Executive Agreement Plan, amended and restated effective 01/01/09



 Exhibit 10.4 
 WellPoint, Inc. 
 EXECUTIVE AGREEMENT PLAN 
 (Amended and Restated Effective January 1, 2009) 








			
		
	 ARTICLE 1 ESTABLISHMENT, AMENDMENT, PURPOSE AND INTENT
	  	1
		
	 1.1 Establishment, Amendment, Purpose and Intent
	  	1
		
	 ARTICLE 2 ELIGIBILITY AND PARTICIPATION
	  	1
		
	 2.1 Participation
	  	1
		
	 2.2 Termination of Participation
	  	1
		
	 2.3 Employment Period
	  	2
		
	 ARTICLE 3 SEVERANCE BENEFITS
	  	2
		
	 3.1 Eligible Separation from Service
	  	2
		
	 3.2 Amount of Severance Pay.
	  	3
		
	 3.3 Other Benefits.
	  	4
		
	 3.4 Payment
	  	5
		
	 3.5 Waiver and Release
	  	6
		
	 3.6 Restrictive Covenants
	  	7
		
	 3.7 Return of Consideration.
	  	10
		
	 3.8 Equitable Relief and Other Remedies
	  	11
		
	 3.9 Survival of Provisions
	  	11
		
	 3.10 Cooperation
	  	11
		
	 ARTICLE 4 ADDITIONAL CHANGE IN CONTROL BENEFITS
	  	12
		
	 4.1 Equity Vesting Upon Change in Control.
	  	12
		
	 4.2 Guaranteed Annual Bonus for the Year of a Change in Control
	  	13
		
	 4.3 Equity Vesting Upon Termination Without Cause or for Good Reason
	  	13
		
	 4.4 Pro-Rata Bonus Payment Upon Termination Without Cause or for Good Reason
	  	14
		
	 4.5 Qualified and Supplemental Pension and 401(k) Match Contribution
	  	14
		
	 4.6 Gross-up for Certain Taxes.
	  	15
		
	 ARTICLE 5 CLAIMS
	  	16
		
	 5.1 Good Reason and Competition Determinations
	  	16
		
	 5.2 Claims Procedure
	  	16
		
	 5.3 Claims Review Procedure
	  	16
		
	 5.4 Arbitration.
	  	17
		
	 ARTICLE 6 ADMINISTRATION
	  	18
		
	 6.1 Committee
	  	18
		
	 6.2 Committee Membership
	  	18

  

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	 6.3 Duties
	  	19
		
	 6.4 Binding Authority
	  	19
		
	 6.5 Exculpation
	  	19
		
	 6.6 Indemnification
	  	20
		
	 6.7 Information
	  	20
		
	 ARTICLE 7 GENERAL PROVISIONS
	  	20
		
	 7.1 No Property Interest
	  	20
		
	 7.2 Other Rights
	  	20
		
	 7.3 Amendment or Termination
	  	21
		
	 7.4 Successors
	  	21
		
	 7.5 Severability
	  	21
		
	 7.6 No Employment Rights
	  	21
		
	 7.7 Transferability of Rights
	  	21
		
	 7.8 Beneficiary
	  	22
		
	 7.9 Company Action
	  	22
		
	 7.10 Entire Document
	  	22
		
	 7.11 Plan Year
	  	22
		
	 7.12 Governing Law
	  	22
		
	 ARTICLE 8 DEFINITIONS
	  	22
		
	 8.1 Definitions
	  	22
		
	 EXHIBIT A EMPLOYMENT AGREEMENT
	  	29
		
	 EXHIBIT B WAIVER AND RELEASE
	  	30
		
	 EXHIBIT C DESIGNATED PLANS
	  	

  

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 WellPoint, Inc. 
 Executive Agreement Plan 
 Amended and Restated  
 Effective January 1, 2009 
 ARTICLE 1 
 ESTABLISHMENT, AMENDMENT, PURPOSE AND INTENT 
 1.1 Establishment, Amendment, Purpose and Intent. WellPoint, Inc., an Indiana corporation with its principal place of business in Indianapolis,
Indiana (“WellPoint”), established this WellPoint, Inc. Executive Agreement Plan (“Plan”), effective as of January 1, 2006, and amended and restated the Plan effective November 1, 2006, and again effective
October 1, 2007. The Plan is hereby amended and restated in its entirety, effective January 1, 2009 in response to final regulations issued under Code Section 409A. The Plan is intended to protect key executive employees of WellPoint
and its subsidiaries and affiliates (collectively, the “Company”) against an involuntary loss of employment so as to attract and retain such employees, and motivate them to enhance the value of the Company. The Plan is intended to
be an unfunded welfare plan subject to the Employee Retirement Income Security Act of 1974, as amended (“ERISA”); or to the extent it is a pension plan subject to ERISA, as an unfunded pension plan maintained primarily for the purpose of
providing deferred compensation to a select group of management or highly compensated employees. Words and phrases used with initial capitals in the Plan and not otherwise defined in the Plan have the meanings defined for them in Article 8.

 ARTICLE 2 
 ELIGIBILITY AND
PARTICIPATION 
 2.1 Participation. Each Executive shall become a Participant (“Participant”) upon mutual execution by
the eligible Executive and the Company of an agreement (an “Employment Agreement”) substantially in the form of that attached as Exhibit A. Each such executed Employment Agreement shall form part of this Plan and is
incorporated into this Plan by this reference. As soon as practicable after the date that the individual becomes an Executive, the Committee shall deliver a copy of the Plan to the Executive, advise the Executive of his or her eligibility, and offer
him or her for a period of forty-five (45) days the opportunity to enter into an Employment Agreement substantially in the form of that attached as Exhibit A. If an Executive does not enter into an Employment Agreement within forty-five
(45) days of such advice the Executive shall have no further opportunity to become a Participant in the Plan unless the Chief Executive Officer of the Company in his or her sole discretion affords the Executive a new or extended opportunity to
become a Participant in the Plan. 
 2.2 Termination of Participation. A Participant’s participation in the Plan shall
automatically terminate, without notice to or consent of the Participant, upon the earliest to occur of the following events: 
 (a)
termination of the Participant’s employment with the Company for any reason (including but not limited to death, disability, Transfer of Business or other disposition of the subsidiary of the Company which employs the Participant) that is not
an Eligible Separation from Service (as defined in Section 3.1); or 







 (b) expiration of the Employment Agreement. 
 2.3 Employment Period. Subject to the termination provisions hereinafter provided, the initial term of Executive’s employment under this Plan
shall commence on the date provided as the “Agreement Date” in the Employment Agreement and shall end on the date that is one year after the Agreement Date; provided, however, that commencing on the day following the Agreement Date the
term will automatically be extended each day by one day, until a date (the “Expiration Date”) which is the first annual anniversary of the first date on which either the Company or Executive delivers to the other written notice of non
renewal. The term beginning on the Agreement Date and ending on the Expiration Date shall constitute the “Employment Period” for purposes of the Plan. Expiration of the Employment Agreement shall not be construed to terminate the
employment of Executive. If the employment of Executive does not terminate on or before the Expiration Date in accordance with the Plan, Executive shall continue to be an employee at will of the Company after the Expiration Date unless such
employment is otherwise terminated by the Company or Executive. 
 ARTICLE 3 
 SEVERANCE BENEFITS 
 3.1 Eligible Separation from Service. Each
Participant shall be entitled to severance and other benefits under the Plan in the amount set forth in Sections 3.2 and 3.3 below (“Severance Benefits”) if the Participant incurs an Eligible Separation from Service. Entitlement to
Severance Benefits is subject to the Participant’s compliance with Sections 3.6 and 3.7 of the Plan and the other terms and conditions of this Plan, and subject to the execution and delivery of a valid and unrevoked Waiver and Release Agreement
as required by Section 3.5 and to the other conditions set forth below. For this purpose an “Eligible Separation from Service” is: 
 (a) a Separation from Service by reason of a termination of the Participant’s employment by the Company for any reason other than death, disability, Cause, or Transfer of Business; 
 (b) a Separation from Service by reason of a termination of the Participant’s employment by the Participant for Good Reason; 
 (c) a Separation from Service during an Imminent Change in Control Period by reason of a termination of the Participant’s employment by the Company
for any reason other than death, disability, Cause, or Transfer of Business. 
 No Severance Benefits shall be payable in respect of a Separation from
Service that is not an Eligible Separation from Service. For avoidance of doubt, none of the following shall be an Eligible Separation from Service: (i) termination of the Participant’s employment upon death or disability,
(ii) termination of the Participant’s employment by the Company for Cause or upon 

  

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Transfer of Business, or (iii) any voluntary resignation that does not constitute a termination of the Participant’s employment for Good Reason. No
Severance Benefits shall be payable merely upon termination of an Employment Agreement without a Separation from Service. 
 3.2 Amount of
Severance Pay. 
 (a) The amount of severance pay (“Severance Pay”) to which the Participant is entitled over the
applicable severance period (“Severance Period”) under the Plan shall be the product of the amount described in (i) multiplied by the percentage described in (ii), with such product reduced by the amount described in (iii):

 (i) if a Vice President, Senior Vice President, or Executive Vice President, the sum of the Participant’s Annual
Salary and Annual Target Bonus or if an Other Key Executive, Annual Salary; 
 (ii) the applicable percentage set forth below
opposite the Participant’s employment classification at the time of Separation from Service (disregarding any adverse change in employment classification during an Imminent Change in Control Period or after a Change in Control); 
 (iii) the sum of (A) severance or similar payments made pursuant to any Federal, state or local law, including but not limited to
payments under the Federal Worker Adjustment and Retraining Notification Act (WARN), and (B) any termination or severance payments under any other termination or severance plans, policies or programs of the Company or any of its subsidiaries
and affiliates that the Participant receives notwithstanding subsection (c) below. 
 (iv) In the event the
Participant’s Eligible Separation from Service occurs outside an Imminent Change in Control Period or outside the thirty-six month period following a Change in Control, the applicable percentage shall be the percentage set forth in column
(A) below and the Severance Period shall be the period set forth in column (B) below. In the event the Participant’s Eligible Separation from Service occurs within an Imminent Change in Control Period, provided the contemplated Change
in Control occurs within one year of the Participant’s Eligible Separation from Service, or within the thirty-six month period following a Change in Control, the applicable percentage shall be the percentage set forth in column (C) below
and the applicable Severance Period shall be the period set forth in column (D) below. 
  

									
	 	  	(A)	 	 (B)
	  	(C)	 	 (D)

	 Position
	  	Percentage
absent Change
in Control	 	 Severance
 Period, absent
 Change in
 Control, Over
 Which
 Severance Pay
 will be
Paid
	  	Percentage –
Change in
Control	 	 Severance Period –
 Change in Control
 Over Which
Severance
 Pay will be Paid

	Other Key Executive	  	100%	 	One year	  	100%	 	One year
	Vice President	  	100%	 	One year	  	100%	 	One year
	Senior Vice President	  	150%	 	One and one-half years	  	250%	 	Two and one-half years
	Executive Vice President	  	200%	 	Two years	  	300%	 	Three years

  

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 (b) There shall be no duplication of severance benefits in any manner. Severance Pay under this Plan
shall be in lieu of any termination or severance payments to which the Participant may be entitled under any other termination or severance plans, policies or programs of the Company or any of its subsidiaries and affiliates. No Participant shall be
entitled to Severance Pay hereunder for more than one position with the Company. 
 (c) A Participant shall not be obligated to secure new
employment, but each Participant shall report promptly to the Company any actual employment obtained during the Severance Period. Severance Pay under the Plan shall not be subject to mitigation except as provided (i) in Section 3.2(a) and
(b) hereof for other severance pay from the Company and (ii) in Section 3.3 for determining continuing eligibility for health and life benefits coverage. Severance Pay shall be subject to Section 3.7. 
 (d) Severance Periods shall be measured from the date of the Eligible Separation from Service. 
 3.3 Other Benefits. 
 (a) A
Participant entitled to Severance Pay pursuant to Section 3.2 shall be entitled during the applicable Severance Period to receive the following additional benefits: 
 (i) continued participation for him or her (and for his or her eligible dependents) in the Company’s health benefit plan on the same
basis (excluding payment of contributions) as apply to active employees from time to time; provided that the Participant and his or her eligible dependents assume the cost, on an after-tax basis, for such continued coverage, and further provided
that this coverage shall terminate prior to the end of the Severance Period when the Participant (or his or her eligible dependents, as applicable) becomes entitled to health benefit plan coverage (whether or not comparable to plans of the Company)
from any successor employer; and 
 (ii) on or about January 31 of the year following the year in which the Separation
from Service occurs and continuing on or about each January 31 until the year following the year in which the Participant’s health benefit plan coverage continues pursuant to Section 3.3(a)(i), the Company will make a payment to the
Participant equal to the amount the Participant paid during the immediately preceding calendar year for health benefit plan continuation coverage described in Section 3.3(a)(i) that exceeds the amount that the Participant would have paid if the
Participant paid for such continued health benefit plan coverage on the same basis as applicable to active employees, provided that each such cash payment by the Company pursuant to this Section 3.3(a)(ii) shall be considered a separate payment
and not one of a series of payments for purposes of Section 409A; and 
  

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 (iii) continued participation for him or her in the Company’s life insurance benefit
plan on the same basis (including payment of contributions) as apply to active employees from time to time; provided that this coverage shall terminate prior to the end of the Severance Period when the Participant (or his or her eligible dependents,
as applicable) becomes entitled to health and life insurance benefit plan coverage (whether or not comparable to plans of the Company) from any successor employer; and 
 (iv) if the cash credits portion of the Directed Executive Compensation program is available to the active employees at the
Participant’s Executive level, the continuation of Directed Executive Compensation monthly cash payments, provided that each such cash payment by the Company pursuant to this Section 3.3(a)(iv) shall be considered a separate payment and
not one of a series of payments for purposes of Section 409A; and 
 (v) if financial planning services are available to
the active employees at the Participant’s Executive level, the Company shall reimburse the Participant’s expenses for financial planning incurred during the Severance Period. Such reimbursement shall be made no later than the last day of
the calendar year following the calendar year in which the Participant incurs the financial planning expense. In no event will the amount of expenses so reimbursed by the Company in one year affect the amount of expenses eligible for reimbursement,
or in-kind benefits to be provided, in any other taxable year. Each reimbursement of the Participant’s expenses for financial planning pursuant to this Section 3.3(a)(v) shall be considered a separate payment and not one of a series of
payments for purposes of Section 409A. 
 Neither Executive nor his dependents shall be eligible for continued participation in any disability income
plan, travel accident insurance plan or tax-qualified retirement plan. Nothing herein shall be deemed to restrict the right of the Company to amend or terminate any plan in a manner generally applicable to active employees. 
 (b) The period of continuation coverage to which the Participant is entitled under Section 601 et seq. of ERISA (the “COBRA Continuation
Period”) shall begin after the Severance Period. 
 (c) Eligible Participants
shall be entitled to reasonable outplacement counseling with an outplacement firm of the Company’s selection in a form and manner determined by the Company, provided, however, that a Participant must conclude such services by December 31
st of the second taxable year following the Participant’s Separation from Service or such earlier date established by the Company. The Company
shall reimburse the Participant for such expenses, or pay the outplacement firm as the case may be, no later than December 31st of the third
taxable year following the Participant’s Separation from Service. 
 3.4
Payment. Severance Pay (including payments pursuant to Section 4.5) and payments provided under Section 3.3(a)(ii), if any, shall commence to be paid as soon as practicable after the 45th day after the Eligible Separation from Service and shall be paid in substantially equal monthly (or more frequent periodic installments corresponding to the Company’s normal
payroll practices for Executive employees) payments over the Severance 

  

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Period. Each such payment shall be considered a separate payment and not part of a series of installments for purposes of the short-term deferral rules under
Treasury Regulation Section 1.409A-1(b)(4)(i), and the exemption for involuntary terminations under separation pay plans under Treasury Regulation Section 1.409A-1(b)(9)(iii). As a result, the following payments are exempt from the
requirements of Section 409A of the Code: 
 (a) Payments that are made on or before the 15th day of the third month of the calendar year
following the year of the Eligible Separation from Service, and 
 (b) Any additional payments that are made on or before the last day of the
second calendar year following the year of the Executive’s Eligible Separation from Service and that do not exceed the lesser of two times: 
 (i) The Executive’s annualized compensation based upon the annual rate of pay for services provided to the Company for the Executive’s taxable year that precedes the taxable year in which the Eligible
Separation from Service occurs (adjusted for any increase during that year that was expected to continue indefinitely if the Executive had not incurred a Separation from Service); or 
 (ii) the limit under Section 401(a)(17) of the Code then in effect. 
 Notwithstanding the foregoing, in the event Severance Pay is paid to an Executive who is a Key Employee during the taxable year in which the Separation from Service occurs, to the extent the payments to be made during
the first six month period following the Executive’s Eligible Separation from Service exceed the amounts exempt from Section 409A of the Code under Sections 3.4(a) and 3.4(b) above, the excess amount shall be withheld and will be instead
paid on the first day of the seventh month following the Executive’s Separation from Service. Any withheld amount shall include, together with interest thereon from the date that they would have been paid absent such delay through the date of
payment at 120% of the applicable six month short-term federal rate, determined under Section 1274(d) of the Code (the “AFR”). 
 3.5 Waiver and Release. In order to receive benefits under the Plan, a Participant must execute and deliver to the Company a valid Waiver and Release Agreement within thirty (30) days of his or her date of Separation from
Service, in a form tendered by the Company, which shall be substantially in the form of the Waiver and Release Agreement attached hereto as Exhibit B, with any changes thereto approved by WellPoint’s counsel prior to execution. No benefits
shall be paid under the Plan until the Participant has executed his or her Waiver and Release Agreement and the period within which a Participant may revoke his or her Waiver and Release Agreement has expired without revocation. A Participant may
revoke his or her signed Waiver and Release Agreement within seven (7) days (or such other period provided by law) after his or her signing the Waiver and Release Agreement. Any such revocation must be made in writing and must be received by
the Company within such seven (7) day (or such other) period. A Participant who does not submit a signed Waiver and Release Agreement to the Company within thirty (30) days of his or her Separation from Service shall not be eligible to
receive any Severance Benefits under the Plan. A Participant who timely revokes his or her Waiver and Release Agreement shall not be eligible to receive any Severance Benefits under the Plan. 
  

