AFIA CANCELS FORM REPORT
Total Records
2425
Showing 451–500 of 2425
| Timestamp | Member Name | Member ID | Source | State | CHARGE BACK | ENROLL DATE | EFFECTIVE DATE | CAMPAIGN | CANCEL DATE | State | REASON FOR CANCEL | HEALTH PREM | ICD ANC | ENROLL FEE |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 05/17/2026 09:47 am | Carine Valcin | 1207901608 | 260 | CT | - | 05/01/2026 | 05/02/2026 | Keystone Plat | 05/16/2026 | CT | Plan does not fit needs | - | - | - |
| 05/15/2026 04:20 pm | Martha Madrazo | BAC9091442 | 10 | FL | - | 02/25/2026 | 02/26/2026 | Keystone Plat | 05/15/2026 | FL | Client's doctor in not in network/ accepting plan | - | - | - |
| 05/15/2026 12:37 pm | Michael A Gardner | 1007705209 | 20 | OH | 30 day | 05/01/2026 | 05/02/2026 | Kiwi (ON) | 05/15/2026 | OH | Client doesn't want to move forward after reviewing plan | 388.00 | - | - |
| 05/15/2026 10:13 am | Mark Greenia Jr | BAC2004254 | 10 | VT | - | 02/19/2026 | 02/20/2026 | REF/REWRITE | 05/15/2026 | VT | Plan does not fit needs | - | - | - |
| 05/14/2026 04:37 pm | Geeta Mangar | CHE2019786 | 110 | PA | - | 12/10/2026 | 12/11/2025 | KOMPLIANT KEVIN | 05/14/2026 | PA | Client is unsatisfied with claims payout | - | - | - |
| 05/14/2026 04:34 pm | Augusta Entremont | 1007703986 | 260 | LA | 30 day | 04/20/2026 | 04/21/2026 | Keystone Inbound | 05/14/2026 | LA | Client is going on state coverage | 365.00 | - | 99.95 |
| 05/14/2026 04:31 pm | James Mansfield | 1008200527 | 80 | ME | 30 day | 04/22/2026 | 05/01/2026 | Keystone Plat | 05/14/2026 | ME | Client is unsatisfied with RX savings | 259.38 | - | 49.95 |
| 05/13/2026 05:45 pm | Jessica Copeland | 1007700728 | 20 | IL | - | 03/15/2026 | 03/16/2026 | PICKLED PETE | 05/13/2026 | IL | Client is unsatisfied with RX savings | - | - | - |
| 05/13/2026 05:14 pm | Cynthia Murphree | 1007700788 | 110 | AL | 30 day | 03/16/2026 | 04/15/2026 | Cheeba Cohiba | 05/13/2026 | AL | Client is going on spouses coverage | 453.00 | 57.95 | 99.95 |
| 05/13/2026 05:11 pm | Kelley Sullivan | 1007705947 | 80 | OH | 30 day | 05/11/2026 | 05/12/2026 | Keystone Plat | 05/13/2026 | OH | Client doesn't want to move forward after reviewing plan | 305.00 | - | - |
| 05/13/2026 05:02 pm | Tami Heit | 1007702097 | 110 | TN | - | 03/31/2026 | 04/01/2026 | Cheeba Cohiba | 05/13/2026 | TN | Client is unsatisfied with claims payout | - | - | - |
| 05/13/2026 04:59 pm | Tal Thompson | 1207900978 | 80 | TX | - | 04/13/2026 | 04/14/2026 | Keystone Inbound | 05/13/2026 | TX | Plan does not fit needs | - | - | - |
| 05/13/2026 04:55 pm | Naveen Lalam | BAC9088277 | 220 | MA | - | 01/21/2026 | 01/22/2026 | HOT POTATO 1 | 05/13/2026 | MA | Client is going through employer | - | - | - |
| 05/12/2026 04:40 pm | Emily Welch | 1007704666 | 20 | MN | 30 day | 04/27/2026 | 04/28/2026 | Cheeba Cohiba | 05/12/2026 | MN | Client is going on state coverage | 307.00 | - | - |
| 05/12/2026 04:38 pm | Alisha Mauri | 1007705956 | 110 | OH | 30 day | 05/11/2026 | 05/12/2025 | Keystone Inbound | 05/12/2026 | OH | Client's doctor in not in network/ accepting plan | 244.00 | - | 99.95 |
