| LCA CASE NUMBER | I-200-18053-614767 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2/27/18 |
| DECISION DATE | 3/5/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 8/29/18 |
| EMPLOYMENT END DATE | 8/28/21 |
| LCA CASE EMPLOYER NAME | FALLON COMMUNITY HEALTH PLAN, INC. |
| EMPLOYER BUSINESS DBA | FALLON HEALTH |
| EMPLOYER ADDRESS | 10 CHESTNUT STREET |
| EMPLOYER CITY | WORCESTER |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01608 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 5083689559 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | GROBAN, JR., ROBERT |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | SENIOR EDI COORDINATOR |
| SOC CODE | 15-1199 |
| SOC NAME | COMPUTER OCCUPATIONS, ALL OTHER |
| NAICS CODE | 524114 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 75,629.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 75,629.00 |
| LCA CASE WAGE RATE TO | 98,586.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | WORCESTER |
| WORKSITE COUNTY | WORCESTER |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 01608 |
