Employer

Waynesburg University

51 West College Street, Waynesburg, PA 15370 · EIN 25-0965603 · Jan 1, 2025 to Dec 31, 2025

Plan year 2025

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Schedule A

Direct compensation

Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.

Visible subtotal $29,516

Coverage	Carrier	Broker	Lives	Direct comp
Dental	Guardian	American Insurance Administrators	87	$6,442 9.5% of $67,917
Dental	Guardian	Coury Health Services, LLC	87	$2,530 3.7% of $67,917
Dental	Guardian	Lifetime Financial Growth LLC	87	$101 0.1% of $67,917
Vision	Vision Benefits Of America	Coury Health Services, LLC	158	$378 3.5% of $10,790
Life	United Of Omaha Life Insurance Company	American Insurance Administrators	257	$3,017 9.9% of $30,331
Life	United Of Omaha Life Insurance Company	American Insurance Administrators	257	$2,301 7.6% of $30,331
Life	United Of Omaha Life Insurance Company	American Insurance Administrators	257	$329 1.1% of $30,331
Life	United Of Omaha Life Insurance Company	American Insurance Administrators	88	$6,825 15.0% of $45,499
Life	United Of Omaha Life Insurance Company	American Insurance Administrators	88	$3,605 7.9% of $45,499
Life	United Of Omaha Life Insurance Company	American Insurance Administrators	88	$515 1.1% of $45,499
AD&D	Mutual Of Omaha Insurance Company	American Insurance Administrators	71	$424 15.0% of $2,828
AD&D	Mutual Of Omaha Insurance Company	American Insurance Administrators	71	$226 8.0% of $2,828
AD&D	Mutual Of Omaha Insurance Company	American Insurance Administrators	71	$32 1.1% of $2,828
Other	United Of Omaha Life Insurance Company	American Insurance Administrators	140	$1,800 15.0% of $12,003
Other	United Of Omaha Life Insurance Company	American Insurance Administrators	140	$867 7.2% of $12,003
Other	United Of Omaha Life Insurance Company	American Insurance Administrators	140	$124 1.0% of $12,003