| LCA CASE NUMBER | I-200-21014-014695 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-14 |
| DECISION DATE | 2021-01-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Director Chief of Staff to CEO & President |
| SOC CODE | 11-1021.00 |
| SOC TITLE | General and Operations Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-02-01 |
| END DATE | 2024-02-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Blue Cross Blue Shield of Minnesota |
| EMPLOYER ADDRESS1 | 3535 Blue Cross Road |
| EMPLOYER CITY | Eagan |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55122 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16516628433 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Valdez |
| EMPLOYER POC FIRST NAME | Caroline |
| EMPLOYER POC JOB TITLE | Talent Advisor Sr |
| EMPLOYER POC ADDRESS 1 | 3535 Blue Cross Road |
| EMPLOYER POC CITY | Eagan |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55122 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16516628433 |
| EMPLOYER POC EMAIL | CAROLINE.VALDEZ@BLUECROSSMN.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Roach |
| AGENT ATTORNEY FIRST NAME | Charles |
| AGENT ATTORNEY MIDDLE NAME | Arthur |
| AGENT ATTORNEY ADDRESS1 | 150 South Fifth Street |
| AGENT ATTORNEY ADDRESS2 | Suite 3460 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16124861631 |
| AGENT ATTORNEY EMAIL ADDRESS | croach@fordharrison.com |
| LAWFIRM NAME BUSINESS NAME | Ford & Harrison LLP |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court of Minnesota |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3535 Blue Cross Road |
| LCA CASE WORKLOC1 CITY | Eagan |
| WORKSITE COUNTY | DAKOTA |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55122 |
| LCA CASE WAGE RATE FROM | 128253 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 128253 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
