| LCA CASE NUMBER | I-200-16216-141488 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 8/3/16 |
| DECISION DATE | 8/9/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 8/22/16 |
| EMPLOYMENT END DATE | 8/21/19 |
| LCA CASE EMPLOYER NAME | GROUP HEALTH PLAN, INC. |
| EMPLOYER ADDRESS | 8170 33RD AVENUE SOUTH |
| EMPLOYER CITY | BLOOMINGTON |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55425 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | MN |
| EMPLOYER PHONE | 9528836000 |
| AGENT ATTORNEY NAME | CARLSON, BETH |
| AGENT ATTORNEY CITY | MINNEAPOLIS |
| AGENT ATTORNEY STATE | MN |
| LCA CASE JOB TITLE | GENERAL DENTIST |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAIC CODE | 621491 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 115,000.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | MEDICAL GROUP MANAGEMENT ASSOCIATION: PHYSICIAN PLACEMENT STARTING SALARY SURV |
| LCA CASE WAGE RATE FROM | 120,000.00 |
| LCA CASE WAGE RATE TO | 215,000.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | BROOKLYN CENTER |
| WORKSITE COUNTY | HENNEPIN |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55430 |
