Quarterly Report — Form 10-Q — Sect. 13 / 15(d) – SEA’34 Filing Table of Contents
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1: 10-Q Quarterly Report HTML 804K
2: EX-10.2(D) Material Contract HTML 58K
3: EX-10.2(E) Material Contract HTML 63K
4: EX-10.2(F) Material Contract HTML 72K
5: EX-10.2(G) Material Contract HTML 60K
6: EX-31.1 Certification -- §302 - SOA'02 HTML 37K
7: EX-31.2 Certification -- §302 - SOA'02 HTML 36K
8: EX-32.1 Certification -- §906 - SOA'02 HTML 31K
9: EX-32.2 Certification -- §906 - SOA'02 HTML 31K
16: R1 Document And Entity Information HTML 50K
17: R2 Consolidated Balance Sheets HTML 158K
18: R3 Consolidated Balance Sheets (Parenthetical) HTML 52K
19: R4 Consolidated Statements Of Income HTML 101K
20: R5 Consolidated Statements of Comprehensive Income HTML 54K
21: R6 Consolidated Statements Of Cash Flows HTML 156K
22: R7 Consolidated Statements Of Shareholders' Equity HTML 75K
23: R8 Organization HTML 36K
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Policies
25: R10 Business Acquisitions HTML 39K
26: R11 Investments HTML 247K
27: R12 Derivative Financial Instruments Derivative HTML 207K
Financial Instruments
28: R13 Fair Value HTML 334K
29: R14 Income Taxes HTML 33K
30: R15 Retirement Benefits HTML 60K
31: R16 Medical Claims Payable HTML 111K
32: R17 Debt HTML 53K
33: R18 Commitments And Contingencies HTML 68K
34: R19 Capital Stock HTML 107K
35: R20 Accumulated Other Comprehensive Income HTML 91K
36: R21 Earnings Per Share HTML 41K
37: R22 Segment Information HTML 96K
38: R23 Basis of Presentation and Significant Accounting HTML 68K
Policies (Policies)
39: R24 Investments (Tables) HTML 251K
40: R25 Derivative Financial Instruments (Tables) HTML 218K
41: R26 Fair Value (Tables) HTML 319K
42: R27 Retirement Benefits (Tables) HTML 59K
43: R28 Medical Claims Payable (Tables) HTML 113K
44: R29 Debt (Tables) HTML 36K
45: R30 Capital Stock (Tables) HTML 114K
46: R31 Accumulated Other Comprehensive Income (Tables) HTML 93K
47: R32 Earnings Per Share (Tables) HTML 38K
48: R33 Segment Information (Tables) HTML 104K
49: R34 Organization (Details) HTML 36K
50: R35 Basis of Presentation and Signficant Accounting HTML 45K
Policies Basis of Presentation and Significant
Acconting Policies (Details)
51: R36 Business Acquisitions Business Acquisition (Assets HTML 66K
Liabilities Acquired) (Details)
52: R37 Investments (Current And Long-Term Fixed Maturity HTML 82K
Securities, Available-For-Sale) (Details)
53: R38 Investments (Aggregate Fair Value And Gross HTML 77K
Unrealized Loss Of Fixed Maturity Securities And
Equity Securities In An Unrealized Loss Position)
(Details)
54: R39 Investments (Amortized Cost And Fair Value Of HTML 67K
Fixed Maturity Securities, By Contractual
Maturity) (Details)
55: R40 Investments (Proceeds and Realized Gains Losses HTML 36K
From Debt Securities) (Details)
56: R41 Investments (Current and Long-term Equity HTML 46K
Securities) (Details)
57: R42 Investments (Gains and Losses Recognized on Equity HTML 37K
Securities) (Details)
58: R43 Investments (Securities Lending Programs) HTML 45K
(Details)
59: R44 Investments (Narrative) (Details) HTML 46K
60: R45 Derivative Financial Instruments (Notional HTML 75K
Amounts, Balance Sheet Location And Estimated Fair
Values Of Derivative Financial Instruments)
(Details)
61: R46 Derivative Financial Instruments (Summary Of HTML 61K
Outstanding Fair Value Hedges) (Details)
62: R47 Derivative Financial Instruments Derivative HTML 37K
Financial Instruments (Fair Value Hedges,
Financial Position) (Details)
63: R48 Derivative Financial Instruments (Effect Of Cash HTML 40K
Flow Hedges On Financial Statements) (Details)
64: R49 Derivative Financial Instruments (Income Statement HTML 51K
Relationship of Fair Value and Cash Flow Hedging)
(Details)
65: R50 Derivative Financial Instruments (Effect Of HTML 40K
Non-Hedging Derivatives On Income Statement And
Included In Net Realized Gains (Losses) On
