| CASE NUMBER | I-200-24200-204893 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/18/2024 |
| DECISION DATE | 7/25/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | SR SOFTWARE ENGINEER |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 8/7/2024 |
| END DATE | 8/6/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| EMPLOYER NAME | Wellmark, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1331 Grand Avenue |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Des Moines |
| EMPLOYER STATE | IA |
| EMPLOYER POSTAL CODE | 50309 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +15153764108 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Metcalf |
| EMPLOYER POC FIRST NAME | Becky |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Team Leader, Talent Acquisition |
| EMPLOYER POC ADDRESS1 | 1331 Grand Avenue |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Des Moines |
| EMPLOYER POC STATE | IA |
| EMPLOYER POC POSTAL CODE | 50309 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +15153764108 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | metcalfr@wellmark.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Debias |
| AGENT ATTORNEY FIRST NAME | Pamela |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 755 W. Big Beaver Rd. |
| AGENT ATTORNEY ADDRESS2 | Ste 750 |
| AGENT ATTORNEY CITY | Troy |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48084 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +12486495404 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | nfrench@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen, & Loewy, LLP |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1331 Grand Avenue |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Des Moines |
| WORKSITE COUNTY | POLK |
| WORKSITE STATE | IA |
| WORKSITE POSTAL CODE | 50309 |
| WAGE RATE OF PAY FROM | 87,100.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $139,500.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $79,976.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-07-08 |