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 3.6 Restrictive Covenants. As a condition of participation in this Plan each Participant agrees as
follows: 
 (a) Confidentiality. 
 (i) The Participant recognizes that the Company derives substantial economic value from information created and used in its business which is not generally known by the public, including, but not limited to, plans,
designs, concepts, computer programs, formulae, and equations; product fulfillment and supplier information; customer and supplier lists, and confidential business practices of the Company, its affiliates and any of its customers, vendors, business
partners or suppliers; profit margins and the prices and discounts the Company obtains or has obtained or at which it sells or has sold or plans to sell its products or services (except for public pricing lists); manufacturing, assembling, labor and
sales plans and costs; business and marketing plans, ideas, or strategies; confidential financial performance and projections; employee compensation; employee staffing and recruiting plans and employee personal information; and other confidential
concepts and ideas related to the Company’s business (collectively, “Confidential Information”). The Participant expressly acknowledges and agrees that by virtue of his or her employment with the Company, the Participant will have
access and will use in the course of the Participant’s duties certain Confidential Information and that Confidential Information constitutes trade secrets and confidential and proprietary business information of the Company, all of which is the
exclusive property of the Company. For purposes of this Agreement, Confidential Information includes the foregoing and other information protected under the Indiana Uniform Trade Secrets Act (the “Act”), or to any comparable protection
afforded by applicable law, but does not include information that the Participant establishes by clear and convincing evidence is or may become known to the Participant or to the public from sources outside the Company and through means other than a
breach of this Agreement. 
 (ii) The Participant agrees that the Participant will not for himself or herself or for any other
person or entity, directly or indirectly, without the prior written consent of the Company, while employed by the Company and thereafter: (i) use Confidential Information for the benefit of any person or entity other than the Company or its
affiliates; (ii) remove, copy, duplicate or otherwise reproduce any document or tangible item embodying or pertaining to any of the Confidential Information, except as required to perform the Participant’s duties for the Company or its
affiliates; or (iii) while employed and thereafter, publish, release, disclose or deliver or otherwise make available to any third party any Confidential Information by any communication, including oral, documentary, electronic or magnetic
information transmittal device or media. Upon termination of employment, the Participant shall return all Confidential Information and all other property of the Company. This obligation of non-disclosure and non-use of information shall continue to
exist for so long as such information remains Confidential Information. 
 (b) Disclosure and Assignment of Inventions and
Improvements. Without prejudice to any other duties express or implied imposed on the Participant hereunder it shall be part of the Participant’s normal duties at all times to consider in what manner and by what methods or 

  

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devices the products, services, processes, equipment or systems of the Company and any customer or vendor of the Company might be improved and promptly to
give to the Chief Executive Officer of the Company or his or her designee full details of any improvement, invention, research, development, discovery, design, code, model, suggestion or innovation (collectively called “Work Product”),
which the Participant (alone or with others) may make, discover, create or conceive in the course of the Participant’s employment. The Participant acknowledges that the Work Product is the property of the Company. To the extent that any of the
Work Product is capable of protection by copyright, the Participant acknowledges that it is created within the scope of the Participant’s employment and is a work made for hire. To the extent that any such material may not be a work made for
hire, the Participant hereby assigns to the Company all rights in such material. To the extent that any of the Work Product is an invention, discovery, process or other potentially patentable subject matter (the “Inventions”), the
Participant hereby assigns to the Company all right, title, and interest in and to all Inventions. The Company acknowledges that the assignment in the preceding sentence does not apply to an Invention that the Participant develops entirely on his or
her own time without using the Company’s equipment, supplies, facilities or trade secret information, except for those Inventions that either: 
  

	 	(1)	relate at the time of conception or reduction to practice of the Invention to the Company’s business, or actual or demonstrably anticipated research or development of the
Company, or 

  

	 	(2)	result from any work performed by the Participant for the Company. 

 Execution of the Employment Agreement constitutes the Participant’s acknowledgment of receipt of written notification of this Section and of notice of the general exception to assignments of Inventions provided under the Uniform
Employee Patents Act, in the form adopted by the state having jurisdiction over this Plan or provision, or any comparable applicable law. 
 (c) Non-Competition. During the Employment Period and any period in which the Participant is employed by the Company during or after the Employment Period, and during a period of time after the Participant’s termination of
employment (the “Restriction Period”) which is eighteen (18) months for Executive Vice Presidents, fifteen (15) months for Senior Vice President, and twelve (12) months for all other Participants, the Participant will
not, without prior written consent of the Company, directly or indirectly seek or obtain a Competitive Position in a Restricted Territory and perform a Restricted Activity with a Competitor, as those terms are defined herein. 
 (i) Competitive Position means any employment or performance of services with a Competitor (A) in which the Participant has executive
level duties for such Competitor, or (B) in which the Participant will use any Confidential Information of the Company. 
 (ii) Restricted Territory means any geographic area in which the Company does business and in which the Participant had responsibility for, or Confidential Information about, such business, within the thirty-six (36) months prior to
the Participant’s termination of employment from the Company. 
  

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 (iii) Restricted Activity means any activity for which the Participant had responsibility
for the Company within the thirty-six (36) months prior to the termination of the Participant’s employment from the Company or about which the Participant had Confidential Information. 
 (iv) Competitor means any entity or individual (other than the Company or its affiliates) engaged in management of network-based managed
care plans and programs, or the performance of managed care services, health insurance, long term care insurance, dental, life or disability insurance, behavioral health, vision, flexible spending accounts and COBRA administration or other products
or services substantially the same or similar to those offered by the Company while the Participant was employed, or other products or services offered by the Company within twelve (12) months after the termination of Participant’s
employment if the Participant had responsibility for, or Confidential Information about, such other products or services while the Participant was employed by the Company. 
 (d) Non-Solicitation of Customers. During the Employment Period and any period in which the Participant is employed by the Company during or after
the Employment Period, and during the Restriction Period after the Participant’s termination of employment, the Participant will not, either individually or as an employee, partner, consultant, independent contractor, owner, agent, or in any
other capacity, directly or indirectly, for a Competitor of the Company as defined in subsection (c) above: (i) solicit business from any client or account of the Company or any of its affiliates with which the Participant had contact,
participated in the contact, or responsibility for, or about which the Participant had knowledge of Confidential Information by reason of the Participant’s employment with the Company, (ii) solicit business from any client or account which
was pursued by the Company or any of its affiliates and with which the Participant had contact, or responsibility for, or about which the Participant had knowledge of Confidential Information by reason of the Participant’s employment with the
Company, within the twelve (12) month period prior to termination of employment. For purposes of this provision, an individual policyholder in a plan maintained by the Company or by a client or account of the Company under which individual
policies are issued, or a certificate holder in such plan under which group policies are issued, shall not be considered a client or account subject to this restriction solely by reason of being such a policyholder or certificate holder. 

(e) Non-Solicitation of Employees. During the Employment Period and any period in which the Participant is employed by the Company during or
after the Employment Period, and during the Restriction Period after the Participant’s termination of employment as set forth on Schedule A to the Employment Agreement, the Participant will not, either individually or as an employee, partner,
independent contractor, owner, agent, or in any other capacity, directly or indirectly solicit, hire, attempt to solicit or hire, or participate in any attempt to solicit or hire, for any non-Company affiliated entity, any person who on or during
the six (6) months immediately preceding the date of such solicitation or hire is or was an officer or employee of the Company, or whom the Participant was involved in recruiting while the Participant was employed by the Company. 
  

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 (f) Non-Disparagement. The Participant agrees that he or she will not, nor will he or she cause or
assist any other person to, make any statement to a third party or take any action which is intended to or would reasonably have the effect of disparaging or harming the Company or the business reputation of the Company’s directors, employees,
officers and managers. 
 3.7 Return of Consideration. 
 (a) If at any time a Participant breaches any provision of Section 3.6 or Section 3.10, then: (i) the Company shall cease to provide any further Severance Pay or other benefits under Section 3.2 or
Section 3.3 and the Participant shall repay to the Company all Severance Pay and other benefits previously received under Section 3.2 or Section 3.3; (ii) all unexercised Company stock options under any Designated Plan (defined
below) whether or not otherwise vested shall cease to be exercisable and shall immediately terminate; (iii) the Participant shall forfeit any outstanding restricted stock or other outstanding equity award made under any Designated Plan and not
otherwise vested on the date of breach; and (iv) the Participant shall pay to the Company (A) for each share of common stock of the Company (“Common Share”) acquired on exercise of an option under a Designated Plan within
the 24 months prior to such breach, the excess of the fair market value of a Common Share on the date of exercise over the exercise price, and (B) for each share of restricted stock that became vested under any Designated Plan within the 24
months prior to such breach, the fair market value (on the date of vesting) of a Common Share. Any amount to be repaid pursuant to this Section 3.7 shall be held by the Participant in constructive trust for the benefit of the Company and shall,
upon written notice from the Company, within 10 days of such notice, be paid by the Participant to the Company with interest from the date such Common Share was acquired or the share of restricted stock became vested, as the case may be, to the date
of payment, at 120% of the applicable six month short-term AFR. Any amount described in clauses (i), (ii) and (iii) that the Participant forfeits as a result of a breach of the provisions of Sections 3.6 or 3.10 shall not reduce any money
damages that would be payable to the Company as compensation for such breach. 
 (b) The amount to be repaid pursuant to this
Section 3.7 shall be determined on a gross basis, without reduction for any taxes incurred, as of the date of the realization event, and without regard to any subsequent change in the fair market value of a Common Share. The Company shall have
the right to offset such amount against any amounts otherwise owed to the Participant by the Company (whether as wages, vacation pay, or pursuant to any benefit plan or other compensatory arrangement other than any amount pursuant to any
nonqualified deferred compensation plan under Section 409A of the Code). 
 (c) For purposes of this Section 3.7, a
“Designated Plan” is each annual bonus and incentive plan, stock option, restricted stock, or other equity compensation or long-term incentive compensation plan, deferred compensation plan, or supplemental retirement plan, listed on
Exhibit C. 
 (d) The provisions of this Section 3.7 shall apply to awards described in clauses (i), (ii), (iii), and (iv) of
subsection (a) earned or made after the date the Executive becomes a Participant in this Plan and executes an Employment Agreement, and to awards earned or made prior thereto which by their terms are subject to cessation and recoupment under
terms similar to those of this Section 3.7 
  

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 3.8 Equitable Relief and Other Remedies. As a condition of participation in this Plan: 

(a) The Participant acknowledges that each of the provisions of Section 3.6 and 3.7 of the Plan are reasonable and necessary to preserve the
legitimate business interests of the Company, its present and potential business activities and the economic benefits derived therefrom; that they will not prevent him or her from earning a livelihood in the Participant’s chosen business and
are not an undue restraint on the trade of the Participant, or any of the public interests which may be involved. 
 (b) The Participant
agrees that beyond the amounts otherwise to be provided under this Plan and the Employment Agreement, the Company will be damaged by a violation of the terms of this Plan and the amount of such damage may be difficult to measure. The Participant
agrees that if the Participant commits or threatens to commit a breach of any of the covenants and agreements contained in Sections 3.6 or 3.10 to the extent permitted by applicable law, then the Company shall have the right to seek and obtain all
appropriate injunctive and other equitable remedies, without posting bond therefor, except as required by law, in addition to any other rights and remedies that may be available at law or under this Plan, it being acknowledged and agreed that any
such breach would cause irreparable injury to the Company and that money damages would not provide an adequate remedy. Further, if the Participant violates Section 3.6 hereof the Participant agrees that the period of violation shall be added to
the period in which the Participant’s activities are restricted. 
 (c) Notwithstanding the foregoing, the Company will not seek
injunctive relief to prevent a Participant residing in California from engaging in post termination competition in California under Section 3.6(c) or (d) of this Plan, provided that the Company may seek and obtain relief to enforce
Section 3.7 of this Plan with respect to such Participants. 
 (d) The parties agree that the covenants contained herein are severable.
If an arbitrator or court shall hold that the duration, scope, area or activity restrictions stated herein are unreasonable under circumstances then existing, the parties agree that the maximum duration, scope, area or activity restrictions
reasonable and enforceable under such circumstances shall be substituted for the stated duration, scope, area or activity restrictions to the maximum extent permitted by law. The parties further agree that the Company’s rights under
Section 3.7 should be enforced to the fullest extent permitted by law irrespective of whether the Company seeks equitable relief in addition to relief provided therein or if the arbitrator or court deems equitable relief to be inappropriate.

