| CASE NUMBER | I-200-24346-533440 |
| CASE STATUS | Withdrawn |
| RECEIVED DATE | 12/10/2024 |
| DECISION DATE | 12/12/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Senior IT Developer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/5/2025 |
| END DATE | 1/4/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Blue Cross and Blue Shield of Florida, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 4800 Deerwood Campus Parkway |
| EMPLOYER ADDRESS2 | Building 100-7 |
| EMPLOYER CITY | JACKSONVILLE |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32246 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19049058720 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Horne |
| EMPLOYER POC FIRST NAME | Suzanne |
| EMPLOYER POC MIDDLE NAME | U |
| EMPLOYER POC JOB TITLE | Vice President and Senior Counsel |
| EMPLOYER POC ADDRESS1 | 4800 Deerwood Campus Parkway |
| EMPLOYER POC ADDRESS2 | Building 100-7 |
| EMPLOYER POC CITY | JACKSONVILLE |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 32246 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19049058720 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | suzanne.horne@bcbsfl.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | DEARING |
| AGENT ATTORNEY FIRST NAME | MELISSA |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 1301 RIVERPLACE BOULEVARD |
| AGENT ATTORNEY ADDRESS2 | 10TH FLOOR |
| AGENT ATTORNEY CITY | JACKSONVILLE |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 32207 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 19047928936 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | MELISSA.DEARING@RIVKIN.COM |
| LAWFIRM NAME BUSINESS NAME | RIVKIN RADLER LLP |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | FLORIDA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 4800 Deerwood Campus Parkway |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Jacksonville |
| WORKSITE COUNTY | DUVAL |
| WORKSITE STATE | FL |
| WORKSITE POSTAL CODE | 32246 |
| WAGE RATE OF PAY FROM | $134,733.72 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $117,870.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2024 |
| PW SURVEY PUBLISHER | Willis Towers Watson |
| PW SURVEY NAME | Professional (Technical and Operations) Compensation 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 | 2025-01-05 |
