| LCA CASE NUMBER | I-200-19289-090554 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-16 |
| DECISION DATE | 2019-10-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Application Developer III |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-04-14 |
| END DATE | 2023-04-13 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Blue Cross Blue Shield of Michigan |
| EMPLOYER ADDRESS1 | 600 E. Lafayette Blvd. |
| EMPLOYER CITY | Detroit |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48226 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +13138043918 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Busovicki |
| EMPLOYER POC FIRST NAME | Michael |
| EMPLOYER POC JOB TITLE | Manager, Talent Acquisition |
| EMPLOYER POC ADDRESS1 | 600 E. Lafayette Blvd. |
| EMPLOYER POC CITY | Detroit |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48226 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +13138043918 |
| EMPLOYER POC EMAIL | mbusovicki@bcbsm.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Herrmann |
| AGENT ATTORNEY FIRST NAME | Christian |
| AGENT ATTORNEY ADDRESS1 | The Ogletree Building |
| AGENT ATTORNEY ADDRESS2 | 300 N. Main St., Suite 500 |
| AGENT ATTORNEY CITY | Greenville |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18642711300.0 |
| AGENT ATTORNEY EMAIL ADDRESS | christian.herrmann@ogletree.com |
| LAWFIRM NAME BUSINESS NAME | Ogletree, Deakins, Nash, Smoak & Stewart, P.C. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 441 E. Jefferson Ave. |
| LCA CASE WORKLOC1 CITY | Detroit |
| WORKSITE COUNTY | WAYNE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48226 |
| LCA CASE WAGE RATE FROM | 93302.0 |
| LCA CASE WAGE RATE TO | 105500.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 93302.0 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2019.0 |
| PW SURVEY PUBLISHER | Towers Watson |
| PW SURVEY NAME | Middle Management, Professional & Support Comp. Survey |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
