SEC Form 4 · accession 0001127602-18-010102
Elevance Health, Inc. · ELV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Peter D Haytaian
Officer — EVP & President, GBD
Period of report
Mar 1, 2018
Accepted (ET)
Mar 5, 2018 · 4:46 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 1, 2018 | F | 1,205 | $232.04 | D | 44,841 | D | |
| Common StockF2 | Mar 1, 2018 | A | 3,502 | $0.00 | A | 48,343 | D | |
| Common StockF3 | Mar 1, 2018 | A | 4,310 | $0.00 | A | 52,653 | D | |
| Common StockF1 | Mar 2, 2018 | F | 8,751 | $233.08 | D | 43,902 | D | |
| Common StockF4 | Mar 2, 2018 | A | 16,304 | $0.00 | A | 60,206 | 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)F5 | $232.04 | Mar 1, 2018 | A | 14,761 | A | — | Mar 1, 2028 | Common Stock | 14,761 | 14,761 | D |
Explanation of responses
- F1PAYMENT OF TAX LIABILITY BY WITHHOLDING STOCK INCIDENT TO THE VESTING OF PREVIOUSLY GRANTED RESTRICTED STOCK.
- F2Represents restricted share units. Restrictions lapse as follows: 1,167 shares each on 3/1/2019 and 3/1/2020, and 1,168 on 3/1/2021.
- F3Represents restricted share units. Restrictions lapse as follows: 1,436 shares on 3/1/2019, and 1,437 shares each on 3/1/2020 and 3/1/2021.
- F4Represents performance based restricted share units. Restrictions lapsed on 3/2/18.
- F5The option represents a right to purchase a total of 14,761 shares, and is exercisable in six semi-annual installments, with five installments of 2,460 shares each and one installment of 2,461 shares, beginning on September 1, 2018, which is the six-month anniversary of the option grant date.