SEC Form 4 · accession 0001127602-18-023949
Elevance Health, Inc. · ELV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Craig E Samitt
Officer — EVP & President, DBG
Period of report
Jul 26, 2018
Accepted (ET)
Jul 27, 2018 · 4:19 pm EDT
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 | Jul 26, 2018 | M | 9,846 | $138.94 | A | 20,857 | D | |
| Common Stock | Jul 26, 2018 | M | 11,364 | $131.80 | A | 32,221 | D | |
| Common Stock | Jul 26, 2018 | M | 4,594 | $166.97 | A | 36,815 | D | |
| Common StockF1 | Jul 26, 2018 | S | 19,541 | $246.68 | D | 17,274 | 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 | $138.94 | Jul 26, 2018 | M | 9,846 | D | — | Oct 1, 2025 | Common Stock | 9,846 | 1,970 | D |
| Employee Stock Option (Right to Buy)F3 | $131.80 | Jul 26, 2018 | M | 11,364 | D | — | Mar 1, 2026 | Common Stock | 11,364 | 5,682 | D |
| Employee Stock Option (Right to Buy)F4 | $166.97 | Jul 26, 2018 | M | 4,594 | D | — | Mar 1, 2027 | Common Stock | 4,594 | 9,188 | D |
Explanation of responses
- F1This transaction was executed in multiple trades at prices ranging from $246.62 to $247.15. 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.
- F2The option represents a right to purchase a total of 11,816 shares, and is exercisable in four semi-annual installments of 1,969 shares each and two semi-annual installments of 1,970 shares each, beginning on April 1, 2016, which is the six-month anniversary of the option grant date.
- F3The option represents a right to purchase a total of 17,046 shares, and is exercisable in six semi-annual installments of 2,841 shares each, beginning on September 1, 2016, which is the six-month anniversary of the option grant date.
- F4The option represents a right to purchase a total of 13,782 shares, and is exercisable in six semi-annual installments of 2,297 shares each, beginning on September 1, 2017, which is the six-month anniversary of the option grant date.