| LCA CASE NUMBER | I-200-21063-119320 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-04 |
| DECISION DATE | 2021-03-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Application Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-02 |
| END DATE | 2024-09-01 |
| 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 | Independence Blue Cross, LLC |
| EMPLOYER ADDRESS1 | 1901 Market Street |
| EMPLOYER CITY | Philadelphia |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 19103 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12152412400 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Bender |
| EMPLOYER POC FIRST NAME | Erin |
| EMPLOYER POC MIDDLE NAME | F |
| EMPLOYER POC JOB TITLE | Senior Counsel |
| EMPLOYER POC ADDRESS 1 | 1901 Market Street |
| EMPLOYER POC ADDRESS 2 | 43rd Floor |
| EMPLOYER POC CITY | Philadelphia |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 19103 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12152419191 |
| EMPLOYER POC EMAIL | Erin.Bender@ibx.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bord |
| AGENT ATTORNEY FIRST NAME | Eric |
| AGENT ATTORNEY MIDDLE NAME | S. |
| AGENT ATTORNEY ADDRESS1 | 1111 Pennsylvania Avenue, NW |
| AGENT ATTORNEY ADDRESS2 | 12 |
| AGENT ATTORNEY CITY | Washington |
| AGENT ATTORNEY STATE | DC |
| AGENT ATTORNEY POSTAL CODE | 20004 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12027396040 |
| AGENT ATTORNEY EMAIL ADDRESS | eric.bord@morganlewis.com |
|
| LAWFIRM NAME BUSINESS NAME | Morgan, Lewis & Bockius LLP |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | U.S. Supreme Court, MD & DC |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1901 Market Street |
| LCA CASE WORKLOC1 CITY | Philadelphia |
| WORKSITE COUNTY | PHILADELPHIA |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 19103 |
| LCA CASE WAGE RATE FROM | 89773 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 89773 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Metzger |
| PREPARER FIRST NAME | Sophia |
| PREPARER MIDDLE INITIAL | L. |
| PREPARER BUSINESS NAME | Morgan, Lewis & Bockius LLP |
| PREPARER EMAIL | sophia.metzger@morganlewis.com |