 3.9 Survival of Provisions. The obligations contained in Sections 3.6, 3.7, 3.8 and Section 3.10 below shall survive the
cessation of the Employment Period (as defined in the Employment Agreement) and the Participant’s employment with the Company and shall be fully enforceable thereafter. 
 3.10 Cooperation. Upon the receipt of reasonable notice from the Company (including from outside counsel to the Company), the Participant agrees
that while employed by the Company and for two years (or, if longer, for so long as any claim referred to in this Section remains pending) after the termination of Participant’s employment for any reason, the Participant will respond and
provide information with regard to matters in which the Participant 

  

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has knowledge as a result of the Participant’s employment with the Company, and will provide reasonable assistance to the Company, its affiliates and
their respective representatives in defense of any claims that may be made against the Company or its affiliates, and will assist the Company and its affiliates in the prosecution of any claims that may be made by the Company or its affiliates, to
the extent that such claims may relate to the period of the Participant’s employment with the Company (or any predecessor); provided, that with respect to periods after the termination of the Participant’s employment, the Company shall
reimburse the Participant for any out-of-pocket expenses incurred in providing such assistance and if the Participant is required to provide more than ten (10) hours of assistance per week after his termination of employment then the Company
shall pay the Participant a reasonable amount of money for his services at a rate agreed to between the Company and the Participant; and provided further that after the Participant’s termination of employment with the Company such assistance
shall not unreasonably interfere with the Participant’s business or personal obligations. The Participant agrees to promptly inform the Company if the Participant becomes aware of any lawsuits involving such claims that may be filed or
threatened against the Company or its affiliates. The Participant also agrees to promptly inform the Company (to the extent the Participant is legally permitted to do so) if the Participant is asked to assist in any investigation of the Company or
its affiliates (or their actions), regardless of whether a lawsuit or other proceeding has then been filed against the Company or its affiliates with respect to such investigation, and shall not do so unless legally required. 
 ARTICLE 4 
 ADDITIONAL CHANGE IN CONTROL
BENEFITS 
 4.1 Equity Vesting Upon Change in Control. 
 (a) If the conditions of Section 4.1(b) are satisfied, then as of the date of the Change in Control, all Options and SARs of a Participant shall
become fully and immediately exercisable, all Restricted Stock shall become fully vested and nonforfeitable and forthwith delivered to a Participant if not previously delivered, and there shall be paid out in cash to the Participant within 30 days
following the effective date of the Change in Control the value of the Performance Shares to which the Participant would have been entitled if performance achieved 100% of the target performance goals established for such Performance Shares.

 (b) Both of the following conditions must be satisfied in order for Section 4.1(a) to apply: 
 (i) A Change in Control must occur, and 
 (ii) on or prior to such Change in Control either (A) WellPoint has not confirmed the continuation of the following awards without economic change, or (B) the successor to WellPoint in such Change in Control
has not on or prior to such Change in Control assumed and continued the following awards without economic change: 
  

	 	(1)	any and all outstanding options (“Options”) to purchase Common Shares (or stock that has been converted into Common Shares), 

  

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	 	(2)	any and all stock appreciation rights (“SARs”) based on appreciation in the value of Common Shares, 

  

	 	(3)	any and all restricted Common Shares (or deferred rights thereto), regardless whether such restrictions are scheduled to lapse based on service or on performance or both
(“Restricted Stock”), and 

  

	 	(4)	any outstanding awards providing for the payment of a variable number of Common Shares dependent on the achievement of performance goals, or of an amount based on the fair market
value of such shares or the appreciation thereof (“Performance Shares”), in each case awarded to a Participant under any Plan, contract or arrangement for Options, SARs, Restricted Stock or Performance Shares. 

 4.2 Guaranteed Annual Bonus for the Year of a Change in Control. This Section 4.2 does not apply to Participants who are classified as Other
Key Executives. If a Change in Control occurs, each Participant’s annual bonus for the fiscal year in which the Change in Control occurs shall be in an amount (“Guaranteed Amount”) equal to the greater of (i) the
Participant’s Target Bonus for such fiscal year, or (ii) the bonus that is determined in the ordinary course under each annual bonus or short-term incentive plan (as determined by the Committee in its sole discretion) (a “Bonus
Plan”) covering the Participant for the fiscal year in which the Change in Control occurs. The Guaranteed Amount shall be paid in a lump sum at the normal time for the payment of a bonus under the applicable Bonus Plan. 
 4.3 Equity Vesting Upon Termination Without Cause or for Good Reason. This Section 4.3 does not apply to Participants who are classified as
Other Key Executives. 
 (a) If the conditions of Section 4.3(b) are satisfied, then as of the date of the Participant’s Eligible
Separation from Service (i) all Pre-Change (as defined below) Options and Pre-Change SARs of such Participant shall become fully and immediately exercisable, (ii) all Pre-Change Restricted Stock shall become fully vested and nonforfeitable
and forthwith delivered to the Participant if not previously delivered, and (iii) there shall be paid out in cash to the Participant within 45 days following the Separation from Service the value of the Pre-Change Performance Shares to which
the Participant would have been entitled if performance achieved 100% of the target performance goals established for such Performance Shares. 
 (b) Both of the following conditions must be satisfied in order for Section 4.3(a) to apply: 
 (i) the
Participant must have had a Separation from Service within the thirty-six (36) month period following a Change in Control by reason of (A) a termination of the Participant’s employment by the Company other than for Cause, death or
disability, or (B) a termination of the Participant’s employment by the Participant for Good Reason; and 
  

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 (ii) the Participant must have executed and delivered a valid Waiver and Release
Agreement as required by Section 3.5, and the period for revoking such Waiver and Release Agreement must have elapsed. 
 (c) For
purposes of this Section 4.3 a “Pre-Change” Option, SAR, Restricted Stock or Performance Shares means (i) an award of an Option, SAR, Restricted Stock or Performance Shares which was outstanding on both the date of the
Change in Control and the date of the Eligible Separation from Service, and (ii) an award of an Option, SAR, Restricted Stock or Performance Shares assumed and continued by a successor to WellPoint in such Change in Control without economic
change. 
 4.4 Pro-Rata Bonus Payment Upon Termination Without Cause or for Good Reason. This Section 4.4 does not apply to
Participants who are classified as Other Key Executives. 
 (a) If the conditions of Section 4.4(b) are satisfied, then for the fiscal
year in which the Participant’s Eligible Separation from Service occurs, the Participant shall be entitled to a pro-rata bonus (the “Pro-Rata Bonus”) equal to the product of the applicable amount described in (i), multiplied by the
fraction determined in (ii): 
 (i) the applicable amount is the Guaranteed Amount described in Section 4.2 for the
fiscal year in which the Eligible Separation from Service occurs, and 
 (ii) a fraction, the numerator of which is the number
of days in such fiscal year before the date of the Eligible Separation from Service, and the denominator of which is the total number of days in such fiscal year. 
 The Pro-Rata Bonus shall be paid in a lump sum at the normal time for payment of a bonus under the applicable Bonus Plan. 
 (b) Both of the following conditions must be satisfied in order for Section 4.3(a) to apply: 
 (i) the Participant must have had a Eligible Separation from Service within the thirty-six (36) month period following a Change in Control by reason of (A) a termination of the Participant’s employment by the Company other
than for Cause, death or disability, or (B) a termination of the Participant’s employment by the Participant for Good Reason; and 
 (ii) the Participant must have executed and delivered a valid and Waiver and Release Agreement as required by Section 3.5, and the period for revoking such Waiver and Release Agreement must have elapsed.

