| LCA CASE NUMBER | I-200-17285-240770 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 10/19/17 |
| DECISION DATE | 10/25/17 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 11/6/17 |
| EMPLOYMENT END DATE | 11/6/20 |
| LCA CASE EMPLOYER NAME | BLUE CROSS AND BLUE SHIELD OF MASSACHUSETTS, INC. |
| EMPLOYER ADDRESS | 101 HUNTINGTON AVENUE |
| EMPLOYER CITY | BOSTON |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 02199 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6172462454 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | SHAH, GEETA |
| AGENT ATTORNEY CITY | CHICAGO |
| AGENT ATTORNEY STATE | IL |
| LCA CASE JOB TITLE | SENIOR SYSTEMS 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 EMP | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 107,827.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level IV |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 115,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | BOSTON |
| WORKSITE COUNTY | SUFFOLK |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 02199 |
