| LCA CASE NUMBER | I-200-16159-111652 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 6/8/16 |
| DECISION DATE | 6/14/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/5/16 |
| EMPLOYMENT END DATE | 7/4/19 |
| LCA CASE EMPLOYER NAME | PREMERA BLUE CROSS |
| EMPLOYER ADDRESS | 7001 220TH STREET SW |
| EMPLOYER CITY | MOUNTLAKE TERRACE |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98043 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 4259184000 |
| AGENT ATTORNEY NAME | NEALE, ROBERT |
| AGENT ATTORNEY CITY | SEATTLE |
| AGENT ATTORNEY STATE | WA |
| LCA CASE JOB TITLE | SENIOR PLATFORM DEVELOPER I |
| SOC CODE | 15-1121 |
| SOC NAME | COMPUTER SYSTEMS ANALYSTS |
| NAIC CODE | 52411 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 101,941.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 115,773.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | MOUNTLAKE TERRACE |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98043 |
