| LCA CASE NUMBER | I-200-21109-238343 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-19 |
| DECISION DATE | 2021-04-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Automation Test Engineer |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-05-03 |
| END DATE | 2024-05-02 |
| 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 | Physicians Mutual Insurance Company |
| EMPLOYER ADDRESS1 | 2600 Dodge Street |
| EMPLOYER CITY | Omaha |
| EMPLOYER STATE | NE |
| EMPLOYER POSTAL CODE | 68131 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14026331100 |
| NAICS CODE | 52411 |
| EMPLOYER POC LAST NAME | Howard |
| EMPLOYER POC FIRST NAME | Sheri |
| EMPLOYER POC JOB TITLE | Director, Human Resources |
| EMPLOYER POC ADDRESS 1 | 2600 Dodge Street |
| EMPLOYER POC CITY | Omaha |
| EMPLOYER POC STATE | NE |
| EMPLOYER POC POSTAL CODE | 68131 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14026331079 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Morales McFarland |
| AGENT ATTORNEY FIRST NAME | Diana |
| AGENT ATTORNEY ADDRESS1 | 1601 Dodge Street |
| AGENT ATTORNEY ADDRESS2 | Suite 3700 |
| AGENT ATTORNEY CITY | Omaha |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68102 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14023413070 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | McGrath North Mullin Kratz |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2600 Dodge Street |
| LCA CASE WORKLOC1 CITY | Omaha |
| WORKSITE COUNTY | DOUGLAS |
| LCA CASE WORKLOC1 STATE | NE |
| WORKSITE POSTAL CODE | 68131 |
| LCA CASE WAGE RATE FROM | 88000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 79706 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Morales McFarland |
| PREPARER FIRST NAME | Diana |
| PREPARER BUSINESS NAME | McGrath North Mullin & Kratz, PC, LLO |
| PREPARER EMAIL | [email protected] |
