| LCA CASE NUMBER | I-200-17326-296284 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 11/30/17 |
| DECISION DATE | 12/6/17 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 12/15/17 |
| EMPLOYMENT END DATE | 12/14/20 |
| LCA CASE EMPLOYER NAME | BLUE CROSS AND BLUE SHIELD OF KANSAS CITY |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 2301 MAIN STREET |
| EMPLOYER CITY | KANSAS CITY |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 64108 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8163952561 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | MDIVANI, MIRA |
| AGENT ATTORNEY CITY | OVERLAND PARK |
| AGENT ATTORNEY STATE | KS |
| LCA CASE JOB TITLE | APPLICATIONS DEVELOPER |
| SOC CODE | 15-1132 |
| SOC NAME | SOFTWARE DEVELOPERS, APPLICATIONS |
| NAICS CODE | 524114 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 76,544.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 83,170.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | KANSAS CITY |
| WORKSITE COUNTY | JACKSON |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 64108 |
