SEC Form 4 · accession 0001127602-18-010570
Elevance Health, Inc. · ELV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John E Gallina
Officer — EVP & Chief Financial Officer
Period of report
Mar 5, 2018
Accepted (ET)
Mar 7, 2018 · 4:35 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 Stock | Mar 5, 2018 | G | 2,448 | $0.00 | D | 22,139 | D | |
| Common Stock | Mar 5, 2018 | M | 3,948 | $61.88 | A | 26,087 | D | |
| Common Stock | Mar 5, 2018 | M | 3,921 | $131.80 | A | 30,008 | D | |
| Common Stock | Mar 5, 2018 | M | 6,466 | $89.44 | A | 36,474 | D | |
| Common Stock | Mar 5, 2018 | M | 4,036 | $132.51 | A | 40,510 | D | |
| Common StockF2 | Mar 5, 2018 | S | 15,104 | $229.19 | D | 25,406 | D | |
| Common StockF3 | Mar 5, 2018 | S | 5,372 | $230.44 | D | 20,034 | D | |
| Common StockF4 | Mar 5, 2018 | S | 4,100 | $231.29 | D | 15,934 | 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 | $61.88 | Mar 5, 2018 | M | 3,948 | D | — | Mar 1, 2020 | Common Stock | 3,948 | 0 | D |
| Employee Stock Option (Right to Buy)F6 | $131.80 | Mar 5, 2018 | M | 3,921 | D | — | Mar 1, 2026 | Common Stock | 3,921 | 1,962 | D |
| Employee Stock Option (Right to Buy)F7 | $89.44 | Mar 5, 2018 | M | 6,466 | D | — | Mar 3, 2021 | Common Stock | 6,466 | 0 | D |
| Employee Stock Option (Right to Buy)F8 | $132.51 | Mar 5, 2018 | M | 4,036 | D | — | Jun 1, 2026 | Common Stock | 4,036 | 4,038 | D |
Explanation of responses
- F1The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on December 12, 2017.
- F2This transaction was executed in multiple trades at prices ranging from $229.00 to $229.98. The price reported reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
- F3This transaction was executed in multiple trades at prices ranging from $230.00 to $230.97. The price reported reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
- F4This transaction was executed in multiple trades at prices ranging from $231.01 to $231.83. The price reported reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
- F5The option, representing a right to purchase a total of 11,843 shares, is exercisable in one installment of 1,973 shares and five semi-annual installments of 1,974 shares each beginning on September 1, 2013, which is the six-month anniversary of the date on which the option was granted.
- F6The option, representing a right to purchase a total of 5,883 shares, is exercisable in three semi-annual installments of 980 shares each and three semi-annual installments of 981 shares each beginning on September 1, 2016, which is the six-month anniversary of the date on which the option was granted.
- F7The option, representing a right to purchase a total of 9,698 shares, is exercisable in four semi-annual installments of 1,616 shares each and two semi-annual installments of 1,617 shares each beginning on September 3, 2014, which is the six-month anniversary of the date on which the option was granted.
- F8The option represents a right to purchase a total of 8,074 shares, is exercisable in two installments of 1,345 shares each and four installments of 1,346 shares each, beginning on December 1, 2016, which is the six-month anniversary of the option grant date.