| LCA CASE NUMBER | I-200-24193-191049 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-07-11 |
| DECISION DATE | 2024-07-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Data Analyst III |
| SOC CODE | 15-1243.00 |
| SOC TITLE | Database Architects |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-12-15 |
| END DATE | 2027-12-14 |
| 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 | 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 |
| EMPLOYER FEIN | 38-2069753 |
| 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 BOULEVARD |
| EMPLOYER POC CITY | DETROIT |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48226 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13138043918 |
| EMPLOYER POC EMAIL | MBUSOVICKI@BCBSM.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Drozdowski |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 31608 |
| AGENT ATTORNEY CITY | Raleigh |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27622 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19197879700 |
| AGENT ATTORNEY EMAIL ADDRESS | andrew.drozdowski@ogletreedeakins.com |
| LAWFIRM NAME BUSINESS NAME | Ogletree Deakins Nash Smoak & Stewart, P.C. |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | Supreme Court of North Carolina |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 600 E. Lafayette Blvd. |
| LCA CASE WORKLOC1 CITY | Detroit |
| WORKSITE COUNTY | WAYNE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48226 |
| LCA CASE WAGE RATE FROM | 120735.81 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 112611 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |