| CASE NUMBER | I-200-24177-145420 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/25/2024 |
| DECISION DATE | 7/2/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Senior Software Engineer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/22/2024 |
| END DATE | 7/21/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | BlueCross BlueShield of Tennessee, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | One Cameron Hill Circle |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Chattanooga |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37402 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +14235358208 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Agee |
| EMPLOYER POC FIRST NAME | Lindsey |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Immigration Coordinator |
| EMPLOYER POC ADDRESS1 | One Cameron Hill Circle |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Chattanooga |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37402 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +14237180855 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Lindsey_Agee@bcbst.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Duong |
| AGENT ATTORNEY FIRST NAME | Hon-Vinh |
| AGENT ATTORNEY MIDDLE NAME | |
| 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 | |
| AGENT ATTORNEY PHONE | +16158508936 |
| AGENT ATTORNEY PHONE EXT | |
| 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 | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | One Cameron Hill Circle |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Chattanooga |
| WORKSITE COUNTY | HAMILTON |
| WORKSITE STATE | TN |
| WORKSITE POSTAL CODE | 37402 |
| WAGE RATE OF PAY FROM | 109,302.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $143,428.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $109,302.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2023 |
| PW SURVEY PUBLISHER | Mercer |
| PW SURVEY NAME | US MBD Mercer Benchmark Database Survey & Mercer Gartner |
| 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 | Hamm |
| PREPARER FIRST NAME | Zoey |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Holland & Knight LLP |
| PREPARER EMAIL | zoey.hamm@hklaw.com |
| BEGIN DATE CONVERTED | 2025-10-07 |
