| LCA CASE NUMBER | I-200-21198-468305 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-16 |
| DECISION DATE | 2021-07-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Principal IT Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-05 |
| END DATE | 2024-08-04 |
| 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 | True |
| 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 |
|
| 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 | False |
| 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 | 142950.14 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 114275 |
| 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 Business |
