| LCA CASE NUMBER | I-200-21320-708489 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-11-16 |
| DECISION DATE | 2021-11-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-06 |
| END DATE | 2024-12-05 |
| 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 and Blue Shield of South Carolina |
| EMPLOYER ADDRESS1 | 51 Clemson Road |
| EMPLOYER ADDRESS2 | AC-122 |
| EMPLOYER CITY | Columbia |
| EMPLOYER STATE | SC |
| EMPLOYER POSTAL CODE | 29229 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18032644149 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Gerards |
| EMPLOYER POC FIRST NAME | Brennen |
| EMPLOYER POC MIDDLE NAME | G |
| EMPLOYER POC JOB TITLE | Talent Assessment Manager |
| EMPLOYER POC ADDRESS1 | 51 Clemson Road |
| EMPLOYER POC CITY | Columbia |
| EMPLOYER POC STATE | SC |
| EMPLOYER POC POSTAL CODE | 29229 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18032644149 |
| EMPLOYER POC EMAIL | brennen.gerards@bcbssc.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Steck |
| AGENT ATTORNEY FIRST NAME | Garrett |
| AGENT ATTORNEY MIDDLE NAME | David |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 2048 |
| AGENT ATTORNEY CITY | Greenville |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29602 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18642403200 |
| AGENT ATTORNEY EMAIL ADDRESS | gsteck@hsblawfirm.com |
| LAWFIRM NAME BUSINESS NAME | Haynsworth Sinkler Boyd PA |
|
| STATE OF HIGHEST COURT | SC |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2401 Faraway Drive |
| LCA CASE WORKLOC1 CITY | Columbia |
| WORKSITE COUNTY | RICHLAND |
| LCA CASE WORKLOC1 STATE | SC |
| WORKSITE POSTAL CODE | 29223 |
| LCA CASE WAGE RATE FROM | 150000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 99278 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 |
