SEC Form 4 · accession 0001127602-17-010136

Elevance Health, Inc. · ELV

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — SVP, Chief Accounting Officer

Period of report

Mar 1, 2017

Accepted (ET)

Mar 3, 2017 · 4:17 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
Common Stock^F1	Mar 1, 2017	F	72	$166.97	D	1,248	D
Common Stock^F2	Mar 1, 2017	A	525	$0.00	A	1,773	D
Common Stock	Mar 1, 2017	M	810	$131.80	A	2,583	D
Common Stock	Mar 1, 2017	S	810	$166.44	D	1,773	D
Common Stock^F1	Mar 2, 2017	F	31	$165.97	D	1,742	D
Common Stock	Mar 2, 2017	S	118	$166.81	D	1,624	D
Common Stock	Mar 2, 2017	M	285	$89.44	A	1,909	D
Common Stock	Mar 2, 2017	S	285	$166.81	D	1,624	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Employee Stock Option (Right to Buy)^F3	$166.97	Mar 1, 2017	A	2,141	A	—	Mar 1, 2027	Common Stock	2,141	2,141	D
Employee Stock Option (Right to Buy)^F4	$131.80	Mar 1, 2017	M	810	D	—	Mar 1, 2026	Common Stock	810	1,622	D
Employee Stock Option (Right to Buy)^F5	$89.44	Mar 2, 2017	M	285	D	—	Mar 3, 2021	Common Stock	285	286	D

F1PAYMENT OF TAX LIABILITY BY WITHHOLDING STOCK INCIDENT TO THE VESTING OF PREVIOUSLY GRANTED RESTRICTED STOCK.
F2Represents restricted share units. Restrictions lapse as follows: 175 shares each on 3/1/2018, 3/1/2019 and 3/1/2020.
F3The 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.
F4The 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.
F5The 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.