SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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FORM 8-A
FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(b) OR 12(g) OF THE
SECURITIES EXCHANGE ACT OF 1934
Trigon Healthcare, Inc.
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(Exact Name of Registrant as Specified in its Charter)
Virginia 54-1773225
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(State of Incorporation or Organization) (I.R.S. Employer Identification No.)
2015 Staples Mill Road
Richmond, Virginia 23220
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(Address of principal executive offices) (zip code)
If this Form relates to the registration If this Form relates to the
of class of debt securities and is registration of a class of debt
effective filing pursuant to General securities and is to become
Instruction A.(c)(1)please check the effective simultaneously with the
following box. / / effectiveness of a concurrent
registration statement under the
Securities Act of 1933 pursuant to
General Instruction A(c)(2) please
check the following box. / /
SECURITIES TO BE REGISTERED PURSUANT TO SECTION 12(b) OF THE ACT:
Title of Each Class Name of Each Exchange on Which
to be so Registered Each Class is to be Registered
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Class A Common Stock New York Stock Exchange
(par value $0.01 per share)
SECURITIES TO BE REGISTERED PURSUANT TO SECTION 12(g) OF THE ACT:
None
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Item 1. Description of Registrant's Securities to be Registered.
Information concerning the Class A Common Stock, par value $0.01 per
share, of Trigon Healthcare, Inc. (the "Company") to be registered hereunder is
incorporated by reference to the section entitled "Description of Capital Stock"
in the prospectus forming a part of Amendment No. 1 to the Registration
Statement on Form S-1, (Registration No. 333-09773), filed by the Company under
the Securities Act of 1933, as amended.
Item 2. Exhibits.*
1. Copy of Amendment No. 1 to the Registration Statement on Form S-1.
2. None.
3. None.
4. Form of Amended and Restated Articles of Incorporation and Form of
Bylaws.
5. Specimen certificate of the Class A Common Stock.
6. None.
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* Pursuant to the Instructions as to Exhibits to Form 8-A, these Exhibits will
be filed with the New York Stock Exchange but not with the Securities and
Exchange Commission.
<PAGE>
SIGNATURE
Pursuant to the requirements of Section 12 of the Securities Exchange
Act of 1934, as amended, the registrant has duly caused this registration
statement to be signed on its behalf by the undersigned, thereto duly
authorized.
TRIGON HEALTHCARE, INC.
Date: November 26, 1996 By: /s/ THOMAS G. SNEAD, JR.
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Thomas G. Snead, Jr.
Treasurer and Chief Financial Officer
