| LCA CASE NUMBER | I-200-20127-547831 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-06 |
| DECISION DATE | 2020-05-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Principal IT Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-17 |
| END DATE | 2023-10-16 |
| 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 | Blue Cross and Blue Shield of Florida, Inc. |
| EMPLOYER ADDRESS1 | 4800 Deerwood Campus Parkway |
| EMPLOYER ADDRESS2 | Building 100-7 |
| EMPLOYER CITY | Jacksonville |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32246 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19049058720 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Horne |
| EMPLOYER POC FIRST NAME | Suzanne |
| EMPLOYER POC MIDDLE NAME | U |
| EMPLOYER POC JOB TITLE | Vice President and Senior Counsel |
| EMPLOYER POC ADDRESS1 | 4800 Deerwood Campus Parkway |
| EMPLOYER POC ADDRESS2 | Building 100-7 |
| EMPLOYER POC CITY | Jacksonville |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 32246 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19049058720 |
| EMPLOYER POC EMAIL | suzanne.horne@bcbsfl.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Dearing |
| AGENT ATTORNEY FIRST NAME | Melissa |
| AGENT ATTORNEY MIDDLE NAME | Ann |
| AGENT ATTORNEY ADDRESS1 | 50 North Laura Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2600 |
| AGENT ATTORNEY CITY | Jacksonville |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 32202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19045986131.0 |
| AGENT ATTORNEY EMAIL ADDRESS | mdearing@sgrlaw.com |
| LAWFIRM NAME BUSINESS NAME | Smith, Gambrell & Russell, LLP |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Florida Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 4800 Deerwood Campus Parkway |
| LCA CASE WORKLOC1 CITY | Jacksonville |
| WORKSITE COUNTY | DUVAL |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32246 |
| LCA CASE WAGE RATE FROM | 119107.24 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 100651.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
