COBALT CORP·4

Sep 26, 1:07 PM ET

GRANGER LORNA J 4

4 · COBALT CORP · Filed Sep 26, 2003

Insider Transaction Report

Form 4
Period: 2003-09-24
GRANGER LORNA J
Sr. VP, Gen. Coun. & Secretary
Transactions
  • Disposition to Issuer

    Common Stock

    2003-09-241730 total(indirect: By 401(k))
  • Disposition to Issuer

    Employee Stock Option (right to buy)

    2003-09-2428,0000 total
    Exercise: $12.50Exp: 2015-02-03Common Stock (28,000 underlying)
  • Disposition to Issuer

    Common Stock

    2003-09-247,0000 total
Footnotes (5)
  • [F1]Disposed of pursuant to the merger agreement between issuer and WellPoint Health Networks Inc. (WellPoint) whereby each share of issuer common stock was canceled and replaced with the right to receive 0.1233 share of WellPoint common stock and $10.25 in cash. On September 24, 2003, the effective date of the merger, the closing price of WellPoint common stock was $76.30 per share.
  • [F2]Shares of common stock held in the reporting person's 401(k) plan as of September 24, 2003.
  • [F3]Grant to reporting person of option to buy shares of issuer common stock under the Cobalt Corporation Equity Incentive Plan.
  • [F4]The option vested and became immediately exercisable at the effective time of the merger.
  • [F5]This option was converted into an option to purchase 0.2466 shares of WellPoint common stock (rounded down to the nearest whole share) for each share of issuer common stock subject to the original option. Such new option is otherwise subject to the same terms and conditions as the original option, except that the exercise price per share of WellPoint common stock is equal to the exercise price per share of issuer common stock under the original option divided by 0.2466 (rounded up to the nearest whole cent).

Documents

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