| LCA CASE NUMBER | I-200-18099-758369 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/23/18 |
| DECISION DATE | 4/27/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 10/1/18 |
| EMPLOYMENT END DATE | 9/30/21 |
| 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, JALPA |
| AGENT ATTORNEY CITY | CHICAGO |
| AGENT ATTORNEY STATE | IL |
| LCA CASE JOB TITLE | SENIOR DATA WAREHOUSE ETL DEVELOPER |
| 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 EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 107,890.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level III |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 114,001.31 |
| 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 | QUINCY |
| WORKSITE COUNTY | NORFOLK |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 02171 |