 4.5 Qualified and Supplemental Pension and 401(k) Match Contribution. This Section 4.5 does not apply to Participants who are
classified as Other Key Executives. 
 (a) Severance Pay pursuant to Sections 3.2 and 3.4 shall be increased by an amount equal to the value
of WellPoint ongoing contributions to the Participant’s qualified and supplemental cash balance pension accounts, and qualified and supplemental 401(k) accounts if Severance Pay had been considered covered earnings in those programs. This
amount, is equal to the product of: 
 (i) Severance Pay multiplied by 
  

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 (ii) a fraction, the numerator of which is (a) the Participant’s cash balance
pension contribution percentage, if any, plus (b) the Participant’s maximum WellPoint 401(k) matching percentage, and the denominator of which is 100%. 
 4.6 Gross-up for Certain Taxes. 
 (a) If it is determined that any benefit received or deemed received
by the Participant from the Company pursuant to this Plan or otherwise (collectively, “Payments”) is or will become subject to any excise tax under Section 4999 of the Code or any similar tax payable under any United States
federal, state, local or other law, but not including any tax payable under Section 409A of the Code (such excise tax and all such similar taxes collectively, “Excise Taxes”), then except as provided in subsection (b) the
Participant shall receive in respect of such Payments whichever of (i) or (ii) below would result in the Participant retaining, after application of all applicable income, Excise, and other taxes (“All Applicable Taxes”),
the greater after-tax amount (the “After-Tax Benefit”); where: 
 (i) is the Payments; and 
 (ii) is a reduced amount of Payments sufficient to avoid the imposition of Excise Taxes. 
 (b) Notwithstanding subsection (a), if (i) at any time during the Imminent Change in Control Period or after the date of the Change in Control, the
Participant is classified as an Executive Vice President or Senior Vice President, and (ii) the reduced amount of Payments sufficient to avoid the imposition of Excise Taxes is 10% of Annual Salary or greater, then there shall be no reduction
and the Company shall pay the Participant as soon as practicable after the Change in Control an amount that, net of all taxes thereon, fully reimburses or “grosses up” the employee for the amount of such excise tax. This amount, (the
“Gross-up Payment”), is equal to the product of: 
 (i) the amount of such Excise Taxes multiplied by

 (ii) a fraction (the “Gross-Up Multiple”), the numerator of which is one (1.0), and the denominator of which is
one (1.0) minus the sum, expressed as a decimal fraction, of the effective marginal rates of All Applicable Taxes (the “Aggregate Effective Tax Rate”) applicable to the Gross-up Payment. If different rates of tax are applicable
to various portions of a Gross-up Payment, the weighted average of such rates shall be used. 
 The Gross-Up Payment shall be made no later than the end of
the Executive’s fiscal year following the fiscal year in which the Executive remitted the taxes giving rise to the Gross-Up Payment. The Gross-up Payment is intended to compensate the Participant who is an Executive Vice President or
Senior Vice President for the Excise Taxes and any Federal, state, local or 

  

 15 








 
foreign income or excise taxes payable by the Participant with respect to the Gross-up Payment. For all purposes of this Section 4.5, the Participant
shall be deemed to be subject to the highest effective marginal rates of federal, state, local or other income or other taxes. 
 ARTICLE 5

 CLAIMS 
 5.1 Good
Reason and Competition Determinations. Any Participant believing he or she has a right to resign for Good Reason may apply to the Committee for written confirmation that an event constituting Good Reason has occurred with respect to such
Participant. The Committee shall confirm or deny in writing that Good Reason exists within 21 days following receipt of any such application. Any Participant may apply to the Committee for written confirmation that specified activities proposed to
be undertaken by the Participant will not violate Section 3.6 of the Plan. The Committee shall confirm or deny in writing that specified activities proposed to be undertaken by the Participant will not violate Section 3.6 of the Plan
within 21 days of receipt of any such application unless the Committee determines that it has insufficient facts on which to make that determination, in which event the Committee shall advise the Participant of information necessary for the
Committee to make such determination. Any confirmation of Good Reason by the Committee shall be binding on the Company. Any confirmation that specified activities to be undertaken by the Participant will not violate Section 3.6 of the Plan
shall be binding on the Company provided that all material facts have been disclosed to the Committee and there is no change in the material facts. 
 5.2 Claims Procedure. If any Participant has (a) a claim for compensation or benefits which are not being paid under the Plan or the Employment Agreement, (b) another claim for benefits under the Plan or Employment
Agreement, (c) a claim for clarification of his or her rights under the Plan (to the extent not provided for in Section 5.1) or Employment Agreement, or (d) a claim for breach by the Company of the Employment Agreement, then the
Participant (or his or her designee) (a “Claimant”) may file with the Committee a written claim setting forth the amount and nature of the claim, supporting facts, and the Claimant’s address. A claim shall be filed within six
(6) months of (i) the date on which the claim first arises or (ii) if later, the earliest date on which the Participant knows or should know of the facts giving rise to a claim. The Committee shall notify each Claimant of its decision
in writing by registered or certified mail within 90 days after its receipt of a claim, unless otherwise agreed by the Claimant. In special circumstances the Committee may extend for a further 90 days the deadline for its decision, provided the
Committee notifies the Claimant of the need for the extension within 90 days after its receipt of a claim. If a claim is denied, the written notice of denial shall set forth the reasons for such denial, refer to pertinent provisions of the Plan or
Employment Agreement on which the denial is based, describe any additional material or information necessary for the Claimant to realize the claim, and explain the claim review procedure under the Plan. 
 5.3 Claims Review Procedure. A Claimant whose claim has been denied or such Claimant’s duly authorized representative may file, within 60
days after notice of such denial is received by the Claimant, a written request for review of such claim by the Committee. If a request is so filed, the Committee shall review the claim and notify the Claimant in writing of its decision within 60
days after receipt of such request, unless otherwise agreed by the Claimant. 

  

 16 








 
In special circumstances, the Committee may extend for up to 60 additional days the deadline for its decision, provided the Committee notifies the Claimant
of the need for the extension within 60 days after its receipt of the request for review. The notice of the final decision of the Committee shall include the reasons for its decision and specific references to the Plan or Employment Agreement on
which the decision is based. The decision of the Committee shall be final and binding on all parties in accordance with but subject to Section 5.4(a) below. 
 5.4 Arbitration. 
 (a) In the event of any dispute arising out of or relating to this Plan (including
the Employment Agreement) the determinations of fact and the construction of this Plan (including the Employment Agreement) or any other determination by the Committee in its sole and absolute discretion pursuant to Section 6.3 of the Plan
shall be final and binding on all persons and may not be overturned in any arbitration or any other proceeding unless the party challenging the Committee’s determination can demonstrate by clear and convincing evidence that a determination of
fact is clearly erroneous or any other determination by the Committee is arbitrary and capricious; provided, however, that if a claim relates to benefits due following a Change in Control, the Committee’s determination shall not be final and
binding if the party challenging the Committee’s determination establishes by a preponderance of the evidence that he or she is entitled to the benefits in dispute. 
 (b) Any dispute arising out of or relating to this Plan (including the Employment Agreement) shall first be presented to the Committee pursuant to the claims procedure set forth in Section 5.2 of the Plan and the
claims review procedure of Section 5.3 of the Plan within the times therein provided. In the event of any failure timely to use and exhaust such claims procedure and the claims review procedures, the decision of the Committee on any matter
respecting the Plan (including the Employment Agreement) shall be final and binding and may not be challenged by further arbitration, or any other proceeding. 
 (c) Any dispute arising out of or relating to this Plan (including the Employment Agreement), including the breach, termination or validity of the Employment Agreement, which has not been resolved as provided in
subsection (b) of this Section as provided herein shall be finally resolved by arbitration in accordance with the CPR Rules for Non-Administered Arbitration then currently in effect, by a sole arbitrator. The Company shall be initially
responsible for the payment of any filing fee and advance in costs required by CPR or the arbitrator, provided, however, if the Participant initiates the claim, the Participant will contribute an amount not to exceed $250.00 for these purposes.
During the arbitration, each party shall pay for its own costs and attorneys fees, if any. Attorneys fees and costs shall be awarded by the arbitrator to the prevailing party pursuant to subsection (h) below. 
 (d) The arbitration shall be governed by the Federal Arbitration Act, 9 U.S.C. §§ 1-16 and judgment upon the award rendered by the arbitrator
may be entered by any court having jurisdiction thereof. The arbitrator shall not have the right to award speculative damages or punitive damages to either party except as expressly permitted by statute (notwithstanding this provision by which both
parties hereto waive the right to such damages) and shall not have the power to amend this Agreement. The arbitrator shall be required to follow applicable law. The place of arbitration shall be Indianapolis, Indiana. Any application to enforce or
set aside the arbitration award shall be filed in a state or federal court located in Indianapolis, Indiana. 
  

 17 








 (e) Any demand for arbitration must be made or any other proceeding filed within six (6) months
after the date of the Committee’s decision on review pursuant to Section 5.3. 
 (f) Notwithstanding the foregoing provisions of
this Section, an action to enforce the Plan (including the Employment Agreement) shall be filed within eighteen (18) months after the party seeking relief had actual or constructive knowledge of the alleged violation of the Plan (including the
Employment Agreement) in question or any party shall be able to seek immediate, temporary, or preliminary injunctive or equitable relief from a court of law or equity if, in its judgment, such relief is necessary to avoid irreparable damage. To the
extent that any party wishes to seek such relief from a court, the parties agree to the following with respect to the location of such actions. Such actions brought by the Participant shall be brought in a state or federal court located in
Indianapolis, Indiana. Such actions brought by the Company shall be brought in a state or federal court located in Indianapolis, Indiana; the Participant’s state of residency; or any other form in which the Participant is subject to personal
jurisdiction. The Participant specifically consents to personal jurisdiction in the State of Indiana for such purposes. 
 (g) IF FOR ANY
REASON THIS ARBITRATION CLAUSE BECOMES NOT APPLICABLE, THEN EACH PARTY, TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, HEREBY IRREVOCABLY WAIVES ALL RIGHT TO TRIAL BY JURY AS TO ANY ISSUE RELATING HERETO IN ANY ACTION, PROCEEDING, OR
COUNTERCLAIM ARISING OUT OF OR RELATING TO THIS AGREEMENT OR ANY OTHER MATTER INVOLVING THE PARTIES HERETO. 
 (h) In the event of any
contest arising under or in connection with this Plan, the arbitrator or court, as applicable, shall award the prevailing party attorneys’ fees and costs to the extent permitted by applicable law. 
 ARTICLE 6 
 ADMINISTRATION 

6.1 Committee. The Chief Executive Officer of WellPoint (“CEO”) shall appoint not less than three (3) members of a committee, to
serve at the pleasure of the CEO to administer this Plan. Members of the Committee may but need not be employees of the Company and may but need not be Participants in the Plan, but a member of the Committee who is a Participant shall not vote or
act upon any matter which relates solely to such member as a Participant. All decisions of the Committee shall be by a vote or written evidence of intention of the majority of its members and all decisions of the Committee shall be final and binding
except as provided in Section 5.4(a). 
 6.2 Committee Membership. Any member of the Committee may resign at any time by giving
thirty days’ advance written notice to the CEO and to the remaining members (if any) of the Committee. A member of the Committee who at the time of his or her appointment to the Committee was an employee or director of the Company, and who for
any reason becomes 

