| LCA CASE NUMBER | I-200-20169-660206 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-06-17 |
| DECISION DATE | 2020-08-13 |
| ORIGINAL CERT DATE | 2020-06-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Data Engineer III |
| SOC CODE | 15-1133.00 |
| SOC TITLE | Software Developers, Systems Software |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-06-30 |
| END DATE | 2023-06-29 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | PREMERA BLUE CROSS |
| EMPLOYER ADDRESS1 | 7001 220TH STREET SW |
| EMPLOYER CITY | MOUNTLAKE TERRACE |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98043 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14259184000 |
| NAICS CODE | 52411 |
| EMPLOYER POC LAST NAME | BROOKMAN |
| EMPLOYER POC FIRST NAME | JANELLE |
| EMPLOYER POC JOB TITLE | SR. HR COMPLIANCE PARTNER |
| EMPLOYER POC ADDRESS1 | 7001 220TH STREET SW |
| EMPLOYER POC CITY | MOUNTLAKE TERRACE |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98043 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14259183363 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Mehta |
| AGENT ATTORNEY FIRST NAME | Radhika |
| AGENT ATTORNEY ADDRESS1 | 1201 Third Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 2750 |
| AGENT ATTORNEY CITY | Seattle |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12066822308.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Fisher & Phillips LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 7001 220TH STREET SW |
| LCA CASE WORKLOC1 CITY | MOUNTLAKE TERRACE |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98043 |
| LCA CASE WAGE RATE FROM | 125000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 122824.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | LUCACHE |
| PREPARER FIRST NAME | GEORGIANA |
| PREPARER BUSINESS NAME | FISHER & PHILLIPS LLP |
| PREPARER EMAIL | [email protected] |
