| LCA CASE NUMBER | I-200-21083-171554 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-24 |
| DECISION DATE | 2021-03-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior EDI Coordinator |
| SOC CODE | 15-1199.00 |
| SOC TITLE | Computer Occupations, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-29 |
| END DATE | 2024-08-28 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Fallon Community Health Plan, Inc. |
| TRADE NAME DBA | Fallon Health |
| EMPLOYER ADDRESS1 | 10 Chestnut Street |
| EMPLOYER CITY | Worcester |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1608 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18003332535 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Baraban |
| EMPLOYER POC FIRST NAME | Steve |
| EMPLOYER POC JOB TITLE | Director, Talent Acquisition |
| EMPLOYER POC ADDRESS 1 | 10 Chestnut Street |
| EMPLOYER POC CITY | Worcester |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01608 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18003332535 |
| EMPLOYER POC EMAIL | Steve.Baraban@fallonhealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Butani |
| AGENT ATTORNEY FIRST NAME | Arit |
| AGENT ATTORNEY ADDRESS1 | 655 Montgomery Street, Suite 1150 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94111 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14153983500 |
| AGENT ATTORNEY EMAIL ADDRESS | abutani@ebglaw.com |
| LAWFIRM NAME BUSINESS NAME | Epstein Becker & Green, P.C. |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Washington State Supreme Court |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 10 Chestnut Street |
| LCA CASE WORKLOC1 CITY | Worcester |
| WORKSITE COUNTY | WORCESTER CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 1608 |
| LCA CASE WAGE RATE FROM | 73445 |
| LCA CASE WAGE RATE TO | 91187 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 73445 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Lam |
| PREPARER FIRST NAME | Stacy |
| PREPARER BUSINESS NAME | Epstein, Becker & Green, P.C. |
| PREPARER EMAIL | slam@ebglaw.com |
