| LCA CASE NUMBER | I-200-17004-520349 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 1/6/2017 |
| DECISION DATE | 1/12/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 1/15/2017 |
| EMPLOYMENT END DATE | 1/14/2020 |
| LCA CASE EMPLOYER NAME | BLUE CROSS BLUE SHEILD OF MICHIGAN |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 600 E. LAFAYETTE BLVD. |
| EMPLOYER CITY | DETROIT |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48226 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 3132255960 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | MERRILLS, ANDREW |
| AGENT ATTORNEY CITY | RALEIGH |
| AGENT ATTORNEY STATE | NC |
| LCA CASE JOB TITLE | IT MANAGER I |
| SOC CODE | 11-3021 |
| SOC NAME | COMPUTER AND INFORMATION SYSTEMS MANAGERS |
| NAICS CODE | 524114 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 108,493.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 111,000.00 |
| LCA CASE WAGE RATE TO | 121,000.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | DETROIT |
| WORKSITE COUNTY | WAYNE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48226 |
