| LCA CASE NUMBER | I-200-18082-127736 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/27/18 |
| DECISION DATE | 4/2/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 4/3/18 |
| EMPLOYMENT END DATE | 4/2/21 |
| LCA CASE EMPLOYER NAME | EXCELLUS HEALTH PLAN, INC. |
| EMPLOYER BUSINESS DBA | EXCELLUS BLUECROSS BLUESHIELD |
| EMPLOYER ADDRESS | 165 COURT STREET |
| EMPLOYER CITY | ROCHESTER |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14647 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5853397775 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | BERARDI, ROSANNA |
| AGENT ATTORNEY CITY | BUFFALO |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | TEAM LEADER, ACTUARIAL SERVICES |
| 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 EMP | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 104,811.00 |
| 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 | 105,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | ROCHESTER |
| WORKSITE COUNTY | MONROE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14647 |
