| LCA CASE NUMBER | I-200-17097-583226 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/18/2017 |
| DECISION DATE | 4/24/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/28/2017 |
| EMPLOYMENT END DATE | 9/27/2020 |
| LCA CASE EMPLOYER NAME | ACCIDENT FUND INSURANCE COMPANY OF AMERICA |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 200 N. GRAND AVENUE |
| EMPLOYER CITY | LANSING |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48901 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 5177085694 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | MERRILLS, ANDREW |
| AGENT ATTORNEY CITY | RALEIGH |
| AGENT ATTORNEY STATE | NC |
| LCA CASE JOB TITLE | DEVELOPER III |
| SOC CODE | 15-1132 |
| SOC NAME | SOFTWARE DEVELOPERS, APPLICATIONS |
| NAICS CODE | 524114 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 73,674.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level III |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 92,850.00 |
| LCA CASE WAGE RATE TO | 102,850.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | LANSING |
| WORKSITE COUNTY | INGHAM |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48901 |
