| LCA CASE NUMBER | I-200-21109-236627 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-19 |
| DECISION DATE | 2021-04-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Actuarial Analyst |
| SOC CODE | 15-2011.00 |
| SOC TITLE | Actuaries |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-16 |
| END DATE | 2024-07-15 |
| 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 and Blue Shield of Kansas City |
| EMPLOYER ADDRESS1 | 2301 Main Street |
| EMPLOYER CITY | Kansas City |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 64108 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18776268910 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Allen |
| EMPLOYER POC FIRST NAME | Mikala |
| EMPLOYER POC JOB TITLE | HR Recruiter, Lead |
| EMPLOYER POC ADDRESS 1 | 2301 Main Street |
| EMPLOYER POC CITY | Kansas City |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 64108 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18163952560 |
| EMPLOYER POC EMAIL | Mikala.Allen@BlueKC.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hirsh |
| AGENT ATTORNEY FIRST NAME | Gizie |
| AGENT ATTORNEY MIDDLE NAME | D. |
| AGENT ATTORNEY ADDRESS1 | 2345 Grand Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 2200 |
| AGENT ATTORNEY CITY | Kansas City |
| AGENT ATTORNEY STATE | MO |
| AGENT ATTORNEY POSTAL CODE | 64108 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18164605848 |
| AGENT ATTORNEY EMAIL ADDRESS | gizie.hirsh@lathropgpm.com |
| LAWFIRM NAME BUSINESS NAME | Lathrop GPM LLP |
| STATE OF HIGHEST COURT | MO |
|
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2301 Main Street |
| LCA CASE WORKLOC1 CITY | Kansas City |
| WORKSITE COUNTY | JACKSON |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 64108 |
| LCA CASE WAGE RATE FROM | 78648.32 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 74277 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 |
