| LCA CASE NUMBER | I-200-21231-532326 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-19 |
| DECISION DATE | 2021-08-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | MDM Lead Data Analyst |
| SOC CODE | 15-1199.08 |
| SOC TITLE | Business Intelligence Analysts |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-13 |
| END DATE | 2024-09-12 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | USAble Mutual Insurance Co |
| TRADE NAME DBA | Arkansas Blue Cross/Blue Shield |
| EMPLOYER ADDRESS1 | 601 S Gaines St |
| EMPLOYER CITY | Little Rock |
| EMPLOYER STATE | AR |
| EMPLOYER POSTAL CODE | 72201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15013782445 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Gibson |
| EMPLOYER POC FIRST NAME | Marc |
| EMPLOYER POC JOB TITLE | Human Resources |
| EMPLOYER POC ADDRESS1 | 601 S Gaines St |
| EMPLOYER POC CITY | Little Rock |
| EMPLOYER POC STATE | AR |
| EMPLOYER POC POSTAL CODE | 72201 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15013782445 |
| EMPLOYER POC EMAIL | mdgibson@arkbluecross.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Borkowski |
| AGENT ATTORNEY FIRST NAME | Misty |
| AGENT ATTORNEY MIDDLE NAME | Wilson |
| AGENT ATTORNEY ADDRESS1 | 500 President Clinton Ave |
| AGENT ATTORNEY ADDRESS2 | Ste 200 |
| AGENT ATTORNEY CITY | Little Rock |
| AGENT ATTORNEY STATE | AR |
| AGENT ATTORNEY POSTAL CODE | 72201 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15013719999 |
| AGENT ATTORNEY EMAIL ADDRESS | mborkowski@cgwg.com |
| LAWFIRM NAME BUSINESS NAME | Cross, Gunter, Witherspoon and Galchus |
|
| STATE OF HIGHEST COURT | AR |
| NAME OF HIGHEST STATE COURT | Supreme Court of Arkansas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5 Allied Dr |
| LCA CASE WORKLOC1 CITY | Little Rock |
| WORKSITE COUNTY | PULASKI |
| LCA CASE WORKLOC1 STATE | AR |
| WORKSITE POSTAL CODE | 72202 |
| LCA CASE WAGE RATE FROM | 85946 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 85946 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
