| LCA CASE NUMBER | I-200-20002-228651 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-01-02 |
| DECISION DATE | 2020-01-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Actuarial Analyst |
| SOC CODE | 15-2011.00 |
| SOC TITLE | Actuaries |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-01-15 |
| END DATE | 2023-01-14 |
| 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 | Harvard Pilgrim Health Care, Inc. |
| EMPLOYER ADDRESS1 | 93 Worcester Street |
| EMPLOYER CITY | Wellesley |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2481 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | MA |
| EMPLOYER PHONE | 16175091000 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Lafontant |
| EMPLOYER POC FIRST NAME | Latania |
| EMPLOYER POC JOB TITLE | Diversity, Equity & Inclusion Specialist |
| EMPLOYER POC ADDRESS1 | 1600 Crown Colony Drive |
| EMPLOYER POC CITY | Quincy |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 2169 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16175097835 |
| EMPLOYER POC EMAIL | Latania_Lafontant1@harvardpilgrim.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Riccio |
| AGENT ATTORNEY FIRST NAME | Laurie |
| AGENT ATTORNEY MIDDLE NAME | B. |
| AGENT ATTORNEY ADDRESS1 | 18 Tremont Street |
| AGENT ATTORNEY ADDRESS2 | Suite 601 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2108 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | MA |
| AGENT ATTORNEY PHONE | 16177424444.0 |
| AGENT ATTORNEY PHONE EXT | 104.0 |
| AGENT ATTORNEY EMAIL ADDRESS | MelissaF@costariccio.com |
| LAWFIRM NAME BUSINESS NAME | Costa & Riccio LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Massachusetts Supreme Judicial Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 93 Worcester Street |
| LCA CASE WORKLOC1 CITY | Wellesley |
| WORKSITE COUNTY | WELLESLEY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 2481 |
| LCA CASE WAGE RATE FROM | 82400.24 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 74734.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 |
| PREPARER LAST NAME | Glassbrenner |
| PREPARER FIRST NAME | Melissa |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Costa & Riccio LLP |
| PREPARER EMAIL | MelissaF@costariccio.com |
