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Case Number: A-21007-39666

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-21007-39666

Case Status

Certified

Received Date

2021-02-07

Decision Date

2021-07-28

Refile

N

Original File Date

2021-01-01 09:53:59

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

THE HOSPITAL OF CENTRAL CONNECTICUT

Employer Name Slug

the-hospital-of-central-connecticut

Employer Address 1

100 GRAND STREET

Employer Address 2

Employer City

NEW BRITAIN

Employer City Slug

new-britain

Employer State

CONNECTICUT

Employer State Slug

connecticut

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

6050

Employer Phone

860-224-5775

Employer Number of Employees

2065

Employer Year Commenced Business

2006

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

DiMichele M Jessica

Employer Contact Address 1

100 Grand Street

Employer Contact Address 2

Human Resources

Employer Contact City

New Britain

Employer Contact State/Province

CONNECTICUT

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

6050

Employer Contact Phone

860-224-5775

Employer Contact Email

Jessica.DiMichele@hhchealth.org

Agent Attorney Name

Michael L Kim

Agent Attorney Firm Name

Hall, Render, Killian, Heath and 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

P10020149607810

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

124114.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-09-17

PW Expiration Date

2021-06-30

Wage Offer From

210000.00

Wage Offer To

346000.00

Average Salary

278000.00

Wage Unit of Pay

Year

Worksite Address 1

100 Grand Street

Worksite Address 2

Worksite City

New Britain

Worksite City Slug

new-britain

Worksite State

CONNECTICUT

Worksite Postal Code

6050

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; Board Eligibility or Board Certification in Internal 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

2020-10-20

SWA Job Order End Date

2020-11-22

Sunday Edition Newspaper

Y

First Newspaper Name

The Hartford Courant

First Advertisement Start Date

2020-10-18

Second Newspaper Ad Name

The Hartford Courant

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-10-25

Employer Website From Date

2021-01-01 09:53:59

Employer Website To Date

2021-01-01 09:53:59

Professional Organization Ad From Date

2020-11-10

Professional Organization Advertisement To Date

2020-11-10

Job Search Website From Date

2021-01-01 09:53:59

Job Search Website To Date

2021-01-01 09:53:59

Employee Referral Program From Date

2021-01-01 09:53:59

Employee Referral Program To Date

2021-01-01 09:53:59

Local Ethnic Paper From Date

2020-10-21

Local Ethnic Paper To Date

2020-10-21

Radio/TV Ad From Date

2020-10-22

Radio/TV Ad To Date

2020-10-23

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

2007

Foreign Worker Institution of Education

K. J. SOMAIYA MEDICAL COLLEGE AND RESEARCH CENTER

Foreign Worker Education Institution Address 1

SOMAIYA AYURVIHAR COMPLEX

Foreign Worker Education Institution Address 2

EASTERN EXPRESS HIGHWAY, SION EAST

Foreign Worker Education Institution City

MUMBAI

Foreign Worker Education Institution State/Province

MAHARASHTRA

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

400 022

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

Gary Havican

Employer Information Declaration Title

Central Region President