| LCA CASE NUMBER | I-200-18017-586266 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 1/19/18 |
| DECISION DATE | 1/26/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/16/18 |
| EMPLOYMENT END DATE | 7/15/21 |
| 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 | ACTUARIAL ANALYST |
| SOC CODE | 43-9111 |
| SOC NAME | STATISTICAL ASSISTANTS |
| 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 | 53,518.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level III |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2018 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 58,240.00 |
| 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 | MO |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 64108 |
