| LCA CASE NUMBER | I-200-25171-115147 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2025-06-20 |
| DECISION DATE | 2025-06-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Application System Administrator |
| SOC CODE | 15-1244 |
| SOC TITLE | Network and Computer Systems Administrators |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2025-12-20 |
| END DATE | 2028-12-19 |
| 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 | BlueCross BlueShield of Tennessee, Inc. |
| EMPLOYER ADDRESS1 | One Cameron Hill Circle |
| EMPLOYER CITY | Chattanooga |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37402 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14235358208 |
| EMPLOYER FEIN | 62-0427913 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Agee |
| EMPLOYER POC FIRST NAME | Lindsey |
| EMPLOYER POC JOB TITLE | Immigration Coordinator |
| EMPLOYER POC ADDRESS1 | One Cameron Hill Circle |
| EMPLOYER POC CITY | Chattanooga |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37402 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14237180855 |
| EMPLOYER POC EMAIL | Lindsey_Agee@bcbst.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Katz |
| AGENT ATTORNEY FIRST NAME | Nora |
| AGENT ATTORNEY ADDRESS1 | 511 Union Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2700 |
| AGENT ATTORNEY CITY | Nashville |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | TENNESSEE |
| AGENT ATTORNEY PHONE | 16158508730 |
| AGENT ATTORNEY EMAIL ADDRESS | flag@hklaw.com |
| LAWFIRM NAME BUSINESS NAME | Holland & Knight LLP |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Tennessee Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 11605 Beckton Street |
| LCA CASE WORKLOC1 CITY | McKinney |
| WORKSITE COUNTY | COLLIN |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75071 |
| LCA CASE WAGE RATE FROM | 118685 |
| LCA CASE WAGE RATE TO | 147014 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 118685 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 |
| PREPARER LAST NAME | Hamm (54924) |
| PREPARER FIRST NAME | Zoey |
| PREPARER BUSINESS NAME | Holland & Knight LLP |
| PREPARER EMAIL | zoey.hamm@hklaw.com |