| LCA CASE NUMBER | I-200-25133-968371 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2025-05-13 |
| DECISION DATE | 2025-05-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | IT Architect |
| SOC CODE | 15-1299.08 |
| SOC TITLE | Computer Systems Engineers/Architects |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2025-10-10 |
| END DATE | 2028-10-09 |
| 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 | 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 | 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 | 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 | 708 Hardin Hill Ln |
| LCA CASE WORKLOC1 CITY | Knightdale |
| WORKSITE COUNTY | WAKE |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 27545 |
| LCA CASE WAGE RATE FROM | 114504 |
| LCA CASE WAGE RATE TO | 134420 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 114504 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Drozdowski |
| PREPARER FIRST NAME | Andrew |
| PREPARER BUSINESS NAME | Ogletree, Deakins, Nash, Smoak & Stewart, P.C. |
| PREPARER EMAIL | andrew.miller@ogletreedeakins.com |