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Pregnancy and adoption are categorized in the pre-existing condition field and will qualify you for a Special Enrollment Period to enroll or change plans. Once enrolled, coverage will begin as soon as your plan begins.
With adoption, as mentioned above, you may enroll or change plans during open enrollment or a Special Enrollment Period and your new plan will take effect beginning on the date of birth or the start of adoption, not past 60 days of said date.
Grandfathered plans that are purchased independently from your employer, are not bound by the pre-existing conditions requirements. But once your grandfathered coverage year ends, you will qualify for a Special Enrollment Period, if necessary, and you can choose to purchase a Marketplace plan that fits the needs of you and your family.