| LCA CASE NUMBER | I-200-16272-870113 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 9/28/2016 |
| DECISION DATE | 10/4/2016 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 10/17/2016 |
| EMPLOYMENT END DATE | 10/17/2019 |
| LCA CASE EMPLOYER NAME | BLUE CROSS BLUE SHIELD OF NEBRASKA |
| EMPLOYER ADDRESS | 1919 AKSARBEN DRIVE |
| EMPLOYER CITY | OMAHA |
| EMPLOYER STATE | NE |
| EMPLOYER POSTAL CODE | 68180 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4029827820 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | PECK, AMY |
| AGENT ATTORNEY CITY | OMAHA |
| AGENT ATTORNEY STATE | NE |
| LCA CASE JOB TITLE | DATABASE ADMINISTRATOR II |
| SOC CODE | 15-1141 |
| SOC NAME | DATABASE ADMINISTRATORS |
| NAICS CODE | 524298 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 81,349.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level III |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 90,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | OMAHA |
| WORKSITE COUNTY | DOUGLAS |
| LCA CASE WORKLOC1 STATE | NE |
| WORKSITE POSTAL CODE | 68180 |
