| LCA CASE NUMBER | I-200-16153-938797 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 6/2/16 |
| DECISION DATE | 6/8/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 6/13/16 |
| EMPLOYMENT END DATE | 6/12/19 |
| LCA CASE EMPLOYER NAME | EXCELLUS BLUECROSS BLUESHIELD |
| EMPLOYER ADDRESS | 165 COURT STREET |
| EMPLOYER CITY | ROCHESTER |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14647 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7168574688 |
| AGENT ATTORNEY NAME | BERARDI, ROSANNA |
| AGENT ATTORNEY CITY | BUFFALO |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | ACTUARIAL ANALYST IV |
| SOC CODE | 15-2011 |
| SOC NAME | ACTUARIES |
| NAIC CODE | 524114 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 85,030.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 95,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | ROCHESTER |
| WORKSITE COUNTY | MONROE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14647 |