  

 18 








 
neither an employee nor director of the Company, shall cease to be a member of the Committee effective on the date he or she is neither an employee nor a
director of the Company unless the CEO affirmatively continues his or her appointment as a member of the Committee. If there is any vacancy in the membership of the Committee, the remaining members shall constitute the full Committee. The CEO may
fill any vacancy in the membership of the Committee, or enlarge the Committee, by giving written notice of appointment to the person so appointed and to the other members (if any) of the Committee, effective as stated in such written notice.
However, the CEO shall not be required to fill any vacancy in the membership of the Committee if there remain at least three members of the Committee. Any notice required by this Section may be waived by the person entitled thereto. 
 6.3 Duties. The Committee shall have the power and duty in its sole and absolute discretion to do all things necessary or convenient to effect the
intent and purposes of the Plan, whether or not such powers and duties are specifically set forth herein, and, by way of amplification and not limitation of the foregoing, the Committee shall have the power in its sole and absolute discretion to:

 (a) provide rules for the management, operation and administration of the Plan, and, from time to time, amend or supplement such rules;

 (b) construe the Plan in its sole and absolute discretion to the fullest extent permitted by law, which construction shall be final and
conclusive upon all persons except as provided in Section 5.4(a); 
 (c) correct any defect, supply any omission, or reconcile any
inconsistency in the Plan in such manner and to such extent as it shall deem appropriate in its sole discretion to carry the same into effect; 
 (d) make all determinations relevant to a Participant’s eligibility for benefits under the Plan, including determinations as to Separation from Service, Cause, Good Reason, Transfer of Business, and the Participant’s compliance or
not with Sections 3.6, 3.7, 3.8 and 3.10 of the Plan; 
 (e) to enforce the Plan in accordance with its terms and the Committee’s
construction of the Plan as provided in subsection (b) above; 
 (f) do all other acts and things necessary or proper in its judgment to
carry out the purposes of the Plan in accordance with its terms and intent. 
 6.4 Binding Authority. The decisions of the Committee
or its duly authorized delegate within the powers conferred by the Plan shall be final and conclusive for all purposes of the Plan, and shall not be subject to any appeal or review other than pursuant to Sections 5.2, 5.3, and 5.4. 
 6.5 Exculpation. No member of the Committee nor any delegate of the Committee serving as Plan Administrator nor any other officer or employee of
the Company acting on behalf of the Company with respect to this Plan shall be directly or indirectly responsible or otherwise liable by reason of any action or default as a member of that Committee, Plan 

  

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Administrator or other officer or employee of the Company acting on behalf of the Company with respect to this Plan, or by reason of the exercise of or
failure to exercise any power or discretion as such person, except for any action, default, exercise or failure to exercise resulting from such person’s gross negligence or willful misconduct. No member of the Committee shall be liable in any
way for the acts or defaults of any other member of the Committee, or any of its advisors, agents or representatives. 
 6.6
Indemnification. The Company shall indemnify and hold harmless each member of the Committee, any delegate of the Committee serving as Plan Administrator, and each other officer or employee of the Company acting on behalf of the Company with
respect to this Plan, against any and all expenses and liabilities arising out of his or her own membership on the Committee, service as Plan Administrator, or other actions respecting this Plan on behalf of the Company, except for expenses and
liabilities arising out of such person’s gross negligence or willful misconduct. A person indemnified under this Section who seeks indemnification hereunder (“Indemnitee”) shall tender to the Company a request that the Company
defend any claim with respect to which the Indemnitee seeks indemnification under this Section and shall fully cooperate with the Company in the defense of such claim. If the Company shall fail to timely assume the defense of such claim then the
Indemnitee may control the defense of such claim. However, no settlement of any claim otherwise indemnified under this Section shall be subject to indemnity hereunder unless the Company consents in writing to such settlement. 
 6.7 Information. The Company and each Participant shall furnish to the Committee in writing all information the Committee may deem appropriate for
the exercise of their powers and duties in the administration of the Plan. Such information may include, but shall not be limited to, the names of all Participants, their earnings and their dates of birth, employment, retirement or death. Such
information shall be conclusive for all purposes of the Plan, and the Committee shall be entitled to rely thereon without any investigation thereof. 
 ARTICLE 7 
 GENERAL PROVISIONS 
 7.1 No Property Interest. The Plan is unfunded. Severance pay shall be paid exclusively from the general assets of the Company and any liability of the Company to any person with respect to benefits payable
under the Plan shall give rise solely to a claim as an unsecured creditor against the general assets of the Company. Any Participant who may have or claim any interest in or right to any compensation, payment or benefit payable hereunder, shall rely
solely upon the unsecured promise of the Company for the payment thereof, and nothing herein contained shall be construed to give to or vest in the Participant or any other person now or at any time in the future, any right, title, interest or claim
in or to any specific asset, fund, reserve, account, insurance or annuity policy or contract, or other property of any kind whatsoever owned by the Company, or in which the Company may have any right, title or interest now or at any time in the
future. 
 7.2 Other Rights. Except as provided in Sections 3.2(a), 3.7 and 7.9, the Plan shall not affect or impair the rights or
obligations of the Company or a Participant under any other written plan, contract, arrangement, or pension, profit sharing or other compensation plan. Participation in the Plan is voluntary and no Executive shall be required to enter into an
Employment Agreement. 
  

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 7.3 Amendment or Termination. The Plan, including but not limited to any provision of the Plan
incorporated by reference in an Employment Agreement, may be amended, modified, suspended, or terminated unilaterally by WellPoint at any time; provided, however, that no such amendment, modification, suspension or termination shall adversely affect
the rights to which a Participant would be entitled under his or her Employment Agreement if the Participant incurred a Separation from Service on the date of the amendment or termination unless: (i) the affected Participant approves such
amendment in writing, or (ii) the amendment is effective no earlier than one (1) year after Participants have received written notice of the amendment, or (iii) the amendment is required (as determined by the Committee) by law
(including any provision of the Code) whether such requirement impacts the Company or any Participant. Amendment or termination of the Plan shall not accelerate (or defer) the time of any payment under the Plan that is deferred compensation subject
to Section 409A of the Code if such acceleration (or deferral) would subject such deferred compensation to additional tax or penalties under Section 409A. 
 7.4 Successors. All obligations of WellPoint under the Plan shall be binding on any successor to WellPoint, whether the existence of such successor is the result of a direct or indirect purchase, merger,
consolidation, or otherwise, of all or substantially all of the business and/or assets of WellPoint, and any such successor shall be required to perform the obligations of WellPoint under the Plan in the same manner and to the same extent that
WellPoint would be required to perform such obligations if no such succession had taken place. 
 7.5 Severability. If any term or
condition of the Plan shall be invalid or unenforceable to any extent or in any application, then the remainder of the Plan, with the exception of such invalid or unenforceable provision, shall not be affected thereby and shall continue in effect
and application to its fullest extent. If, however, the Committee determines in its sole discretion that any term or condition of the Plan (including any Employment Agreement) which is invalid or unenforceable is material to the interests of the
Company, the Committee may declare the Plan (including any Employment Agreement) null and void in its entirety or may declare any affected Employment Agreement null and void in its entirety. 
 7.6 No Employment Rights. Except as provided in the Employment Agreement, neither the establishment of the Plan, any provisions of the Plan, nor
any action of the Committee shall be held or construed to confer upon any employee the right to a continuation of employment by the Company. Subject to the applicable Employment Agreement, the Company reserves the right to dismiss any employee, or
otherwise deal with any employee to the same extent as though the Plan had not been adopted. 
 7.7 Transferability of Rights. The
Company shall have the right to transfer all of its obligations under the Plan and an Employment Agreement with respect to one or more Participants to any purchaser of all or any part of the Company’s business in a Transfer of Business or
otherwise without the consent of any Participant. No Participant or spouse of a Participant shall have any right to commute, encumber, transfer or otherwise dispose of or alienate any present or future right or expectancy which the Participant or
such spouse may have at any time to receive payments of benefits hereunder, which benefits and the right thereto are 

  

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expressly declared to be non-assignable and nontransferable, except to the extent required by law. Any attempt to transfer or assign a benefit, or any rights
granted hereunder, by a Participant or the spouse of a Participant shall, in the sole discretion of the Committee (after consideration of such facts as it deems pertinent), be grounds for terminating any rights of the Participant or his or her
spouse to any portion of the Plan benefits not previously paid. 
 7.8 Beneficiary. Any payment due under this Plan after the death of
the Participant shall be paid to such person or persons, jointly or successively, as the Participant may designate, in writing filed by Participant with the Committee during the Participant’s lifetime in a form acceptable to the Committee,
which the Participant may change without the consent of any beneficiary by filing a new designation of beneficiary in like manner. If no designation of beneficiary is on file with the Committee or no designated beneficiary is living or in existence
upon the death of the Participant, such payments shall be made to the surviving spouse of the Participant, if any, or if none to the Participant’s estate. If and to the extent Section 409A permits acceleration of payments of deferred
compensation upon death, the Committee in its sole discretion may accelerate and pay in a lump sum, discounted at a rate approved by the payee, any Severance Pay payable after the death of a Participant. 
 7.9 Company Action. Any action required or permitted of WellPoint or the Company under this Plan shall be duly and properly taken if taken by the
Compensation Committee of the Board of Directors, or by any officer of the WellPoint to which the Compensation Committee has delegated (generally or specifically) and not withdrawn the right or power to take such action. 
 7.10 Entire Document. The Plan (including Employment Agreements) as set forth herein, supersedes any and all prior practices, understandings,
agreements, descriptions or other non-written arrangements respecting severance, except for written employment or severance contracts signed by the Company with individuals other than Participants. 
 7.11 Plan Year. The fiscal records of the Plan shall be kept on the basis of a plan year which is the calendar year. 
 7.12 Governing Law. This is an employee benefit plan subject to ERISA and shall be governed by and construed in accordance with ERISA and, to the
extent applicable and not preempted by ERISA, the law of the State of Indiana applicable to contracts made and to be performed entirely within that State, without regard to its conflict of law principal. 
 ARTICLE 8 
 DEFINITIONS 
 8.1 Definitions. The following words and phrases as used herein shall have the following meanings, unless a different meaning is required by the
context: 
 8.1.1 “Annual Salary” means the highest annualized rate of regular salary in effect for the Participant
(i) during the one-year period before Separation from Service or, if higher, (ii) during the period commencing one year prior to a Change in Control, and ending upon Separation from Service. 
  

