Can children or a spouse be added to a membership at any time (e.g. a few months after starting a membership)?

No.  Generally, the membership type that is chosen must remain firm for the membership year, unless there is a life event (e.g. marriage, birth of child).  

Newborns' membership effective date will be their date of birth, as long as there is notification within 30 days of birth. For other children, there should be a life event that triggers the need for them to be added outside of the annual renewal cycle.

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