| LCA CASE NUMBER | I-200-20101-478475 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-10 |
| DECISION DATE | 2020-04-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medicare Advantage Actuarial Analyst III |
| SOC CODE | 15-2011.00 |
| SOC TITLE | Actuaries |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-06-21 |
| END DATE | 2023-06-21 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Medical Mutual of Ohio, Inc. |
| TRADE NAME DBA | none. |
| EMPLOYER ADDRESS1 | 2060 East 9 Street |
| EMPLOYER CITY | Cleveland |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44115-1355 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12166877802 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Shinn |
| EMPLOYER POC FIRST NAME | Lydia |
| EMPLOYER POC JOB TITLE | Director, Talent Acquisition |
| EMPLOYER POC ADDRESS1 | 2060 East 9 Street |
| EMPLOYER POC CITY | Cleveland |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 44115 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12166877802 |
| EMPLOYER POC EMAIL | lydia.shinn@medmutual.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Rozario |
| AGENT ATTORNEY FIRST NAME | Charmaine |
| AGENT ATTORNEY MIDDLE NAME | Cecilia |
| AGENT ATTORNEY ADDRESS1 | 815 Superior Ave, Ste 1225 |
| AGENT ATTORNEY CITY | Cleveland |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44114 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12168497507.0 |
| AGENT ATTORNEY EMAIL ADDRESS | rozariocharmaine3@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Herman Legal Group |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | OH |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2060 East 9 Street |
| LCA CASE WORKLOC1 CITY | Cleveland |
| WORKSITE COUNTY | CUYAHOGA |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 44115 |
| LCA CASE WAGE RATE FROM | 86000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 85925.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
