| LCA CASE NUMBER | I-200-21132-309219 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-12 |
| DECISION DATE | 2021-05-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Manager, Software Engineering |
| SOC CODE | 11-3021.00 |
| SOC TITLE | Computer and Information Systems Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-05-20 |
| END DATE | 2024-05-19 |
| 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 | PREMERA BLUE CROSS |
| EMPLOYER ADDRESS1 | 7001 220TH STREET SW |
| EMPLOYER CITY | MOUNTLAKE TERRACE |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98043 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14259184000 |
| NAICS CODE | 52411 |
| EMPLOYER POC LAST NAME | BROOKMAN |
| EMPLOYER POC FIRST NAME | JANELLE |
| EMPLOYER POC JOB TITLE | SR. HR COMPLIANCE PARTNER |
| EMPLOYER POC ADDRESS 1 | 7001 220TH STREET SW |
| EMPLOYER POC CITY | MOUNTLAKE TERRACE |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98043 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14259183363 |
| EMPLOYER POC EMAIL | JANELLE.BROOKMAN@PREMERA.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kye |
| AGENT ATTORNEY FIRST NAME | Edwina |
| AGENT ATTORNEY MIDDLE NAME | C. |
| AGENT ATTORNEY ADDRESS1 | 1201 Third Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 2750 |
| AGENT ATTORNEY CITY | Seattle |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12066822308 |
| AGENT ATTORNEY EMAIL ADDRESS | sea-immigration@fisherphillips.com |
| LAWFIRM NAME BUSINESS NAME | Fisher & Phillips LLP |
| STATE OF HIGHEST COURT | NY |
|
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 7001 220TH STREET SW |
| LCA CASE WORKLOC1 CITY | MOUNTLAKE TERRACE |
| WORKSITE COUNTY | SNOHOMISH |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98043 |
| LCA CASE WAGE RATE FROM | 150000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 143998 |
| 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 | Oem |
| PREPARER FIRST NAME | Clara |
| PREPARER BUSINESS NAME | Fisher & Phillips LLP |
| PREPARER EMAIL | coem@fisherphillips.com |
