| LCA CASE NUMBER | I-200-21083-172047 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-24 |
| DECISION DATE | 2021-03-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Automation Engineer |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-12 |
| END DATE | 2024-04-11 |
| 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 | Zelis Healthcare, LLC |
| EMPLOYER ADDRESS1 | 2 Crossroads Drive |
| EMPLOYER CITY | Bedminster |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 7921 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18883113505 |
| NAICS CODE | 524291 |
| EMPLOYER POC LAST NAME | Fargis |
| EMPLOYER POC FIRST NAME | Edward |
| EMPLOYER POC MIDDLE NAME | C |
| EMPLOYER POC JOB TITLE | EVP, General Counsel and Chief Compliance Officer |
| EMPLOYER POC ADDRESS 1 | 2 Crossroads Drive |
| EMPLOYER POC CITY | Bedminster |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 07921 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19083898966 |
| EMPLOYER POC EMAIL | edward.fargis@zelis.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Rissman |
| AGENT ATTORNEY FIRST NAME | Glenn |
| AGENT ATTORNEY MIDDLE NAME | Michael |
| AGENT ATTORNEY ADDRESS1 | 200 East Las Olas Boulevard |
| AGENT ATTORNEY ADDRESS2 | Suite 2100 |
| AGENT ATTORNEY CITY | Fort Lauderdale |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33301 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19547669709 |
| AGENT ATTORNEY EMAIL ADDRESS | grissman@stearnsweaver.com |
| LAWFIRM NAME BUSINESS NAME | Stearns Weaver Miller Weissler Alhadeff & Sitterson, P.A. |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 11 Lincoln Avenue |
| WORKSITE ADDRESS2 | Apt. 3 |
| LCA CASE WORKLOC1 CITY | Augusta |
| WORKSITE COUNTY | AUGUSTA CITY |
| LCA CASE WORKLOC1 STATE | ME |
| WORKSITE POSTAL CODE | 4330 |
| LCA CASE WAGE RATE FROM | 100000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 90667 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
