| LCA CASE NUMBER | I-200-17080-086802 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/24/2017 |
| DECISION DATE | 3/30/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 3/30/2017 |
| EMPLOYMENT END DATE | 3/30/2020 |
| LCA CASE EMPLOYER NAME | BLUE SHIELD OF CALIFORNIA |
| EMPLOYER ADDRESS | 4203 TOWN CENTER BLVD |
| EMPLOYER CITY | EL DORADO HILLS |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95762 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 9163507914 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | NOCE, COURTNEY |
| AGENT ATTORNEY CITY | ATLANTA |
| AGENT ATTORNEY STATE | GA |
| LCA CASE JOB TITLE | BUSINESS - DATA PROGRAMMER - ACTUARIAL |
| SOC CODE | 15-2011 |
| SOC NAME | ACTUARIES |
| 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 | 86,590.00 |
| 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 | 86,590.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | EL SEGUNDO |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90245 |
