| LCA CASE NUMBER | I-200-16238-895980 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 8/25/16 |
| DECISION DATE | 8/31/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 10/3/16 |
| EMPLOYMENT END DATE | 10/2/19 |
| LCA CASE EMPLOYER NAME | GROUP HEALTH PLAN, INC. |
| EMPLOYER ADDRESS | 8170 33RD AVENUE SOUTH |
| EMPLOYER CITY | BLOOMINGTON |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55425 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | MN |
| EMPLOYER PHONE | 9528836000 |
| AGENT ATTORNEY NAME | CARLSON, BETH |
| AGENT ATTORNEY CITY | MINNEAPOLIS |
| AGENT ATTORNEY STATE | MN |
| LCA CASE JOB TITLE | HOSPITALIST |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAIC CODE | 621491 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 211,638.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | MEDICAL GROUP MANAGEMENT ASSOCIATION: PHYSICIAN PLACEMENT STARTING SALARY SURV |
| LCA CASE WAGE RATE FROM | 277,432.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | ST. PAUL |
| WORKSITE COUNTY | RAMSEY |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55101 |
