| LCA CASE NUMBER | I-200-21354-776525 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-20 |
| DECISION DATE | 2021-12-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Divisional Vice President |
| SOC CODE | 11-3021.00 |
| SOC TITLE | Computer and Information Systems Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-02-01 |
| END DATE | 2025-01-31 |
| 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 | HEALTH CARE SERVICE CORPORATION |
| EMPLOYER ADDRESS1 | 300 E Randolph Street |
| EMPLOYER CITY | Chicago |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60601 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19727664544 |
| NAICS CODE | 524210 |
| EMPLOYER POC LAST NAME | PICKETT |
| EMPLOYER POC FIRST NAME | SUSAN |
| EMPLOYER POC JOB TITLE | SR. WORKFORCE SOLUTIONS, CONSULTANT |
| EMPLOYER POC ADDRESS1 | 1001 E Lookout Dr. |
| EMPLOYER POC CITY | Richardson |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75082 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19727664544 |
| EMPLOYER POC EMAIL | SUSAN_PICKETT@BCBSTX.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Tyrrell |
| AGENT ATTORNEY FIRST NAME | Ana Maria |
| AGENT ATTORNEY MIDDLE NAME | Echiburu |
| AGENT ATTORNEY ADDRESS1 | 333 W. WACKER DRIVE |
| AGENT ATTORNEY ADDRESS2 | 15TH FLOOR |
| AGENT ATTORNEY CITY | CHICAGO |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60606 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13122636101 |
| AGENT ATTORNEY EMAIL ADDRESS | Fragomen-HCSC@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | FRAGOMEN, DEL REY, BERNSEN & LOEWY, LLP |
| STATE OF HIGHEST COURT | IL |
|
| NAME OF HIGHEST STATE COURT | ILLINOIS SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 300 E. Randolph St |
| LCA CASE WORKLOC1 CITY | Chicago |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60601 |
| LCA CASE WAGE RATE FROM | 186202 |
| LCA CASE WAGE RATE TO | 199717 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 183914 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
