| LCA CASE NUMBER | I-200-24094-852565 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-04-03 |
| DECISION DATE | 2024-04-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Database Administrator |
| SOC CODE | 15-1242.00 |
| SOC TITLE | Database Administrators |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-10-01 |
| END DATE | 2027-09-30 |
| 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 | Physicians Health Plan of Northern Indiana, Inc. |
| EMPLOYER ADDRESS1 | 1700 Magnavox Way |
| EMPLOYER ADDRESS2 | Suite 201 |
| EMPLOYER CITY | Fort Wayne |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46804-1552 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12604326690 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Boles |
| EMPLOYER POC FIRST NAME | Christine |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 1700 Magnavox Way |
| EMPLOYER POC ADDRESS2 | Suite 201 |
| EMPLOYER POC CITY | Fort Wayne |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46804-1552 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12604326690 |
| EMPLOYER POC EMAIL | cboles@phpni.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Marques |
| AGENT ATTORNEY FIRST NAME | Ryan |
| AGENT ATTORNEY MIDDLE NAME | C |
| AGENT ATTORNEY ADDRESS1 | 1 American Square |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Indianapolis |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46282 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13176391210 |
| AGENT ATTORNEY EMAIL ADDRESS | rmarques@lewis-kappes.com |
| LAWFIRM NAME BUSINESS NAME | Lewis Kappes |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | Indiana Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1700 Magnavox Way |
| WORKSITE ADDRESS2 | Suite 201 |
| LCA CASE WORKLOC1 CITY | Fort Wayne |
| WORKSITE COUNTY | ALLEN |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46804-1552 |
| LCA CASE WAGE RATE FROM | 65000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 61568 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |