responses
- F1Represents restricted stock units. Restrictions lapse as follows: 5,898 on 3/2/16; and 5,899 each on 3/2/17 and 3/2/18.
- F2Represents performance based restricted stock units. Restrictions lapse as follows: 27,393 each on 3/3/15, 3/3/16 and 3/3/17.
- F3PAYMENT OF TAX LIABILITY BY WITHHOLDING STOCK INCIDENT TO THE VESTING OF PREVIOUSLY GRANTED RESTRICTED STOCK.
- F4The option, representing a right to purchase a total of 77,495 shares, is exercisable in one installment of 12,915 shares and five equal semi-annual installments of 12,916 shares each beginning on September 2, 2015, which is the six-month anniversary of the date on which the option was granted.