| 05/12/2026 04:32 pm | Juanita Mccary | BAC9005011 | 500 | MS | - | 09/22/2023 | 10/01/2023 | QW PLUS | 05/12/2026 | MS | Client is going on state coverage | - | - | - |
| 05/12/2026 04:27 pm | Ronald Skaggs | HES9003209 | 110 | HI | - | 12/19/2025 | 01/01/2026 | KOMPLIANT KEVIN | 05/12/2026 | HI | Client is going through employer | - | - | - |
| 05/12/2026 12:19 pm | Cindy Boggs | BAC9091110 | 20 | OH | - | 02/21/2026 | 02/22/2026 | PICKLED PETE | 05/12/2026 | OH | Client purchased another Limited Medical Plan | - | - | - |
| 05/11/2026 07:10 pm | Suresh Dhomala | CHE2017954 | 20 | NC | - | 08/03/2026 | 08/04/2025 | KOMPLIANT KEVIN | 05/11/2026 | NC | Client is going through employer | - | - | - |
| 05/11/2026 06:56 pm | David Mayo Jr | 1007703028 | 10 | FL | - | 04/09/2026 | 04/10/2026 | Keystone Plat | 05/11/2026 | FL | Client is going on state coverage | - | - | - |
| 05/11/2026 06:49 pm | Matthew Dankovich | 1007704784 | 220 | DE | 30 day | 04/28/2026 | 05/01/2026 | Keystone Inbound | 05/11/2026 | DE | Client purchased a Major Medical plan | 305.00 | - | 99.95 |
| 05/11/2026 06:46 pm | Ryder Kappes | 1007705241 | 110 | NV | 30 day | 05/01/2026 | 06/01/2026 | Keystone Plat | 05/11/2026 | NV | Client was given incorrect benefit information | 244.95 | - | 99.95 |
| 05/11/2026 06:42 pm | Lawrence Hapeman | 1007705919 | 260 | NC | Same week | 05/10/2026 | 06/01/2026 | Kiwi T-2 | 05/11/2026 | NC | Client doesn't want to move forward after reviewing plan | 372.00 | - | 99.95 |
| 05/08/2026 06:07 pm | Jenna Jobe | 1007705683 | 10 | MN | Same week | 05/06/2026 | 05/07/2026 | Cheeba Cohiba | 05/08/2026 | MN | Client is going through employer | 660.00 | - | 99.95 |
| 05/08/2026 06:03 pm | Steven Sawyer | 1008200364 | 220 | VT | - | 04/07/2026 | 04/08/2026 | Keystone Plat | 05/08/2026 | VT | Client is going on state coverage | - | - | - |
| 05/08/2026 06:01 pm | Theresa Bickford | 1008200695 | 10 | ME | Same week | 05/06/2026 | 07/01/2026 | REF/REWRITE | 05/08/2026 | ME | Client is going through employer | 209.00 | - | 99.95 |
| 05/08/2026 05:58 pm | Ennis Parker Jr | 1007700831 | 10 | LA | - | 03/16/2026 | 03/17/2026 | PICKLED PETE | 05/08/2026 | LA | Client purchased a Major Medical plan | - | - | - |
| 05/08/2026 05:55 pm | Branda Boyd | 1007705311 | 80 | NC | 30 day | 05/03/2026 | 06/01/2026 | Kiwi T-2 | 05/08/2026 | NC | Client is going on state coverage | 308.00 | - | 99.95 |
| 05/08/2026 05:52 pm | Brian Brandt | 1007705716 | 10 | MN | Same week | 05/07/2026 | 07/01/2026 | KING BENNY | 05/08/2026 | MN | Client is going on spouses coverage | 615.00 | - | 99.95 |
| 05/08/2026 05:49 pm | Pamela Duplantis | BAC9023386 | 10 | LA | - | 03/27/2024 | 04/07/2024 | KIWI T-1 | 05/08/2026 | LA | Plan does not fit needs | - | - | - |
| 05/08/2026 05:43 pm | Matthew Logan | BAC9083864 | 220 | NE | - | 12/12/2025 | 01/01/2026 | HOT POTATO 1 | 05/08/2026 | NE | Client is going on state coverage | - | - | - |
