| LCA CASE NUMBER | I-200-16334-697003 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 11/30/2016 |
| DECISION DATE | 12/6/2016 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 11/30/2016 |
| EMPLOYMENT END DATE | 11/29/2019 |
| LCA CASE EMPLOYER NAME | BLUE CROSS BLUE SHEILD OF MICHIGAN |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 600 E. LAFAYETTE BLVD. |
| EMPLOYER CITY | DETROIT |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48226 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 3132255960 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | MERRILLS, ANDREW |
| AGENT ATTORNEY CITY | RALEIGH |
| AGENT ATTORNEY STATE | NC |
| LCA CASE JOB TITLE | APPLICATION DEVELOPER I |
| SOC CODE | 15-1132 |
| SOC NAME | SOFTWARE DEVELOPERS, APPLICATIONS |
| NAICS CODE | 524114 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 54,704.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 60,000.00 |
| LCA CASE WAGE RATE TO | 70,000.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | SOUTHFIELD |
| WORKSITE COUNTY | OAKLAND |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48034 |
