| LCA CASE NUMBER | I-200-17124-839658 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 5/4/2017 |
| DECISION DATE | 5/10/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 5/30/2017 |
| EMPLOYMENT END DATE | 9/2/2019 |
| LCA CASE EMPLOYER NAME | NORIDIAN MUTUAL INSURANCE COMPANY |
| EMPLOYER BUSINESS DBA | BLUE CROSS BLUE SHIELD OF NORTH DAKOTA, FARGO |
| EMPLOYER ADDRESS | 4510 13TH AVENUE SOUTH |
| EMPLOYER CITY | FARGO |
| EMPLOYER STATE | ND |
| EMPLOYER POSTAL CODE | 58121 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7012821425 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | PECK, AMY |
| AGENT ATTORNEY CITY | OMAHA |
| AGENT ATTORNEY STATE | NE |
| LCA CASE JOB TITLE | ADVANCED VIRTUALIZATION ADMINISTRATOR |
| SOC CODE | 15-1142 |
| SOC NAME | NETWORK AND COMPUTER SYSTEMS ADMINISTRATORS |
| 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 | 60,736.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 60,736.00 |
| LCA CASE WAGE RATE TO | 101,763.98 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | FARGO |
| WORKSITE COUNTY | CASS |
| LCA CASE WORKLOC1 STATE | ND |
| WORKSITE POSTAL CODE | 58121 |
