| LCA CASE NUMBER | I-200-20266-838921 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-22 |
| DECISION DATE | 2020-09-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | EDI Developer/Project Manager |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2021-03-15 |
| END DATE | 2024-03-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Vibra Health Plan |
| EMPLOYER ADDRESS1 | 1000 N. Cameron St. |
| EMPLOYER CITY | Harrisburg |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17103 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17175416753 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Morgan |
| EMPLOYER POC FIRST NAME | Kristen |
| EMPLOYER POC JOB TITLE | HR Business Partner |
| EMPLOYER POC ADDRESS1 | 2500 Elmerton Avenue |
| EMPLOYER POC CITY | Harrisburg |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17177 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17175416753 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Elliott |
| AGENT ATTORNEY FIRST NAME | Kendra |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 2215 Millennium Way |
| AGENT ATTORNEY CITY | Enola |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 17025 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17175065207.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Kendra S. Elliott, Esq. |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Pennsylvania |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 219 Hoke Farm Way |
| LCA CASE WORKLOC1 CITY | Mechanicsburg |
| WORKSITE COUNTY | CUMBERLAND |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17050 |
| LCA CASE WAGE RATE FROM | 98654.0 |
| LCA CASE WAGE RATE TO | 121420.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 98654.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
