| LCA CASE NUMBER | I-200-19259-666997 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2019-09-17 |
| DECISION DATE | 2019-09-23 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 2020-02-08 |
| EMPLOYMENT END DATE | 2023-02-07 |
| LCA CASE EMPLOYER NAME | PREMERA BLUE CROSS |
| EMPLOYER ADDRESS | 7001 220TH STREET SW |
| EMPLOYER CITY | MOUNTLAKE TERRACE |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98043 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4259184000 |
| SECONDARY ENTITY | False |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY NAME | DAVISBAE |
| AGENT ATTORNEY CITY | SEATTLE |
| AGENT ATTORNEY STATE | WA |
| LCA CASE JOB TITLE | STORAGE MANAGEMENT ADMINISTRATOR |
| SOC CODE | 15-1142 |
| SOC NAME | NETWORK AND COMPUTER SYSTEMS ADMINISTRATORS |
| NAICS CODE | 52411 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | True |
| PREVAILING WAGE | 115232 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | 4 |
| PW SOURCE | OES |
| LCA CASE WAGE RATE FROM | 115361.94 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | False |
| LCA CASE WORKLOC1 CITY | Mountlake Terrace |
| WORKSITE COUNTY | Snohomish |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98043 |
| WILLFUL VIOLATOR | False |
