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