| LCA CASE NUMBER | I-200-19300-111192 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-27 |
| DECISION DATE | 2019-11-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Security Engineer |
| SOC CODE | 15-1122.00 |
| SOC TITLE | Information Security Analysts |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-11-04 |
| END DATE | 2021-10-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Blue Cross and Blue Shield of Vermont |
| EMPLOYER ADDRESS1 | 455 Industrial Drive |
| EMPLOYER CITY | Berlin |
| EMPLOYER STATE | VT |
| EMPLOYER POSTAL CODE | 05602 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +18023713729 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Poczobut |
| EMPLOYER POC FIRST NAME | Michael |
| EMPLOYER POC MIDDLE NAME | Alan |
| EMPLOYER POC JOB TITLE | CISO & Director of Infrastructure |
| EMPLOYER POC ADDRESS1 | 455 Industrial Drive |
| EMPLOYER POC CITY | Berlin |
| EMPLOYER POC STATE | VT |
| EMPLOYER POC POSTAL CODE | 05602 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +18023713729 |
| EMPLOYER POC EMAIL | poczobutm@bcbsvt.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Holman |
| AGENT ATTORNEY FIRST NAME | Leslie |
| AGENT ATTORNEY MIDDLE NAME | Ann |
| AGENT ATTORNEY ADDRESS1 | One Lawson Lane |
| AGENT ATTORNEY CITY | Burlington |
| AGENT ATTORNEY STATE | VT |
| AGENT ATTORNEY POSTAL CODE | 05401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18028603333.0 |
| AGENT ATTORNEY EMAIL ADDRESS | Lholman@holmanimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Holman Immigration Law |
| STATE OF HIGHEST COURT | VT |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 455 Industrial Drive |
| LCA CASE WORKLOC1 CITY | Berlin |
| WORKSITE COUNTY | BERLIN |
| LCA CASE WORKLOC1 STATE | VT |
| WORKSITE POSTAL CODE | 05602 |
| LCA CASE WAGE RATE FROM | 105000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 101837.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
