| LCA CASE NUMBER | I-200-18005-908564 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 1/5/18 |
| DECISION DATE | 1/11/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 1/22/18 |
| EMPLOYMENT END DATE | 1/21/21 |
| LCA CASE EMPLOYER NAME | INDEPENDENCE BLUE CROSS, LLC |
| EMPLOYER ADDRESS | 1901 MARKET STREET |
| EMPLOYER CITY | PHILADELPHIA |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 19103 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2152412400 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | BORD, ERIC |
| AGENT ATTORNEY CITY | WASHINGTON |
| AGENT ATTORNEY STATE | DC |
| LCA CASE JOB TITLE | SR. PROJECT MANAGER |
| SOC CODE | 15-1199 |
| SOC NAME | COMPUTER OCCUPATIONS, ALL OTHER |
| NAICS CODE | 524114 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 106,038.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level IV |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 117,000.00 |
| 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 | PHILADELPHIA |
| WORKSITE COUNTY | PHILADELPHIA |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 19103 |