Financial Instruments) (Details)
66: R51 Derivative Financial Instruments (Financial HTML 52K
Statement Narrative) (Details)
67: R52 Fair Value (Fair Value Measurements By Level For HTML 155K
Assets Measured At Fair Value On A Recurring
Basis) (Details)
68: R53 Fair Value (Reconciliation Of The Beginning And HTML 76K
Ending Balances Of Assets Measured At Fair Value
On A Recurring Basis Using Level III Inputs)
(Details)
69: R54 Fair Value (Carrying And Estimated Fair Values by HTML 61K
Level Of Financial Instruments Not Recorded At
Fair Value On Consolidated Balance Sheet)
(Details)
70: R55 Income Taxes (Narrative) (Details) HTML 37K
71: R56 Retirement Benefits (Components Of Net Periodic HTML 51K
(Benefit Credit) Benefit Cost) (Details)
72: R57 Medical Claims Payable (Reconciliation Of The HTML 70K
Beginning And Ending Balances For Medical Claims
Payable By Segment) (Details)
73: R58 Medical Claims Payable (Reconciliation Of Net HTML 41K
Incurred Medical Claims To Benefit Expense)
(Details)
74: R59 Medical Claims Payable (Narrative) (Details) HTML 47K
75: R60 Debt (Carrying Value Of Long-term Debt) (Details) HTML 34K
76: R61 Debt (Convertible Debenture Details) (Details) HTML 45K
77: R62 Debt (Narrative) (Details) HTML 113K
78: R63 Commitments And Contingencies (Details) HTML 56K
79: R64 Capital Stock (Summary of Cash Dividend Activity) HTML 40K
(Details)
80: R65 Capital Stock (Summary of Share Repurchases) HTML 43K
(Details)
81: R66 Capital Stock (Summary of Stock Option Activity) HTML 67K
(Details)
82: R67 Capital Stock (Nonvested Restricted Stock Activity HTML 55K
Including Restricted Stock Units) (Details)
83: R68 Capital Stock (Fair Values of Options Granted HTML 39K
During The Period Estimated Using Weighted-Average
Assumptions) (Details)
84: R69 Capital Stock (Schedule Of Weighted-Average Fair HTML 34K
Values Determined For The Periods) (Details)
85: R70 Capital Stock (Narrative) (Details) HTML 74K
86: R71 Accumulated Other Comprehensive Loss HTML 90K
(Reconciliation Of The Components Of Accumulated
Other Comprehensive Income) (Details)
87: R72 Accumulated Other Comprehensive Income (Other HTML 53K
Comprehensive Income (Loss) Reclassification
Adjustments) (Details)
88: R73 Accumulated Other Comprehensive Income (Loss) HTML 49K
Accumulated Other Comprehensive Income
Reclassification Adjustments (Details)
89: R74 Earnings Per Share (Denominator For Basic And HTML 37K
Diluted Earnings Per Share) (Details)
90: R75 Earnings Per Share (Narrative) (Details) HTML 36K
91: R76 Segment Information (Financial Data By Reportable HTML 41K
Segment) (Details)
92: R77 Segment Information Segment Information (Major HTML 49K
Product Revenues for Each Reportable Segment)
(Details)
93: R78 Segment Information (Reconciliation Of Reportable HTML 41K
Segments Operating Revenues To Total Revenues
Reported In The Consolidated Statements Of Income)
(Details)
94: R79 Segment Information (Reconciliation Of Reportable HTML 50K
Segments Operating Gain To Income Before Income
Tax Expense Included In The Consolidated
Statements Of Income) (Details)
95: R80 Segment Information Segment Information HTML 30K
(Narrative) (Details)
97: XML IDEA XML File -- Filing Summary XML 185K
96: EXCEL IDEA Workbook of Financial Reports XLSX 121K
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You have been granted the following nonqualified stock option to purchase shares of common stock of the Company in accordance with the terms of the Plan and the attached Nonqualified Stock Option
Award Agreement.
Plan: 2017 Anthem Incentive Compensation Plan
Grant: Grant Date: [●] Option Price per Share: $[●] Number of Shares under Option: [●]
Exercisability:
Subject to the terms of the Plan and this Agreement, your Option will become exercisable on and after the dates indicated below as to the number of Shares set forth below opposite each such date, plus any Shares as to which your Option could have been exercised previously but was not so exercised.
