| LCA CASE NUMBER | I-200-21189-449758 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-07-07 |
| DECISION DATE | 2022-01-31 |
| ORIGINAL CERT DATE | 2021-07-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Mobile Applications Engineer II |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-02 |
| END DATE | 2024-08-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | BLUE CROSS & BLUE SHIELD OF MISSISSIPPI |
| EMPLOYER ADDRESS1 | 3545 LAKELAND DRIVE |
| EMPLOYER CITY | FLOWOOD |
| EMPLOYER STATE | MS |
| EMPLOYER POSTAL CODE | 39232 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16016644984 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | MORTIMER |
| EMPLOYER POC FIRST NAME | DANIEL |
| EMPLOYER POC MIDDLE NAME | E |
| EMPLOYER POC JOB TITLE | MANAGER, TALENT MANAGEMENT |
| EMPLOYER POC ADDRESS1 | 3545 LAKELAND DRIVE |
| EMPLOYER POC CITY | FLOWOOD |
| EMPLOYER POC STATE | MS |
| EMPLOYER POC POSTAL CODE | 39232 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16016644984 |
| EMPLOYER POC EMAIL | demortimer@bcbsms.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | BAGGETT |
| AGENT ATTORNEY FIRST NAME | D. EARL |
| AGENT ATTORNEY ADDRESS1 | 200 SOUTH 10TH STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 1600 |
| AGENT ATTORNEY CITY | RICHMOND |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 23219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18044206478 |
| AGENT ATTORNEY EMAIL ADDRESS | MWILLIAMSON@WILLIAMSMULLEN.COM |
| LAWFIRM NAME BUSINESS NAME | WILLIAMS MULLEN |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF VIRGINIA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3545 Lakeland Drive |
| LCA CASE WORKLOC1 CITY | Flowood |
| WORKSITE COUNTY | RANKIN |
| LCA CASE WORKLOC1 STATE | MS |
| WORKSITE POSTAL CODE | 39232 |
| LCA CASE WAGE RATE FROM | 72966 |
| LCA CASE WAGE RATE TO | 90000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 72966 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Williamson |
| PREPARER FIRST NAME | Maeva |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Williams Mullen |
| PREPARER EMAIL | mwilliamson@williamsmullen.com |
