\ H1B CASE NUMBER I-200-17306-039056



CASE NUNBER: I-200-17306-039056

LCA CASE NUMBERI-200-17306-039056
STATUSCERTIFIED
LCA CASE SUBMIT11/7/17
DECISION DATE11/14/17
VISA CLASSH-1B
LCA CASE EMPLOYMENT START DATE2/28/18
EMPLOYMENT END DATE2/27/21
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 REPRESENTING EMPLOYERY
AGENT ATTORNEY NAMEBORD, ERIC
AGENT ATTORNEY CITYWASHINGTON
AGENT ATTORNEY STATEDC
LCA CASE JOB TITLESR. ETL/DW DEVELOPER
SOC CODE15-1132
SOC NAMESOFTWARE DEVELOPERS, APPLICATIONS
NAICS CODE524114
TOTAL WORKERS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT1
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMP0
CHANGE EMPLOYER0
AMENDED PETITION0
FULL TIME POSITIONY
PREVAILING WAGE87,797.00
PW UNIT OF PAYYear
PW WAGE LEVELLevel II
PW SOURCEOES
PW SOURCE YEAR2017
PW SOURCE OTHEROFLC ONLINE DATA CENTER
LCA CASE WAGE RATE FROM96,900.00
LCA CASE WAGE RATE TO0.00
LCA CASE WAGE RATE UNITYear
H1B DEPENDENTN
WILLFUL VIOLATORN
SUPPORT H1BNA
LCA CASE WORKLOC1 CITYPHILADELPHIA
WORKSITE COUNTYPHILADELPHIA
LCA CASE WORKLOC1 STATEPA
WORKSITE POSTAL CODE19103