0001127602-17-019008.txt : 20170522 0001127602-17-019008.hdr.sgml : 20170522 20170522161816 ACCESSION NUMBER: 0001127602-17-019008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170518 FILED AS OF DATE: 20170522 DATE AS OF CHANGE: 20170522 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Anthem, Inc. CENTRAL INDEX KEY: 0001156039 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 352145715 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 120 MONUMENT CIRCLE CITY: INDIANAPOLIS STATE: IN ZIP: 46204 BUSINESS PHONE: 3174886000 MAIL ADDRESS: STREET 1: 120 MONUMENT CIRCLE CITY: INDIANAPOLIS STATE: IN ZIP: 46204 FORMER COMPANY: FORMER CONFORMED NAME: WELLPOINT, INC DATE OF NAME CHANGE: 20100105 FORMER COMPANY: FORMER CONFORMED NAME: WELLPOINT INC DATE OF NAME CHANGE: 20041130 FORMER COMPANY: FORMER CONFORMED NAME: ANTHEM INC DATE OF NAME CHANGE: 20010730 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tallett Elizabeth E CENTRAL INDEX KEY: 0001192460 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16751 FILM NUMBER: 17861144 MAIL ADDRESS: STREET 1: 6705 ROCKLEDGE DR STREET 2: SUITE 900 CITY: BETHESDA STATE: MD ZIP: 20817 FORMER NAME: FORMER CONFORMED NAME: TALLETT ELIZEBETH E DATE OF NAME CHANGE: 20020925 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-05-18 0001156039 Anthem, Inc. ANTM 0001192460 Tallett Elizabeth E 120 MONUMENT CIRCLE INDIANAPOLIS IN 46204 1 Common Stock 2017-05-18 4 A 0 990 0 A 6308 D Phantom Stock units accrued under the Anthem, Inc. ("Company") Board of Directors Compensation Program. The phantom stock units shall be payable in Company common stock upon the first to occur of (a) five years from the date of grant or (b) the date the Reporting Person ceases to be a member of the Company's board of directors, unless a later date is designated in the Reporting Person's election made under the Company's Board of Directors Deferred Compensation Plan. /s/ Kathleen S. Kiefer, Attorney in fact 2017-05-22