SEC Form 4 · accession 0001127602-18-026872
Elevance Health, Inc. · ELV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ronald W Penczek
Officer — SVP, Chief Accounting Officer
Period of report
Sep 4, 2018
Accepted (ET)
Sep 6, 2018 · 4:14 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 | Sep 4, 2018 | M | 406 | $131.80 | A | 1,334 | D | |
| Common Stock | Sep 4, 2018 | M | 357 | $166.97 | A | 1,691 | D | |
| Common Stock | Sep 4, 2018 | S | 763 | $265.56 | D | 928 | 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)F1 | $131.80 | Sep 4, 2018 | M | 406 | D | — | Mar 1, 2026 | Common Stock | 406 | 406 | D |
| Employee Stock Option (Right to Buy)F2 | $166.97 | Sep 4, 2018 | M | 357 | D | — | Mar 1, 2027 | Common Stock | 357 | 1,071 | D |
Explanation of responses
- F1The option represents a right to purchase a total of 2,432 shares, and is 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 is the six-month anniversary of the option grant date.
- F2The 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.