From the US Department of Labor Web site:
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Important Facts When Adopting
Contact your health plan or your spouse’s health plan as soon as possible to find out how to enroll your child in group health plan coverage.
As long as you enroll your child within 30 days of adoption or placement for adoption, coverage should be effective as of your child’s adoption or placement date and your child cannot be subject to a preexisting condition exclusion.
Remember, you should enroll your child within 30 days of the date of adoption or placement for adoption.
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Protections For Newborns, Adopted Children, And New Parents
If you (or your SO) have group insurance through an employer, federal law requires that if your insurance plan covers "natural" children from birth, it MUST provide the same coverage for adopted children FROM THE TIME OF PLACEMENT. You can talk to whoever administers your health plan with the employer to find out the details of what you need to do to arrange for your child's enrollment in the plan.