Shares
Date
In
the event that a Change of Control (as defined in the Plan) occurs before your Termination, your Option will remain subject to the terms of this Agreement, unless the successor company does not assume your Option. If a successor company does not assume your Option, then your Option shall become fully exercisable immediately prior to the Change of Control.
Expiration Date:
Your Option will expire ten years from the Grant Date, subject to earlier termination as set forth in the Plan and this Agreement.
Acceptance:
In order to accept your Options,
you must electronically accept this Agreement through the Company’s broker at any time within ninety (90) days after the Grant Date. To effect your acceptance, please follow the instructions included with your grant materials. Acceptance of the Agreement includes acceptance of the terms and conditions of the Plan. If you do not timely and electronically accept this Agreement, this Agreement will be null and void as of the 90th day after the Grant Date and you will have no right or claim to the Options described above.
Exhibit 10.2(d)
Nonqualified
Stock Option Award Agreement
This Nonqualified Stock Option Award Agreement (this “Agreement”) dated as of the Grant Date (the “Grant Date”) set forth in the Notice of Option Grant attached as Schedule A hereto (the “Grant Notice”) is made between Anthem, Inc. (the “Company”) and the Participant set forth in the Grant Notice. The Grant Notice is included in and made part of this Agreement.
1. Grant of the Option. Subject to the provisions of this Agreement and the provisions of the Plan, the Company hereby grants to the Participant, pursuant to the Plan, the right and option (the “Option”) to purchase all or any part of the number of shares of common stock of the
Company (“Shares”) as set forth in the Grant Notice at an Option Price (“Option Price”) per share and on the other terms as set forth in the Grant Notice. This Option is intended to be a nonqualified stock option for federal income tax purposes.
2.
Method of Exercise of the Option.
(a) The Participant may exercise the Option, to the extent then exercisable, by delivering a notice to the Company’s captive broker in a form specified or accepted by the captive broker, specifying the number
of Shares with respect to which the Option is being exercised.
(b) At the time the Participant exercises the Option, the Participant shall pay the Option Price of the Shares as to which the Option is being exercised and applicable taxes (i) in United States dollars by personal check, bank draft or money order; (ii) subject to such terms, conditions and limitations as the Compensation Committee of the Board of Directors of the Company (“Committee”) may prescribe, by tendering (either by actual delivery or attestation) unencumbered Shares previously acquired by the Participant having an aggregate Fair Market Value at the time of exercise equal to the total Option Price of the Shares for which the Option is so exercised; (iii) subject to such terms, conditions and limitations as the
Committee may prescribe, a cashless (broker-assisted) exercise that complies with all applicable laws; or (iv) by a combination of the consideration provided for in the foregoing clauses (i), (ii) and (iii).
3. Termination. The Option shall terminate upon the Participant’s Termination for any reason and no Shares may thereafter be purchased under the Option except as provided below. Notwithstanding anything contained in this Agreement, the Option shall not be exercisable after the Expiration Date.
(a) Retirement. If the Participant’s Termination is due to Retirement (for purposes of this Agreement, defined as the Participant’s Termination after attaining age fifty-five (55) with at least
ten (10) completed years of service or after attaining age sixty-five (65)), the Option shall continue to become exercisable according to the schedule set forth in the Grant Notice; provided that the Option shall terminate on the five-year anniversary of the date of the Participant’s Retirement but not later than the Expiration Date noted on the attached Schedule A; provided, further, that if the Participant’s Termination is due to Retirement during the calendar year of the Grant Date, the Option shall be immediately terminated on a pro-rata basis, measured by the number of completed full months in that calendar year during which the Participant was employed by the Company or an Affiliate (e.g., if the Participant’s Retirement occurs in September, 33.3% (or 4/12) of the Option shall be immediately
terminated), and the non-terminated portion of the Option shall continue to become exercisable according to the schedule set forth in the Grant Notice.1
(b) Death and Disability. If the Participant’s Termination is due to the Participant’s death or Disability (for purposes of this Agreement, as defined in the applicable Anthem Long-Term Disability Plan), the Option shall immediately become fully exercisable and shall terminate on the five-year anniversary of the date of such Termination but not later than the Expiration Date noted on the attached Schedule A.
1 This retirement provision
is deleted in non-annual retention grants.
