| LCA CASE NUMBER | I-200-21187-445990 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-06 |
| DECISION DATE | 2021-07-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | IT Quality Control Senior Advisor |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-04 |
| END DATE | 2024-11-03 |
| 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 | Anthem, Inc. |
| EMPLOYER ADDRESS1 | 220 Virginia Avenue |
| EMPLOYER CITY | Indianapolis |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46204 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12124761343 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Hanson |
| EMPLOYER POC FIRST NAME | Dawn |
| EMPLOYER POC MIDDLE NAME | R. |
| EMPLOYER POC JOB TITLE | Principal Immigration Specialist |
| EMPLOYER POC ADDRESS1 | 220 Virginia Avenue |
| EMPLOYER POC CITY | Indianapolis |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46204 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12124761343 |
| EMPLOYER POC EMAIL | immigration@anthem.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Cousins |
| AGENT ATTORNEY FIRST NAME | Rene |
| AGENT ATTORNEY MIDDLE NAME | K |
| AGENT ATTORNEY ADDRESS1 | 230 W. Monroe Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2800 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60606 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13127226300 |
| AGENT ATTORNEY EMAIL ADDRESS | gov@giafirm.com |
| LAWFIRM NAME BUSINESS NAME | Global Immigration Associates, P.C. |
|
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 108 Leigus Rd. |
| LCA CASE WORKLOC1 CITY | Wallingford |
| WORKSITE COUNTY | WALLINGFORD |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6492 |
| LCA CASE WAGE RATE FROM | 107557 |
| LCA CASE WAGE RATE TO | 126151.28 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 94723 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
