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
Civil Partner Coverage Notice
Health Insurance Marketplace Coverage Options and Your Health Coverage
HIPAA Privacy Practices Notice
Important Notices
- Special Enrollment Period
- Newborns’ and Mothers’ Health Protection Act
- Women’s Health and Cancer Rights Act of 1998 (WHCRA) Notice
- Rescission of Coverage Not Allowed
- 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
The No Surprises Act
Transparency in Coverage
Summary Plan Descriptions (SPDs) & Benefits Booklets
Flexible Benefit Plan
Flexible Benefit Plan SMM for Carling and C&K Switches
401(k) Plan
BCBSIL HDHP Plan Booklet
BCBSIL PPO Plan Booklet
Dental Benefits Booklet
Vision Benefits Booklet
Flexible Spending Accounts
Basic and Voluntary Life Certificate
Basic and Voluntary AD&D Certificate
Short-Term Disability Certificate
Long-Term Disability Certificate
Group Legal Insurance Certificate
Business Travel Accident SPD
Identity Theft Protection Summary
Accident Insurance Summary
Critical Illness Summary
Hospital Care 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
Summaries of Benefits & Coverage (SBCs)
BCBSIL PPO Plan
BCBSIL HDHP Plan