| LCA CASE NUMBER | I-200-20255-817375 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-11 |
| DECISION DATE | 2020-09-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | IT Quality Control Advisor |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2021-03-13 |
| END DATE | 2024-03-12 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Anthem, Inc. |
| EMPLOYER ADDRESS1 | 220 Virginia Avenue |
| EMPLOYER CITY | Indianapolis |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46204 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12124761343 |
| NAICS CODE | 52411 |
| EMPLOYER POC LAST NAME | Hanson |
| EMPLOYER POC FIRST NAME | Dawn |
| EMPLOYER POC MIDDLE NAME | R. |
| EMPLOYER POC JOB TITLE | HR Process Improvement Manager, Sr. |
| EMPLOYER POC ADDRESS1 | 123 Justison Street |
| EMPLOYER POC ADDRESS2 | Suite 200 |
| EMPLOYER POC CITY | Wilmington |
| EMPLOYER POC STATE | DE |
| EMPLOYER POC POSTAL CODE | 19801 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12124761343 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Cousins |
| AGENT ATTORNEY FIRST NAME | Rene |
| AGENT ATTORNEY MIDDLE NAME | K. |
| AGENT ATTORNEY ADDRESS1 | 230 W. Monroe St. |
| AGENT ATTORNEY ADDRESS2 | Suite 2800 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60606 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13127226300.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Global Immigration Associates, P.C. |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 4241 Irwin Simpson Road |
| LCA CASE WORKLOC1 CITY | Mason |
| WORKSITE COUNTY | WARREN |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 45040 |
| LCA CASE WAGE RATE FROM | 95514.0 |
| LCA CASE WAGE RATE TO | 109564.79 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 95514.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Employment |
