| LCA CASE NUMBER | I-200-18234-825213 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 8/22/18 |
| DECISION DATE | 8/28/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/3/18 |
| EMPLOYMENT END DATE | 9/2/21 |
| LCA CASE EMPLOYER NAME | PREMERA BLUE CROSS |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 7001 220TH STREET SW |
| EMPLOYER CITY | MOUNTLAKE TERRACE |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98043 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 4259184000 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | KYE, EDWINA |
| AGENT ATTORNEY CITY | SEATTLE |
| AGENT ATTORNEY STATE | WA |
| LCA CASE JOB TITLE | SR. MICROSOFT FULL-STACK DEVELOPER |
| SOC CODE | 15-1133 |
| SOC NAME | SOFTWARE DEVELOPERS, SYSTEMS SOFTWARE |
| NAICS CODE | 52411 |
| 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 | 101,837.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2018 |
| 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 |
| LCA CASE WORKLOC1 CITY | MOUNTLAKE TERRACE |
| WORKSITE COUNTY | SNOHOMISH |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98043 |
