| LCA CASE NUMBER | I-200-22110-086316 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-04-19 |
| DECISION DATE | 2022-04-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Site Reliability Engineer III |
| SOC CODE | 15-1133.00 |
| SOC TITLE | Software Developers, Systems Software |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-04-29 |
| END DATE | 2025-04-28 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| 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 | True |
| AGENT ATTORNEY LAST NAME | Mehta |
| AGENT ATTORNEY FIRST NAME | Radhika |
| AGENT ATTORNEY ADDRESS1 | 1700 Seventh Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 2200 |
| AGENT ATTORNEY CITY | Seattle |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12066822308 |
| 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 | False |
| WORKSITE ADDRESS1 | 17th St SE |
| WORKSITE ADDRESS2 | APT 8111 |
| LCA CASE WORKLOC1 CITY | LAKE STEVENS |
| WORKSITE COUNTY | SNOHOMISH |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98258 |
| LCA CASE WAGE RATE FROM | 142000 |
| LCA CASE WAGE RATE TO | 162000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 140920 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | BOHMAN |
| PREPARER FIRST NAME | KELLY |
| PREPARER BUSINESS NAME | FISHER & PHILLPS LLP |
| PREPARER EMAIL | [email protected] |
