| LCA CASE NUMBER | I-200-25238-268090 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2025-08-26 |
| DECISION DATE | 2025-09-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Developer III |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2025-12-10 |
| END DATE | 2028-12-09 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Medical Mutual of Ohio |
| EMPLOYER ADDRESS1 | 100 American Road |
| EMPLOYER CITY | Brooklyn |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44144 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12166877601 |
| EMPLOYER FEIN | 34-0648820 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Collister |
| EMPLOYER POC FIRST NAME | Jennifer |
| EMPLOYER POC JOB TITLE | Vice President, Human Resources |
| EMPLOYER POC ADDRESS1 | 100 American Road |
| EMPLOYER POC CITY | Brooklyn |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 44144 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12166877601 |
| EMPLOYER POC EMAIL | jennifer.collister@medmutual.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Oza |
| AGENT ATTORNEY FIRST NAME | Rishi |
| AGENT ATTORNEY MIDDLE NAME | P. |
| AGENT ATTORNEY ADDRESS1 | 1101 Slater Road |
| AGENT ATTORNEY ADDRESS2 | STE 205 |
| AGENT ATTORNEY CITY | Durham |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27703 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19192253963 |
| AGENT ATTORNEY EMAIL ADDRESS | roza@rbrownllc.com |
| LAWFIRM NAME BUSINESS NAME | Robert Brown LLC |
| LAWFIRM BUSINESS FEIN | 86-1123514 |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | Supreme Court of North Carolina |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 18410 Nithsdale Ln |
| LCA CASE WORKLOC1 CITY | Richmond |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 77407 |
| LCA CASE WAGE RATE FROM | 118539.48 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 105976 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2025 - 6/30/2026 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Oza |
| PREPARER FIRST NAME | Rishi |
| PREPARER MIDDLE INITIAL | P. |
| PREPARER BUSINESS NAME | Robert Brown LLC |
| PREPARER EMAIL | roza@rbrownllc.com |