| LCA CASE NUMBER | I-200-18036-494856 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2/8/18 |
| DECISION DATE | 2/15/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/27/18 |
| EMPLOYMENT END DATE | 7/26/19 |
| LCA CASE EMPLOYER NAME | BLUE CROSS OF IDAHO HEALTH SERVICE, INC. |
| EMPLOYER BUSINESS DBA | BLUE CROSS OF IDAHO |
| EMPLOYER ADDRESS | 3000 E. PINE AVE. |
| EMPLOYER CITY | MERIDIAN |
| EMPLOYER STATE | ID |
| EMPLOYER POSTAL CODE | 83642 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2083317671 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | KING, ADAM |
| AGENT ATTORNEY CITY | KETCHUM |
| AGENT ATTORNEY STATE | ID |
| LCA CASE JOB TITLE | SOFTWARE ENGINEER - INTERMEDIATE |
| SOC CODE | 15-1132 |
| SOC NAME | SOFTWARE DEVELOPERS, APPLICATIONS |
| NAICS CODE | 52411 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 93,766.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level IV |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2018 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 116,472.00 |
| 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 | MERIDIAN |
| WORKSITE COUNTY | ID |
| LCA CASE WORKLOC1 STATE | ID |
| WORKSITE POSTAL CODE | 83642 |
