| CASE NUMBER | I-200-24365-577402 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/30/2024 |
| DECISION DATE | 1/7/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Actuarial Principal |
| SOC CODE | 15-2011.00 |
| SOC TITLE | Actuaries |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/13/2025 |
| END DATE | 1/12/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| EMPLOYER NAME | Cigna Health and Life Insurance Company |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 900 Cottage Grove Road |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Bloomfield |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6002 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18602266000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 52411 |
| EMPLOYER POC LAST NAME | Cieslukowski |
| EMPLOYER POC FIRST NAME | Renee |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Actuarial Managing Director |
| EMPLOYER POC ADDRESS1 | 900 Cottage Grove Road |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Bloomfield |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 6002 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12157612814 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | renee.cieslukowski@evernorth.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Simon |
| AGENT ATTORNEY FIRST NAME | Nicole |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 190 N. Independence Mall West |
| AGENT ATTORNEY ADDRESS2 | Suite 501 |
| AGENT ATTORNEY CITY | Philadelphia |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19106 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12159250705 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | nsimon@LHSCimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Landau, Hess, Simon, Choi & Doebley |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2000 South Colorado Blvd |
| WORKSITE ADDRESS2 | Tower Three, STEs 1100, 1200 |
| WORKSITE CITY | Denver |
| WORKSITE COUNTY | DENVER |
| WORKSITE STATE | CO |
| WORKSITE POSTAL CODE | 80222 |
| WAGE RATE OF PAY FROM | $172,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $152,339.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-01-13 |