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 8.1.2 “Board of Directors” means the Board of Directors of WellPoint. 
 8.1.3 “Cause”, unless otherwise defined for purposes of termination of employment in a written employment agreement between the Company
and the Participant, shall mean any act or failure to act on the part of the Participant which constitutes: 
 (i) fraud,
embezzlement, theft or dishonesty against the Company; 
 (ii) material violation of law in connection with or in the course
of the Participant’s duties or employment with the Company, 
 (iii) commission of any felony or crime involving moral
turpitude; 
 (iv) any violation of Section 3.6 of the Plan; 
 (v) any other material breach of the Employment Agreement; 
 (vi) material breach of any written employment policy of the Company; or 
 (vii) conduct which tends to bring the Company into substantial public disgrace or disrepute; 
 provided, however, that with respect to a termination of employment during an Imminent Change in Control Period or within the thirty-six (36) month period after a
Change in Control, clause (vi) shall apply only if such material breach is grounds for immediate termination under the terms of such written employment policy; and clauses (iv), (v), (vi), and (vii) shall apply only if such violation,
breach or conduct is willful. 
 8.1.4 “Change in Control” means the first to occur of the following events with respect to
the WellPoint: 
 (a) any person (as such term is used in Rule 13d-5 of the Securities and Exchange Commission (“SEC”) under
the Securities Exchange Act of 1934 (the “Exchange Act”) or group (as such term is defined in Section 13(d) of the Exchange Act), other than a subsidiary of WellPoint or any employee benefit plan (or any related trust) of the
Company, becomes the beneficial owner (as defined in Rule 13d-3 under the Exchange Act) of 20% or more of the common stock of WellPoint (“Common Stock”) or of other voting securities representing 20% or more of the combined voting
power of all voting securities WellPoint; provided, however, that (i) no Change in Control shall be deemed to have occurred solely by reason of any such acquisition by a corporation with respect to which, after such acquisition, more than 80%
of both the common stock of such corporation and the combined voting power of the voting securities of such corporation are then beneficially owned, directly or indirectly, by the persons who were the Beneficial Owners of the Common Stock and other
voting securities of WellPoint immediately before such acquisition, in substantially the same proportion as their ownership of the Common Shares and other voting securities of WellPoint immediately before such acquisition; (ii) if any person or
group owns 20% or more but less than 30% of the combined voting power of the Common Stock and other voting securities of WellPoint and such person or group has a “No Change in Control Agreement” (as defined below) with the Company, no
Change in Control 

  

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shall be deemed to have occurred solely by reason of such ownership for so long as the No Change in Control Agreement remains in effect and such person or
group is not in violation of the No Change in Control Agreement; and (iii) once a Change in Control occurs under this subsection (a), the occurrence of the next Change in Control (if any) under this subsection (a) shall be determined by
reference to a person or group other than the person or group whose acquisition of Beneficial Ownership created such prior Change in Control unless the original person or group has in the meantime ceased to own 20% or more of the Common Shares of
WellPoint or other voting securities representing 20% or more of the combined voting power of all voting securities of WellPoint; or 
 (b)
within any period of thirty-six (36) or fewer consecutive months individuals who, as of the first day of such period were members of the Board of Directors of WellPoint (the “Incumbent Directors”) cease for any reason to
constitute at least 75% of the members of the Board; provided, however, that (i) any individual who becomes a Member of the Board of Directors after the first day of such period whose nomination for election to the Board was approved by a vote
or written consent of at least 75% of the Members of the Board of Directors who are then Incumbent Directors shall be considered an Incumbent Director, but excluding, for this purpose, any such individual whose initial assumption of office is in
connection with an actual or threatened election contest relating to the election of the directors of the Company (as such terms are used in Rule 14a-11 of the SEC under the Exchange Act) or an Imminent Change in Control or other transaction
described in subsection (a) above or (c) below; and (ii) once a Change in Control occurs under this subsection (b), the occurrence of the next Change in Control (if any) under this subsection (b) shall be determined by reference
to a period of thirty-six (36) or fewer consecutive months beginning not earlier than the date immediately after the date of such prior Change in Control; or 
 (c) closing of a transaction which is any of the following: 
 (i) a merger, reorganization or
consolidation of WellPoint (“Merger”), after which (A) the individuals and entities who were the respective beneficial owners of the Common Stock and other voting securities of WellPoint immediately before such Merger do not
beneficially own, directly or indirectly, more than 60% of, respectively, the Common Stock or the combined voting power of the common stock and voting securities of the corporation resulting from such Merger, in substantially the same proportion as
their ownership of the Common Stock and other voting securities of WellPoint immediately before such Merger; 
 (ii) a Merger
after which individuals who were members of the Board of Directors of WellPoint immediately before the Merger do not comprise a majority of the members of the Board of Directors of the corporation resulting from such Merger; 
 (iii) a sale or other disposition by WellPoint of all or substantially all of the assets owned by it (a “Sale”) after
which the individuals and entities who were the respective beneficial owners of the Common Stock and other voting securities of WellPoint immediately before such Sale do not beneficially own, directly or indirectly, more than 60% of, respectively,
the Common Stock or the combined voting power of the common stock and voting securities of the transferee in such Sale in substantially the same proportion as their ownership of the Common Stock and other voting securities of WellPoint immediately
before such Sale; or 
  

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 (iv) a Sale after which individuals who were members of the Board of Directors of
WellPoint immediately before the Sale do not comprise a majority of the members of the board of directors of the transferee corporation. 
 8.1.5 “Code” means the Internal Revenue Code of 1986, as amended from time to time. 
 8.1.6
“Committee” means a committee appointed by the Chief Executive Officer of WellPoint to administer this Plan. 
 8.1.7
“Executive” means any person employed by the Company in a position of Vice President, Senior Vice President, or Executive Vice President; and any other key executive of the Company employed in a position below that of Vice President
(“Other Key Executive”) whom the Chief Executive Officer of WellPoint expressly determines shall be eligible to be a Participant in this Plan. 
 8.1.8 “Good Reason” for a termination of employment shall mean for Participants who are classified as Executive Vice President, Senior Vice President or Vice President (a) the occurrence of the
events set forth in clauses (ii) or (v) below within the thirty-six (36) month period after a Change in Control, or (b) the occurrence of the events set forth in clauses (i), (iii) or (iv) below at any time before or
after a Change in Control: 
 (i) a material reduction during any twenty-four (24) consecutive month period in the
Participant’s Annual Salary, or in the Participant’s annual total cash compensation (including Annual Salary and Target Bonus), but excluding in either case any reduction both (A) applicable to management employees generally, and
(B) and not implemented during an Imminent Change in Control Period or within the thirty-six (36) month period after a Change in Control); 
 (ii) a material adverse change without the Participant’s prior consent in the Participant’s position, duties, or responsibilities as an Executive of the Company and provided, however, that this clause shall
not apply in connection with a Transfer of Business if the position offered to the Participant by the transferee is substantially comparable in position, duties, or responsibilities with the position, duties and responsibilities of the Participant
prior to such Transfer of Business and is not in violation of the Participant’s rights under the Employment Agreement; 
 (iii) a material breach of the Employment Agreement or this Plan by the Company; 
 (iv) a change in the
Participant’s principal work location to a location more than 50 miles from the Participant’s prior work location and more than 50 miles from the Participant’s principal residence as of the date of such change in work location;

  

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 (v) the failure of any successor to Company by merger, consolidation, or acquisition of
all or substantially all of the business of the Company or by Transfer of Business to assume the Company’s obligations under this Plan (including any Employment Agreements). 
 Notwithstanding the foregoing provisions of this definition, Good Reason shall not exist if the Participant has in his or her sole discretion agreed in writing that such event shall not be Good Reason. A Separation
from Service shall not be considered to be for Good Reason unless (A) within sixty (60) days of the occurrence of the events claimed to be Good Reason the Participant notifies the Committee in writing of the reasons why he or she believes
that Good Reason exists, (B) the Company has failed to correct the circumstance that would otherwise be Good Reason within thirty (30) days of receipt of such notice, and (C) the Participant terminates his or her employment within 60
days of such thirty (30) day period (or if earlier within 60 days of the date the Committee has confirmed to the Participant pursuant to Section 5.1 that Good Reason exists). 
 8.1.9 “Imminent Change in Control Period” means the period (i) beginning on the date of (A) the public announcement (whether
by advertisement, press release, press interview, public statement, SEC filing or otherwise) of a proposal or offer which if consummated would be a Change in Control, (B) the making to a director or executive officer of the Company of a written
proposal which if consummated would be a Change in Control, or (C) approval by the Board of Directors or the stockholders of WellPoint of a transaction that upon closing would be a Change in Control; and (ii) ending upon the first to occur
of (A) a public announcement that the prospective Change in Control contemplated by the event(s) described in clause (i) has been terminated or abandoned, (B) the occurrence of the contemplated Change in Control, or (C) the first
annual anniversary of the beginning of the Imminent Change in Control Period. 
 8.1.10 “Key Employee” means for the period
January 1 through December 31 each individual identified by the Company as of the immediately preceding September 30 as a “key employee,” as defined under Code Section 416(i), disregarding Code Section 416(i)(5).