Exhibit 10.2(d)
(c) Termination without Cause. Unless Section 3(e) is applicable, if the Participant’s Termination is by the Company or an Affiliate without Cause (for purposes of this Agreement, defined as a violation of “conduct” as such term is defined in the Anthem HR Corrective Action Policy and if the Participant participates in the Anthem, Inc. Executive Agreement Plan (the "Agreement Plan"), the Key Associate Agreement or the Key Sales Associate Agreement also as defined in that plan or agreement) or voluntarily by the Participant,
the Option, to the extent exercisable as of the date of such Termination, shall thereafter only be exercisable for a period of ninety (90) days from the date of such Termination., but not later than the Expiration Date noted on the attached Schedule A.
(d) Cause. If the Participant’s Termination is for Cause, even if on the date of such Termination the Participant has met the definition of Retirement or Disability, then the portion of the Option that has not been exercised shall immediately terminate.
(e) Termination after Change in Control. If after a Change in Control the Participant’s Termination is (i) by the Company or an Affiliate without Cause or (ii) if the Participant participates in the
Executive Agreement Plan, by the Participant for Good Reason (as defined in the Executive Agreement Plan), the Option shall immediately become fully exercisable and shall terminate on the five-year anniversary of the date of such Termination but not later than the Expiration Date noted on the attached Schedule A.
(f) Clawback Provision. Notwithstanding any other provisions of this Agreement to the contrary, in the event that the Participant is a non-executive participant in the Agreement Plan or is an Executive (as defined by the Company) at the time of the Participant’s Termination, regardless of whether the Executive is then a participant in such Agreement Plan, the Option shall immediately terminate if the Participant breaches any provision of Section 3.6 or 3.10 of the Agreement Plan, in
which case the Participant shall be subject to the “Return of Consideration” provision contained in Section 3.7 of the Agreement Plan.
4. Transferability of the Option. The Option shall not be transferable or assignable by the Participant except as provided in this Section 4 and the Option shall be exercisable, during the Participant’s lifetime, only by him/her or, during periods of legal disability, by his guardian or other legal representative. No Option shall be subject to execution, attachment, or similar process. The Participant shall have the right to appoint any individual or legal entity in writing, on a Designation of Beneficiary form as his/her beneficiary to receive any Option (to the extent not previously terminated or forfeited) under this Agreement upon the Participant’s death. Such designation under this Agreement may be revoked by the Participant at
any time and a new beneficiary may be appointed by the Participant by execution and submission to the Company, or its designee, of a revised Designation of Beneficiary form to this Agreement. In order to be effective, a designation of beneficiary must be completed by the Participant on the Designation of Beneficiary form and received by the Company, or its designee, prior to the date of the Participant’s death. If the Participant dies without such designation, the Option may be exercised only by the executor or administrator of the Participant’s estate or by a person who shall have acquired the right to such exercise by will or by the laws of descent and distribution.
5. Taxes
and Withholdings. At the time of receipt of Shares upon the exercise of all or any part of the Option, the Participant shall pay to the Company in cash (or make other arrangements, in accordance with Article XVIII of the Plan, for the satisfaction of) any taxes of any kind required by law to be withheld with respect to such Shares; provided, however, that pursuant to any procedures, and subject to any limitations as the Committee may prescribe and subject to applicable law, the Participant may elect to satisfy, in whole or in part, such withholding obligations by (a) withholding Shares otherwise deliverable to the Participant pursuant to the Option (provided, however, that the amount of any Shares so withheld shall not exceed
the amount necessary to satisfy required Federal, state, local and non-United States withholding obligations using the minimum statutory withholding rates for Federal, state, local and/or non-U.S. tax purposes, including payroll taxes, that are applicable to supplemental taxable income) and/or (b) tendering to the Company Shares owned by the Participant (or the Participant and the Participant’s spouse jointly) based, in each case, on the Fair Market Value of the Shares on the payment date as determined by the Committee. Any such election made by the Participant must be irrevocable, made in writing, signed by the Participant, and shall be subject to any restrictions or limitations that the Committee, in its sole discretion, deems appropriate.
Exhibit
10.2(d)
6. No Rights as a Shareholder. Neither the Participant nor any other person shall become the beneficial owner of the Shares subject to the Option, nor have any rights to dividends or other rights as a shareholder with respect to any such Shares, until the Participant has actually received such Shares following the exercise of the Option in accordance with the terms of the Plan and this Agreement.
7. No Right to Continued Employment. Neither the Option nor any terms contained in this Agreement shall confer upon the Participant any express or implied right to be retained in the employment or service of the Company or any Affiliate for any period, nor restrict in any way the
right of the Company, which right is hereby expressly reserved, to terminate the Participant’s employment or service at any time with or without Cause. The Participant acknowledges and agrees that any right to exercise the Option is earned only by continuing as an employee of the Company or an Affiliate at the will of the Company or such Affiliate, or satisfaction of any other applicable terms and conditions contained in the Plan and this Agreement, and not through the act of being hired, being granted the Option or acquiring Shares hereunder.
