| LCA CASE NUMBER | I-200-21062-115758 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-03 |
| DECISION DATE | 2021-03-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | SENIOR ACTUARIAL ANALYST II |
| SOC CODE | 15-2011.00 |
| SOC TITLE | Actuaries |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-20 |
| END DATE | 2024-08-19 |
| 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 | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| EMPLOYER ADDRESS1 | 600 E. LAFAYETTE BLVD. |
| EMPLOYER CITY | DETROIT |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48226 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13138043918 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | BUSOVICKI |
| EMPLOYER POC FIRST NAME | MIKE |
| EMPLOYER POC JOB TITLE | MANAGER, TALENT ACQUISITION |
| EMPLOYER POC ADDRESS 1 | 600 E LAFAYETTE BLVD |
| EMPLOYER POC CITY | DETROIT |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48226 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13132255960 |
| EMPLOYER POC EMAIL | MBUSOVICKI@BCBSM.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | HERRMANN |
| AGENT ATTORNEY FIRST NAME | CHRISTIAN |
| AGENT ATTORNEY ADDRESS1 | 300 NORTH MAIN STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 500 |
| AGENT ATTORNEY CITY | GREENVILLE |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18642408214 |
| AGENT ATTORNEY EMAIL ADDRESS | CHRISTIAN.HERRMANN@OGLETREE.COM |
| LAWFIRM NAME BUSINESS NAME | OGLETREE DEAKINS NASH SMOAK & STEWART, P.C. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | CALIFORNIA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 500 RENAISSANCE CENTER |
| LCA CASE WORKLOC1 CITY | DETROIT |
| WORKSITE COUNTY | WAYNE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48243 |
| LCA CASE WAGE RATE FROM | 100277 |
| LCA CASE WAGE RATE TO | 102588 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 100277 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
