\ H1B CASE NUMBER I-200-19171-881104



CASE NUNBER: I-200-19171-881104

LCA CASE NUMBERI-200-19171-881104
STATUSCERTIFIED
LCA CASE SUBMIT2019-06-20
DECISION DATE2019-06-26
VISA CLASSH-1B
LCA CASE EMPLOYMENT START DATE2019-07-29
EMPLOYMENT END DATE2022-07-28
LCA CASE EMPLOYER NAMEPREMERA BLUE CROSS
EMPLOYER ADDRESS7001 220TH STREET SW
EMPLOYER CITYMOUNTLAKE TERRACE
EMPLOYER STATEWA
EMPLOYER POSTAL CODE98043
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE4259184000
SECONDARY ENTITYFalse
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY NAMEDAVISBAE
AGENT ATTORNEY CITYSEATTLE
AGENT ATTORNEY STATEWA
LCA CASE JOB TITLEMANAGER, PROVIDER PROGRAMS
SOC CODE13-1111
SOC NAMEMANAGEMENT ANALYSTS
NAICS CODE52411
TOTAL WORKERS1
NEW EMPLOYMENT1
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
FULL TIME POSITIONTrue
PREVAILING WAGE113298
PW UNIT OF PAYYear
PW WAGE LEVEL3
PW SOURCEOES
LCA CASE WAGE RATE FROM130000
LCA CASE WAGE RATE UNITYear
H1B DEPENDENTFalse
LCA CASE WORKLOC1 CITYMountlake Terrace
WORKSITE COUNTYSnohomish
LCA CASE WORKLOC1 STATEWA
WORKSITE POSTAL CODE98043
WILLFUL VIOLATORFalse