| LCA CASE NUMBER | I-200-19186-037749 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2019-07-05 |
| DECISION DATE | 2019-10-07 |
| ORIGINAL CERT DATE | 2019-07-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | SENIOR BUSINESS ANALYST |
| SOC CODE | 15-1121 |
| SOC TITLE | COMPUTER SYSTEMS ANALYSTS |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-07-15 |
| END DATE | 2021-08-21 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | DELTA DENTAL PLAN OF MICHIGAN, INC. |
| EMPLOYER ADDRESS1 | 4100 OKEMOS ROAD |
| EMPLOYER CITY | OKEMOS |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48864 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5173495295 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | BUZANOWSKI |
| EMPLOYER POC FIRST NAME | WALTER |
| EMPLOYER POC MIDDLE NAME | L. |
| EMPLOYER POC JOB TITLE | DEPUTY GENERAL COUNSEL |
| EMPLOYER POC ADDRESS1 | 4100 OKEMOS ROAD |
| EMPLOYER POC CITY | OKEMOS |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48864 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 5173495295 |
| EMPLOYER POC EMAIL | LEGALDEPARTMENT@DELTADENTALMI.COM |
| AGENT REPRESENTING EMPLOYER | N |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 4100 Okemos Road |
| LCA CASE WORKLOC1 CITY | Okemos |
| WORKSITE COUNTY | Ingham |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48864 |
| LCA CASE WAGE RATE FROM | 82400.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 74714.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 2020 |
| PW OTHER SOURCE | OES |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
