0001127602-19-018997.txt : 20190517
0001127602-19-018997.hdr.sgml : 20190517
20190517162148
ACCESSION NUMBER: 0001127602-19-018997
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190515
FILED AS OF DATE: 20190517
DATE AS OF CHANGE: 20190517
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: 19835977
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
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: 220 VIRGINIA AVENUE
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
BUSINESS PHONE: 3174886000
MAIL ADDRESS:
STREET 1: 220 VIRGINIA AVENUE
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
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2019-05-15
0001156039
Anthem, Inc.
ANTM
0001192460
Tallett Elizabeth E
220 VIRGINIA AVENUE
INDIANAPOLIS
IN
46204
1
Common Stock
2019-05-15
4
A
0
753
0
A
7814
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
2019-05-17