Form 5500 · Employee benefit plan · TINTON FALLS, NJ
COMMVAULT SYSTEMS, INC.
The filing calls this plan COMMVAULT SYSTEMS, INC. CAFETERIA PLAN.
COMMVAULT SYSTEMS, INC. of TINTON FALLS, NJ is a 1,271-participant information and media employer — a large group whose insured benefits are disclosed on Schedule A of its Form 5500. Its broker of record is MERCER HEALTH AND BENEFITS, LLC. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 22-3447504 · plan 501 · plan year 2025, filed Sep 11, 2026
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How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
Also declared: death benefits.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 5 insured contracts covering health, dental, vision, life and disability; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 4,157 people.
The health contract's policy period ended in December, while at least one ancillary line's policy period ended in October. The plan is on a split renewal cycle.
MERCER HEALTH AND BENEFITS, LLC is the broker of record on 4 of the 5 contracts; the rest name a different broker or none.
5 carriers appear on the filing, including UNITEDHEALTHCARE INSURANCE COMPANY, THE LINCOLN NATIONAL LIFE INSURANCE COMPANY, RELIANCE STANDARD LIFE INSURANCE COMPANY and CIGNA HEALTH AND LIFE INSURANCE COMPANY. UNITEDHEALTHCARE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life | 1,286 | Jan 1, 2026 | $529,891 | $52,989 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 1,282 | Jan 1, 2026 | $290,783 | $6,908 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental | 334 | Jan 1, 2026 | $62,073 | $1,868 |
| NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA | — | 1,177 | Oct 20, 2025 | $6,861 | $1,029 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Vision | 4,157 | Jan 1, 2026 | $2,158,217 | $-128,045 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
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