| LCA CASE NUMBER | I-200-23109-949103 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-04-19 |
| DECISION DATE | 2023-04-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Underwriter I |
| SOC CODE | 13-2053.00 |
| SOC TITLE | Insurance Underwriters |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-10-01 |
| END DATE | 2026-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Brotherhood Mutual Insurance Company |
| EMPLOYER ADDRESS1 | 6400 Brotherhood Way |
| EMPLOYER CITY | Fort Wayne |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46825 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12604819415 |
| NAICS CODE | 524126 |
| EMPLOYER POC LAST NAME | Dusseau |
| EMPLOYER POC FIRST NAME | Gracie |
| EMPLOYER POC JOB TITLE | HR Generalist |
| EMPLOYER POC ADDRESS1 | 6400 Brotherhood Way |
| EMPLOYER POC CITY | Fort Wayne |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46825 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12604819415 |
| EMPLOYER POC EMAIL | gdusseau@brotherhoodmutual.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Coenen |
| AGENT ATTORNEY FIRST NAME | Nicholas |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 332 S Michigan Ave |
| AGENT ATTORNEY ADDRESS2 | STE 1428 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13123419730 |
| AGENT ATTORNEY EMAIL ADDRESS | nicholasjc@klc-ltd.com |
| LAWFIRM NAME BUSINESS NAME | Kempster, Corcoran, Quiceno & Lenz-Calvo, LTD |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Illinois Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6400 Brotherhood Way |
| LCA CASE WORKLOC1 CITY | Fort Wayne |
| WORKSITE COUNTY | ALLEN |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46825 |
| LCA CASE WAGE RATE FROM | 52582 |
| LCA CASE WAGE RATE TO | 65000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 52582 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
