0001156039-24-000029.txt : 20240305
0001156039-24-000029.hdr.sgml : 20240305
20240305162439
ACCESSION NUMBER: 0001156039-24-000029
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240301
FILED AS OF DATE: 20240305
DATE AS OF CHANGE: 20240305
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Haytaian Peter D
CENTRAL INDEX KEY: 0001608538
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-16751
FILM NUMBER: 24720868
MAIL ADDRESS:
STREET 1: 220 VIRGINIA AVE
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Elevance Health, Inc.
CENTRAL INDEX KEY: 0001156039
STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324]
ORGANIZATION NAME: 02 Finance
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: 8003311476
MAIL ADDRESS:
STREET 1: 220 VIRGINIA AVENUE
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
FORMER COMPANY:
FORMER CONFORMED NAME: Anthem, Inc.
DATE OF NAME CHANGE: 20141202
FORMER COMPANY:
FORMER CONFORMED NAME: WELLPOINT, INC
DATE OF NAME CHANGE: 20100105
FORMER COMPANY:
FORMER CONFORMED NAME: WELLPOINT INC
DATE OF NAME CHANGE: 20041130
4
1
wk-form4_1709673865.xml
FORM 4
X0508
4
2024-03-01
0
0001156039
Elevance Health, Inc.
ELV
0001608538
Haytaian Peter D
220 VIRGINIA AVENUE
INDIANAPOLIS
IN
46204
0
1
0
0
EVP & Pres Carelon & CarelonRx
1
Common Stock
2024-03-01
4
F
0
4314
499.11
D
13425
D
Common Stock
2024-03-01
4
A
0
2405
0
A
15830
D
Common Stock
2024-03-01
4
A
0
9152
0
A
24982
D
Common Stock
2024-03-04
4
M
0
15000
166.97
A
39982
D
Common Stock
2024-03-04
4
S
0
4206
500.18
D
35776
D
Common Stock
2024-03-04
4
S
0
1889
500.18
D
33887
D
Common Stock
2024-03-04
4
S
0
15000
500.18
D
18887
D
Employee Stock Option (Right to Buy)
499.11
2024-03-01
4
A
0
9280
0
A
2034-03-01
Common Stock
9280
9280
D
Employee Stock Option (Right to Buy)
166.97
2024-03-04
4
M
0
15000
0
D
2027-03-01
Common Stock
15000
4908
D
PAYMENT OF TAX LIABILITY BY WITHHOLDING STOCK INCIDENT TO THE VESTING OF PREVIOUSLY GRANTED RESTRICTED STOCK.
Represents restricted share units. Restrictions lapse as follows:801 shares on 3/1/2025, and 802 shares each on 3/1/2026 and 3/1/2027.
Represents performance based restricted share units. Restrictions lapse on 3/1/2024.
The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on December 4, 2023.
This transaction was executed in multiple trades, each at the same price of $500.18. 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 at which the transaction was effected.
The option represents a right to purchase a total of 9,280 shares, and is exercisable in two installments of 3,093 shares each, and one installment of 3,094 shares, beginning on 3/1/2025, which is the one-year anniversary of the option grant date.
The option represents a right to purchase a total of 19,908 shares and is exercisable in six semi-annual installments of 3,318 shares each beginning on 9/1/2017, which is the six-month anniversary of the date on which the option was granted.
/s/ Kathleen S. Kiefer, Attorney in fact
2024-03-05