SEC Form 4 · accession 0001127602-18-010116
Elevance Health, Inc. · ELV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jacquelyn H Wolf
Officer — EVP & Chief HR Officer
Period of report
Mar 1, 2018
Accepted (ET)
Mar 5, 2018 · 4:52 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 | A | 2,155 | $0.00 | A | 3,105 | 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)F2 | $232.04 | Mar 1, 2018 | A | 9,082 | A | — | Mar 1, 2028 | Common Stock | 9,082 | 9,082 | D |
Explanation of responses
- F1Represents restricted share units. Restrictions lapse as follows: 718 shares each on 3/1/2019 and 3/1/2020, and 719 on 3/1/2021.
- F2The option represents a right to purchase a total of 9,082 shares, and is exercisable in six semi-annual installments, with two installments of 1,513 shares each and four installments of 1,514 shares each, beginning on September 1, 2018, which is the six-month anniversary of the option grant date.