Fiscal Year

2021

Case Number

A-20163-64410

Case Status

Certified

Received Date

2020-08-25

Decision Date

2021-04-12

Refile

N

Original File Date

2021-01-01 09:12:12

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

HARTFORD HEALTHCARE MEDICAL GROUP

Employer Name Slug

hartford-healthcare-medical-group

Employer Address 1

1290 SILAS DEANE HIGHWAY

Employer Address 2

2ND FLOOR

Employer City

WETHERSFIELD

Employer City Slug

wethersfield

Employer State

CONNECTICUT

Employer State Slug

connecticut

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

6109

Employer Phone

8609729044

Employer Number of Employees

1634

Employer Year Commenced Business

2012

NAICS Code

62111

FW Ownership Interest

N

Employer Contact Name

Christine Dilly

Employer Contact Address 1

1290 Silas Deane Highway

Employer Contact Address 2

2nd Floor

Employer Contact City

Wethersfield

Employer Contact State/Province

CONNECTICUT

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

6109

Employer Contact Phone

8609727922

Employer Contact Email

Christine.Dilly@hhchealth.org

Agent Attorney Name

Michael L Kim

Agent Attorney Firm Name

Hall, Render, Killian, Heath Lyman, P.C.

Agent Attorney Phone

3179771418

Agent Attorney Address 1

500 North Meridian Street

Agent Attorney Address 2

Suite 400

Agent Attorney City

Indianapolis

Agent Attorney State/Province

INDIANA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

46204

Agent Attorney Email

mkim@hallrender.com

PW Track Number

P10019279073106

PW SOC Code

29-1069

PW SOC Title

Physicians and Surgeons, All Other

PW Skill Level

Level I

PW Wage

60736.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-02-05

PW Expiration Date

2020-06-30

Wage Offer From

220000.00

Wage Offer To

339000.00

Average Salary

279500.00

Wage Unit of Pay

Year

Worksite Address 1

80 Seymour Street

Worksite Address 2

Worksite City

Hartford

Worksite City Slug

hartford

Worksite State

CONNECTICUT

Worksite Postal Code

6102

Job Title

Physician (Hospitalist)

Job Title Slug

physician-hospitalist

Minimum Education

Other

Major Field of Study

Medicine

Required Training

N

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Position requires M.D. or D.O. or foreign equivalent of M.D. or D.O.; Completion of Medical Residency in Internal Medicine or Family Medicine; Board Eligibility or Board Certification in Internal Medicine or Family Medicine; and Connecticut Physician License.

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2020-06-24

SWA Job Order End Date

2020-07-24

Sunday Edition Newspaper

Y

First Newspaper Name

The Hartford Courant

First Advertisement Start Date

2020-06-21

Second Newspaper Ad Name

The Hartford Courant

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-06-28

Employer Website From Date

2021-01-01 09:12:12

Employer Website To Date

2021-01-01 09:12:12

Professional Organization Ad From Date

2020-07-14

Professional Organization Advertisement To Date

2020-07-14

Job Search Website From Date

2020-06-18

Job Search Website To Date

2020-06-24

Employee Referral Program From Date

2021-01-01 09:12:12

Employee Referral Program To Date

2021-01-01 09:12:12

Local Ethnic Paper From Date

2021-01-01 09:12:12

Local Ethnic Paper To Date

2021-01-01 09:12:12

Radio/TV Ad From Date

2020-07-03

Radio/TV Ad To Date

2020-07-03

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

Foreign Worker Birth Country

INDIA

Class of Admission

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2015

Foreign Worker Institution of Education

ROSS UNIVERSITY SCHOOL OF MEDICINE

Foreign Worker Education Institution Address 1

2300 SW 145TH AVENUE

Foreign Worker Education Institution Address 2

SUITE 200

Foreign Worker Education Institution City

MIRAMAR

Foreign Worker Education Institution State/Province

FL

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

33027

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Michael L Kim

Preparer Title

Attorney

Preparer Email

mkim@hallrender.com

Employer Information Declaration Name

Mark Prete

Employer Information Declaration Title

President