| CASE NUMBER | I-200-23270-384820 |
| CASE STATUS | Certified |
| RECEIVED DATE | 9/27/2023 |
| DECISION DATE | 10/4/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Analyst - Senior |
| SOC CODE | 15-2051.01 |
| SOC TITLE | Business Intelligence Analysts |
| FULL TIME POSITION | Y |
| BEGIN DATE | 3/8/2024 |
| END DATE | 3/7/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 600 E. LAFAYETTE BLVD. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | DETROIT |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48226 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 13138043918 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | BUSOVICKI |
| EMPLOYER POC FIRST NAME | MICHAEL |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | MANAGER, TALENT ACQUISITION |
| EMPLOYER POC ADDRESS1 | 600 E. LAFAYETTE BOULEVARD |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | DETROIT |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48226 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 13138043918 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | MBUSOVICKI@BCBSM.COM |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | HERRMANN |
| AGENT ATTORNEY FIRST NAME | CHRISTIAN |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 300 NORTH MAIN STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 500 |
| AGENT ATTORNEY CITY | GREENVILLE |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 18642408214 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | CHRISTIAN.HERRMANN@OGLETREE.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 |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | Tower 500 Renaissance Ctr |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Detroit |
| WORKSITE COUNTY | WAYNE |
| WORKSITE STATE | MI |
| WORKSITE POSTAL CODE | 48243 |
| WAGE RATE OF PAY FROM | 76230 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $76,230.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2022 |
| PW SURVEY PUBLISHER | MERCER LLC |
| PW SURVEY NAME | MERCER BENCHMARK DATABASE/TOTAL RENUMERATION SURVEY |
| 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 | 2024-08-03 |
