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Submit online "Adoption" eForm (or a completed Enroll/Change/Cancel Form) and proof of eligibility within 31 days of event date. Coverage becomes effective on the date of adoption or placement for adoption. If a request is made to add employee and/or additional dependent coverage, their coverage can begin the first of the month of the event. Event dates include:

  • Date of birth (If petition for adoption is filed within 31 days of child's birth date)
  • Petition for adoption
  • Order of placement for adoption
  • Final adoption decree

Medical plans may be changed when adding dependents due to this life event. If changing medical plans, any amounts paid toward the deductible and out-of-pocket maximum will transfer to the new plan.

Advise MCHCP of child's Social Security number verbally, in writing or through myMCHCP as soon as it is received. Failure to provide proof of dependent's Social Security number in a timely manner may result in loss of coverage.

Active subscribers who fail to enroll during the 31-day period may enroll during the next Open Enrollment for coverage effective the following January.

Retiree subscribers who fail to enroll the child during the 31-day period cannot enroll them at a later date.

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