Documents & Legal Notices
The documents that govern your benefits, and the notices Littelfuse is required to give you
Where a summary and a plan document disagree, the plan document governs. If you’re checking a specific coverage detail, this is the authoritative source. All documents are in PDF format unless otherwise noted.
Required Notices
Annual Qualified Default Investment Alternative (“QDIA”) Notice
Health Insurance Marketplace Coverage Options and Your Health Coverage
HIPAA Privacy Practices Notice
Includes the Special Enrollment Period, Newborns’ and Mothers’ Health Protection Act, WHCRA, and Rescission of Coverage notices
Medicaid and Children’s Health Insurance Program (CHIP)
Notice of Prescription Drug Coverage and Medicare Part D
Paid Family and Medical Leave Mandatory Workplace Notice
Transparency in Coverage (link coming soon)
Summary Plan Descriptions (SPDs) & Benefits Booklets
Flexible Benefit Plan SMM for Carling and C&K Switches
Basic and Voluntary Life Certificate (coming soon)
Basic and Voluntary AD&D Certificate
Short-Term Disability Certificate
Long-Term Disability Certificate
Group Legal Insurance Certificate
Identity Theft Protection Summary
Littelfuse 401(k) Retirement and Savings Plan SMM Amendment 1 for Carling and C&K Switches
Supplemental Retirement Savings Plan SMM for Amendment 4 for Carling and C&K Switches