| LCA CASE NUMBER | I-200-19273-138674 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2019-09-30 |
| DECISION DATE | 2019-10-08 |
| ORIGINAL CERT DATE | 2019-10-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | SYSTEMS ANALYST III |
| SOC CODE | 15-1132 |
| SOC TITLE | SOFTWARE DEVELOPERS, APPLICATIONS |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-10-15 |
| END DATE | 2020-10-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| 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 | 3138043918 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | BUSOVICKI |
| EMPLOYER POC FIRST NAME | MICHAEL |
| 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 | 3138043918 |
| EMPLOYER POC EMAIL | MBUSOVICKI@BCBSM.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | CHRISTIAN |
| AGENT ATTORNEY FIRST NAME | CHRISTIAN |
| AGENT ATTORNEY ADDRESS1 | THE OGLETREE BUILDING |
| AGENT ATTORNEY ADDRESS2 | 300 NORTH MAIN STREET, SUITE 500 |
| AGENT ATTORNEY CITY | GREENVILLE |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 8642711300.0 |
| 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 | CALIFORNIA SUPREME COURT |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 26899 Northwestern Hwy |
| LCA CASE WORKLOC1 CITY | Southfield |
| WORKSITE COUNTY | Oakland |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48034 |
| LCA CASE WAGE RATE FROM | 93302.0 |
| LCA CASE WAGE RATE TO | 104208.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 93302.0 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | SURVEY |
| PW SURVEY PUBLISHER | Towers Watson |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |