\ H1B CASE NUMBER I-200-16029-104481



CASE NUNBER: I-200-16029-104481

LCA CASE NUMBERI-200-16029-104481
STATUSCERTIFIED
LCA CASE SUBMIT1/29/16
DECISION DATE2/4/16
VISA CLASSH-1B
LCA CASE EMPLOYMENT START DATE4/15/16
EMPLOYMENT END DATE4/14/19
LCA CASE EMPLOYER NAMEINDEPENDENCE BLUE CROSS, LLC
EMPLOYER ADDRESS1901 MARKET STREET
EMPLOYER CITYPHILADELPHIA
EMPLOYER STATEPA
EMPLOYER POSTAL CODE19103
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE2152413556
AGENT ATTORNEY NAMEBORD, ERIC
AGENT ATTORNEY CITYWASHINGTON
AGENT ATTORNEY STATEDC
LCA CASE JOB TITLESR. BUSINESS SYSTEM ANALYST
SOC CODE15-1199
SOC NAMECOMPUTER OCCUPATIONS, ALL OTHER
NAIC CODE524114
TOTAL WORKERS1
PREVAILING WAGE100,048.00
PW UNIT OF PAYYear
PW WAGE SOURCEOES
PW SOURCE YEAR2015
PW SOURCE OTHEROFLC ONLINE DATA CENTER
LCA CASE WAGE RATE FROM100,048.00
LCA CASE WAGE RATE TO0.00
LCA CASE WAGE RATE UNITYear
H-1B DEPENDENTN
WILLFUL VIOLATORN
LCA CASE WORKLOC1 CITYPHILADELPHIA
WORKSITE COUNTYPHILADELPHIA
LCA CASE WORKLOC1 STATEPA
WORKSITE POSTAL CODE19103