Members who have HMSA’s Plan for Federal Employees must follow these instructions to enroll an adopted child in their plan:

• Active employees with coverage for themselves only: Contact your agency/payroll office to add your adopted child to your plan. The agency/payroll office will validate the addition and determine the effective date for your child.
• Active employees with family plan: As soon as possible after the adoption, send a signed, written request with a copy of the birth certificate and a copy of one of the following:
  - Final adoption certificate or decree.
  - Authorized letter from a placement agency for the purpose of adoption.
  - Front page of most recent tax year’s federal or state tax return with the child’s name.
  
  Mail or fax the copies to:
  
  HMSA Membership Services
  P.O. Box 860
  Honolulu, HI 96808-0860
  
  Fax: 808-948-6614

The effective date will be the date of adoption. The child may be eligible as a foster child until the adoption is final. Contact your employment or retirement office for verification and approval, which can be sent to HMSA for processing.

• Retired employees with coverage for themselves only: Contact the Office of Personnel Management (OPM) Retirement Office to add an adopted child to your plan.
• Retired employees with family plan: As soon as possible after the adoption, send a signed, written request with a copy of the birth certificate and a copy of one of the following:
  - Final adoption certificate or decree.
  - Authorized letter from a placement agency for the purpose of adoption.
  - Front page of most recent tax year’s federal or state tax return with the child’s name.
  
  Mail or fax the copies to:
  
  HMSA Membership Services
  P.O. Box 860
  Honolulu, HI 96808-0860
  
  Fax: 808-948-6614

The effective date will be the date of adoption. The child may be eligible as a foster child until the adoption is final. Contact your employment or retirement office for verification and approval, which can be sent to HMSA for processing.