8. The Plan. This Agreement
is subject to all the terms, provisions and conditions of the Plan, which are incorporated herein by reference, and to such regulations as may from time to time be adopted by the Committee. Unless defined herein, capitalized terms are as defined in the Plan. In the event of any conflict between the provisions of the Plan and this Agreement, the provisions of the Plan shall control, and this Agreement shall be deemed to be modified accordingly. The Plan and the prospectus describing the Plan can be found on the Company’s HR intranet. A paper copy of the Plan and the prospectus shall be provided to the Participant upon the Participant’s written request to the Company at Anthem, Inc., 120 Monument Circle, Indianapolis,
Indiana46204, Attention: Corporate Secretary, Shareholder Services Department.
9.
Compliance with Laws and Regulations.
(a) The Option and the obligation of the Company to sell and deliver Shares hereunder shall be subject in all respects to (i) all applicable Federal and state laws, rules and regulations and (ii) any registration, qualification, approvals or other requirements
imposed by any government or regulatory agency or body which the Committee shall, in its discretion, determine to be necessary or applicable. Moreover, the Option may not be exercised if its exercise, or the receipt of Shares pursuant thereto, would be contrary to applicable law. If at any time the Company determines, in its discretion, that the listing, registration or qualification of Shares upon any national securities exchange or under any state or Federal law, or the consent or approval of any governmental regulatory body, is necessary or desirable, the Company shall not be required to deliver any certificates for Shares to the Participant or any other person pursuant to this Agreement unless and until such listing, registration, qualification, consent or approval has been effected or obtained,
or otherwise provided for, free of any conditions not acceptable to the Company.
(b) The Shares received upon the exercise of the Option shall have been registered under the Securities Act of 1933 (“Securities Act”). If the Participant is an “affiliate” of the Company, as that term is defined in Rule 144 under the Securities Act (“Rule 144”), the Participant may not sell the Shares received except in compliance with Rule 144. Certificates representing Shares issued to an “affiliate” of the Company may bear a legend setting forth such restrictions on the disposition or transfer of the Shares as the
Company deems appropriate to comply with Federal and state securities laws.
(c) If at the time of exercise of all or part of the Option, the Shares are not registered under the Securities Act, and/or there is no current prospectus in effect under the Securities Act with respect to the Shares, the Participant shall execute, prior to the delivery of any Shares to the Participant by the Company pursuant to this Agreement, an agreement (in such form as the Company may specify) in which the Participant represents and warrants that the Participant is purchasing or acquiring the shares acquired under this Agreement for the Participant's own account, for investment only and not with a view to the resale or distribution thereof, and represents and agrees that
any subsequent offer for sale or distribution of any kind of such Shares shall be made only pursuant to either (i) a registration statement on an appropriate form under the Securities Act, which registration statement has become effective and is current with regard to the Shares being offered or sold, or (ii) a specific exemption from the registration requirements of the Securities Act, but in claiming such exemption the Participant shall, prior to any offer for sale of
Exhibit 10.2(d)
such Shares, obtain a prior favorable written opinion, in form and substance satisfactory to the Company, from counsel for or approved by the
Company, as to the applicability of such exemption thereto.
10. Notices. All notices by the Participant or the Participant’s assignees shall be addressed to Anthem, Inc., 120 Monument Circle, Indianapolis, Indiana46204, Attention: Stock Administration, or such other address as the Company may from time to time specify. All notices to the Participant shall be addressed to the Participant at the Participant’s address in the Company's
records.
11. Other Plans. The Participant acknowledges that any income derived from the exercise of the Option shall not affect the Participant’s participation in, or benefits under, any other benefit plan or other contract or arrangement maintained by the Company or any Affiliate.
12. Recoupment Policy for Incentive Compensation. The Company's Recoupment Policy for Incentive Compensation, as may be amended from time to time, shall
apply to the Option, any Shares acquired upon exercise of the Option and any profits realized from the sale of such Shares to the extent that the Participant is covered by such policy. If the Participant is covered by such policy, the policy may apply to recoup the Option, any Shares acquired upon exercise of the Option or profits realized from the sale of Shares previously covered by the Option either before, on or after the date on which the Participant becomes subject to such policy.
ANTHEM, INC.
By: ______________________________
Printed: Lewis Hay III Its: Chair, Compensation Committee
of
the Board of Directors
Dates Referenced Herein and Documents Incorporated by Reference