| LCA CASE NUMBER | I-200-23270-385888 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-09-27 |
| DECISION DATE | 2023-10-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Application Developer III |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-10-16 |
| END DATE | 2026-10-15 |
| 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 Michigan |
| EMPLOYER ADDRESS1 | 600 E. Lafayette Blvd. |
| EMPLOYER CITY | Detroit |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48226 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13132255960 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Busovicki |
| EMPLOYER POC FIRST NAME | Mike |
| EMPLOYER POC JOB TITLE | Manager, Talent Acquisition |
| EMPLOYER POC ADDRESS1 | 600 E. Lafayette Blvd. |
| EMPLOYER POC CITY | Detroit |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48226 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13132255960 |
| EMPLOYER POC EMAIL | mbusovicki@bcbsm.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Herrmann |
| AGENT ATTORNEY FIRST NAME | Christian |
| AGENT ATTORNEY MIDDLE NAME | O |
| AGENT ATTORNEY ADDRESS1 | The Ogletree Building, 300 North Main Street |
| AGENT ATTORNEY ADDRESS2 | Ste 500 |
| AGENT ATTORNEY CITY | Greenville |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18642711300 |
| AGENT ATTORNEY EMAIL ADDRESS | christian.herrmann@ogletreedeakins.com |
| LAWFIRM NAME BUSINESS NAME | Ogletree, Deakins, Nash, Smoak & Stewart, P.C. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 53200 Grand River |
| LCA CASE WORKLOC1 CITY | New Hudson |
| WORKSITE COUNTY | OAKLAND |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48165 |
| LCA CASE WAGE RATE FROM | 123781 |
| LCA CASE WAGE RATE TO | 125000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 123781 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Herrmann |
| PREPARER FIRST NAME | Christian |
| PREPARER MIDDLE INITIAL | O |
| PREPARER BUSINESS NAME | Ogletree, Deakins, Nash, Smoak & Stewart, P.C. |
| PREPARER EMAIL | christian.herrmann@ogletreedeakins.com |