 8.1.11 “No Change in Control Agreement” means a legal, binding and enforceable agreement executed by and in effect
between a person or all members of a group and WellPoint that provides that: (1) such person or group shall be bound by the agreement for the time period of not less than five (5) years from its date of execution; (2) such person or
group shall not acquire beneficial ownership or voting control equal to a percentage of the Common Stock or the voting power of other voting securities of WellPoint that exceeds a percentage specified in the agreement which percentage shall in all
events be less than 30%; (3) such person or group may not designate for election as directors a number of directors in excess of 25% of the number of directors on the Board; and (4) such person or group shall vote the Common Stock and
other voting securities of WellPoint in all matters in the manner directed by the majority of the Incumbent Directors. If any agreement described in the preceding sentence is violated by such person or group or is amended in a fashion such that it
no longer satisfies the requirements of the preceding sentence, such agreement shall, as of the date of such violation or amendment, be treated for purposes hereof as no longer constituting a No Change in Control Agreement. 
  

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 8.1.12 “Participant” means any Executive who is eligible to participate in the Plan and
has become a Participant in accordance with Section 2.1, and has not had such participation terminated pursuant to Section 2.2. 
 8.1.13 “Separation from Service” means a termination of the Participant’s employment with the Company which constitutes a “separation from service” within the meaning of Section 409A(a)(2)(A)(i) of the
Code. Notwithstanding the preceding sentence a Separation from Service shall not include: 
 (i) the disposition by the
Company of the subsidiary or affiliate which employs the Participant if such employing subsidiary or affiliate adopts this Plan and continues (by assignment or otherwise) to be the employer of the Participant under the Employment Agreement, or

 (ii) a termination of employment in a Transfer of Business in connection with which the Participant receives a bona fide
offer of employment from the transferee (or an affiliate of the transferee), whether or not accepted, for which purpose a bona fide offer of employment is an offer of employment effective on the closing of the Transfer of Business on terms that does
not have an effect described in clauses (i), (ii), (iv) or (v) of Section 8.1.9 (defining “Good Reason”). 
 (iii) A Participant shall cooperate with the transferee in a Transfer of Business by completing such employment applications and providing such other information as the transferee may need in order to make a bona fide offer of employment. A
Participant who fails to provide such cooperation shall be deemed to have received and rejected a bona fide offer of employment. 
 8.1.14
“Target Bonus” means the Target Bonus Percentage times the Annual Salary. 
 8.1.15 “Target Bonus
Percentage” means the sum of the highest annualized target bonus percentage(s) (as a percentage of salary) in effect for the Participant (i) during the one-year period before Separation from Service or, if higher, (ii) during the
period commencing one year prior to a Change in Control, and ending upon Separation of Service under each regular annual bonus or a short-term incentive plan including but not limited to WellPoint’s Annual Incentive Plan or successor plans and
any sales incentive plans (as determined by the Committee in its sole discretion) covering the Participant. 
 8.1.16 “Transfer of
Business” means a transfer of the Participant’s position to another entity, as part of either (i) a transfer to such entity as a going concern of all or part of the business function of the Company in which the Participant was
employed, or (ii) an outsourcing to another entity of a business function of the Company in which the Participant was employed. 
 IN WITNESS WHEREOF WellPoint has caused this Amendment and Restatement of the Plan to be executed
on its behalf by an authorized officer this 15th day of December, 2008. 
  

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	WellPoint, Inc.
		
	By:	 	 /s/ Angela F. Braly

		 	Angela F. Braly
		 	President and Chief Executive Officer


  

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 EXHIBIT A 
 EMPLOYMENT AGREEMENT 







 EXHIBIT B 
 WAIVER AND RELEASE 
 This is a Waiver and Release (“Release”) between
                     (“Executive”) and WellPoint, Inc. (the “Company”). The Company and the Executive agree that they have
entered into this Release voluntarily, and that it is intended to be a legally binding commitment between them. 
 1. In consideration for
the promises made herein by the Executive, the Company agrees as follows: 
 (a) Severance Pay. The Company will pay to
the Executive severance or change of control payments and bonus pay in the amount set forth in the WellPoint, Inc. Executive Agreement Plan (the “Plan”) and the entire Employment Agreement executed in connection therewith. The Company will
also pay Executive accrued but unused vacation pay for all of his or her accrued but unused vacation days. 
 (b) Other
Benefits. The Executive will be eligible to receive other benefits as described in the Plan. 
 (c) Unemployment
Compensation. The Company will not contest the decision of the appropriate regulatory commission regarding unemployment compensation that may be due to the Executive. 
 2. In consideration for and contingent upon the Executive’s right to receive the severance pay and other benefits described in the Plan and the Employment Agreement and this Release, Executive hereby agrees as
follows: 
 (a) General Waiver and Release. Except as provided in Paragraph 2.(f) below, Executive and any person
acting through or under the Executive hereby release, waive and forever discharge the Company, its past subsidiaries and its past and present affiliates, and their respective successors and assigns, and their respective present or past officers,
trustees, directors, shareholders, executives and agents of each of them, from any and all claims, demands, actions, liabilities and other claims for relief and remuneration whatsoever (including without limitation attorneys’ fees and
expenses), whether known or unknown, absolute, contingent or otherwise (each, a “Claim”), arising or which could have arisen up to and including the date of his execution of this Release, arising out of or relating to Executive’s
employment or cessation and termination of employment, or any other written or oral agreement, any change in Executive’s employment status, any benefits or compensation, any tortious injury, breach of contract, wrongful discharge (including any
Claim for constructive discharge), infliction of emotional distress, slander, libel or defamation of character, and any Claims arising under Title VII of the Civil Rights Act of 1964 (as amended by the Civil Rights Act of 1991), the Americans With
Disabilities Act, the Rehabilitation Act of 1973, the Equal Pay Act, the Older Workers Benefits Protection Act, the Age Discrimination in Employment Act, the Employee Retirement Income Security Act of 1974, or any other federal, state or local
statute, law, ordinance, regulation, rule or executive order, any tort or contract 








 
claims, and any of the claims, matters and issues which could have been asserted by Executive against the Company or its subsidiaries and affiliates in any
legal, administrative or other proceeding. Executive agrees that if any action is brought in his or her name before any court or administrative body, Executive will not accept any payment of monies in connection therewith. 
 (b) Waiver Under Section 1542 of the California Civil Code. Executive, for Executive’s predecessors, successors and
assigns, hereby waives all rights which Executive may have under Section 1542 of the Civil Code of the State of California, which reads as follows: 
 A general release does not extend to claims which the creditor does not know or suspect to exist in his favor at the time of executing the release, which if known by him must have materially affected his settlement
with the debtor. 
 This waiver is not a mere recital but is a knowing waiver of the rights and benefits otherwise available under said
Section 1542. 
 (c) Miscellaneous. Executive agrees that this Release specifies payment from the Company to
himself or herself, the total of which meets or exceeds any and all funds due him or her by the Company, and that he or she will not seek to obtain any additional funds from the Company with the exception of non-reimbursed business expenses. This
covenant does not preclude the Executive from seeking workers compensation, unemployment compensation, or benefit payments under the Company’s employee benefit plans that could be due him or her. 
 (d) Non-Competition, Non-Solicitation and Confidential Information and Inventions. Executive warrants that Executive has, and will
continue to comply fully with Sections 9 and 10 of the Employment Agreement and the requirements of the Plan. 
 (e)
THE COMPANY AND THE EXECUTIVE AGREE THAT THE SEVERANCE PAY AND BENEFITS DESCRIBED IN THIS RELEASE AND THE PLAN ARE CONTINGENT UPON THE EXECUTIVE SIGNING THIS RELEASE. THE EXECUTIVE FURTHER UNDERSTANDS AND AGREES THAT IN SIGNING THIS RELEASE,
EXECUTIVE IS RELEASING POTENTIAL LEGAL CLAIMS AGAINST THE COMPANY. THE EXECUTIVE UNDERSTANDS AND AGREES THAT IF HE OR SHE DECIDES NOT TO SIGN THIS RELEASE, OR IF HE OR SHE REVOKES THIS RELEASE, THAT HE OR SHE WILL IMMEDIATELY REFUND TO THE COMPANY
ANY AND ALL SEVERANCE PAYMENTS AND OTHER BENEFITS HE OR SHE MAY HAVE ALREADY RECEIVED. 
 (f) The waiver contained in
Section 2(a) and (b) above does not apply to any Claims with respect to: 
 (i) Any claims under employee benefit
plans subject to the Employee Retirement Income Security Act of 1974 (“ERISA”) in accordance with the terms of the applicable employee benefit plan, 
  

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 (ii) Any Claim under or based on a breach of this Release, 
 (iii) Rights or Claims that may arise under the Age Discrimination in Employment Act after the date that Executive signs this Release,

 (iv) Any right to indemnification or directors and officers liability insurance coverage to which the Executive is
otherwise entitled in accordance with the Company’s articles or by-laws. 
 (v) EXECUTIVE ACKNOWLEDGES THAT HE
OR SHE HAS READ AND IS VOLUNTARILY SIGNING THIS RELEASE. EXECUTIVE ALSO ACKNOWLEDGES THAT HE OR SHE IS HEREBY ADVISED TO CONSULT WITH AN ATTORNEY, HE OR SHE HAS BEEN GIVEN AT LEAST 30 DAYS TO CONSIDER THIS RELEASE BEFORE THE DEADLINE FOR SIGNING IT,
AND HE OR SHE UNDERSTANDS THAT HE OR SHE MAY REVOKE THE RELEASE WITHIN SEVEN (7) DAYS AFTER SIGNING IT. IF NOT REVOKED WITHIN SUCH PERIOD, THIS RELEASE WILL BECOME EFFECTIVE ON THE EIGHTH (8) DAY AFTER IT IS SIGNED BY EXECUTIVE.

 BY SIGNING BELOW, BOTH THE COMPANY AND EXECUTIVE AGREE THAT THEY UNDERSTAND AND ACCEPT EACH PART OF THIS RELEASE. 
  

			
	(Executive)	 	DATE
		
	WELLPOINT, INC.	 	
		
	By:	 	DATE

  

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 EXHIBIT C 
 DESIGNATED PLANS 
 Anthem 2001 Stock Incentive Plan 
 WellPoint 2006 Incentive Compensation Plan