| LCA CASE NUMBER | I-200-23100-917310 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-04-10 |
| DECISION DATE | 2023-04-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Developer Senior |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-04-17 |
| END DATE | 2026-04-16 |
| 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 | USAble Mutual Insurance Company |
| TRADE NAME DBA | Arkansas Blue Cross Blue Shield |
| EMPLOYER ADDRESS1 | 601 South Gaines St. |
| EMPLOYER CITY | Little Rock |
| EMPLOYER STATE | AR |
| EMPLOYER POSTAL CODE | 72201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14799736605 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Beasley |
| EMPLOYER POC FIRST NAME | Canny |
| EMPLOYER POC JOB TITLE | HR Generalist Associate |
| EMPLOYER POC ADDRESS1 | 601 South 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 | 14799736605 |
| EMPLOYER POC EMAIL | immigration@arkbluecross.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Samaratunga |
| AGENT ATTORNEY FIRST NAME | Piyumi |
| AGENT ATTORNEY ADDRESS1 | 225 South 6th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1830 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16123516804 |
| AGENT ATTORNEY EMAIL ADDRESS | psamaratunga@constangy.com |
| LAWFIRM NAME BUSINESS NAME | Constangy, Brooks, Smith & Prophete LLP |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 601 S. Gaines St. |
| LCA CASE WORKLOC1 CITY | Little Rock |
| WORKSITE COUNTY | PULASKI |
| LCA CASE WORKLOC1 STATE | AR |
| WORKSITE POSTAL CODE | 72201 |
| LCA CASE WAGE RATE FROM | 103834 |
| LCA CASE WAGE RATE TO | 120000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 103834 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Kirkland |
| PREPARER FIRST NAME | Michaela |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Constangy, Brooks, Smith & Prophete, LLP |
| PREPARER EMAIL | mkirkland@constangy.com |
