| CASE NUMBER | I-200-24353-554999 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/18/2024 |
| DECISION DATE | 12/27/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Quality Assurance Analyst III |
| SOC CODE | 15-1253.00 |
| SOC TITLE | Software Quality Assurance Analysts and Testers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/6/2025 |
| END DATE | 1/5/2028 |
| 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 | Blue Cross and Blue Shield of Alabama |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 450 Riverchase Parkway East |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Birmingham |
| EMPLOYER STATE | AL |
| EMPLOYER POSTAL CODE | 35244 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 12052206726 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Rush |
| EMPLOYER POC FIRST NAME | Aprill |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | EEO Compliance Consultant |
| EMPLOYER POC ADDRESS1 | 450 Riverchase Parkway East |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Birmingham |
| EMPLOYER POC STATE | AL |
| EMPLOYER POC POSTAL CODE | 35244 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12052204449 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | aprill.rush@bcbsal.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Davis |
| AGENT ATTORNEY FIRST NAME | Stephen |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 655 Gallatin Street SW |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Huntsville |
| AGENT ATTORNEY STATE | AL |
| AGENT ATTORNEY POSTAL CODE | 35801 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12565120101 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | immigration@maynardnexsen.com |
| LAWFIRM NAME BUSINESS NAME | Maynard Nexsen PC |
| STATE OF HIGHEST COURT | AL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Alabama |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 355 Towergate Pl. |
| WORKSITE ADDRESS2 | Or remote location in Atlanta-Sandy Springs-Roswell, GA MSA |
| WORKSITE CITY | Atlanta |
| WORKSITE COUNTY | FULTON |
| WORKSITE STATE | GA |
| WORKSITE POSTAL CODE | 30350 |
| WAGE RATE OF PAY FROM | $92,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $83,533.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| 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 | 2025-01-06 |