| 05/07/2026 05:54 pm | Michael Munoz | 1207900073 | 260 | TX | - | 03/06/2026 | 04/01/2026 | Keystone Inbound | 05/07/2026 | TX | Plan does not fit needs | - | - | - |
| 05/07/2026 05:44 pm | Nicole Porter | HES9003542 | 20 | TX | - | 02/03/2026 | 02/04/2026 | Keystone Plat | 05/07/2026 | TX | Client purchased another Limited Medical Plan | - | - | - |
| 05/07/2026 05:39 pm | Chase Gonzalez | 1007701266 | 210 | OH | - | 03/22/2026 | 03/24/2026 | Sunrise 1 | 05/07/2026 | OH | Client purchased another Limited Medical Plan | - | - | - |
| 05/07/2026 05:34 pm | Alnita Mitchell | 1007704589 | 220 | AL | 30 day | 04/27/2026 | 05/01/2026 | Keystone Plat | 05/07/2026 | AL | Client thought this was a BCBS plan | 244.00 | - | 99.95 |
| 05/07/2026 05:30 pm | Debra Medugno | BAC9088891 | 30 | MA | - | 01/27/2026 | 02/01/2026 | Keystone Plat | 05/07/2026 | MA | Client is going on state coverage | - | - | - |
| 05/07/2026 05:24 pm | Joseph Prince | BAC9089023 | 10 | LA | - | 01/28/2026 | 02/07/2026 | HAMMERHEAD 4 | 05/07/2026 | LA | Client is going through employer | - | - | - |
| 05/06/2026 04:25 pm | Ryan Baker | 1007705569 | 220 | MN | Same week | 05/05/2026 | 05/06/2026 | Cheeba Cohiba | 05/06/2026 | MN | Client is going on spouses coverage | 365.00 | - | 99.95 |
| 05/06/2026 04:19 pm | David Lyle | 1007704858 | 20 | AR | - | 04/29/2026 | 05/01/2026 | Keystone Plat | 05/06/2026 | AR | Client's doctor in not in network/ accepting plan | - | - | - |
| 05/06/2026 04:12 pm | Brittany Holtman | 1007705564 | 80 | VA | Same week | 05/05/2026 | 05/06/2026 | Keystone Plat | 05/06/2026 | VA | Client doesn't want to move forward after reviewing plan | 244.00 | - | 99.95 |
| 05/06/2026 04:03 pm | Rosalind Cramer | 1507800540 | 80 | PA | 30 day | 04/29/2026 | 05/01/2026 | Keystone Plat | 05/06/2026 | PA | Client's doctor in not in network/ accepting plan | 244.00 | - | 99.95 |
| 05/06/2026 12:50 pm | Jenny Tran | 1207900617 | 260 | TX | 30 day | 03/30/2026 | 05/01/2026 | Keystone Plat | 05/06/2026 | TX | Client doesn't want to move forward after reviewing plan | 305.00 | - | 99.95 |
| 05/05/2026 07:42 pm | Donald Lindenberger | 1007700046 | 10 | OH | - | 03/03/2026 | 03/04/2026 | Keystone Plat | 05/05/2026 | OH | Client's doctor in not in network/ accepting plan | - | - | - |
| 05/05/2026 07:39 pm | Allison Joyner | 1007704955 | 110 | VA | 30 day | 04/29/2026 | 05/01/2026 | Keystone Plat | 05/05/2026 | VA | Client is unsatisfied with RX savings | 209.00 | - | - |
| 05/05/2026 07:29 pm | Sherrilyn Nicholas | 1007705455 | 20 | IL | Same day | 05/05/2026 | 05/06/2026 | Keystone Inbound | 05/05/2026 | IL | Client doesn't want to move forward after reviewing plan | 244.00 | - | 99.95 |
| 05/05/2026 07:25 pm | Rebecca Freeman | 1007702072 | 20 | MN | - | 03/31/2026 | 04/01/2026 | Cheeba Cohiba | 05/05/2026 | MN | Client purchased another Limited Medical Plan | - | - | - |
| 05/05/2026 06:58 pm | Jody Kelpen | 1207901640 | 110 | TX | 30 day | 05/04/2026 | 05/05/2026 | Cheeba Cohiba | 05/05/2026 | TX | Client is unsatisfied with RX savings | 372.00 | - | 99.95 |
| 05/05/2026 06:55 pm | Donna Hardy | BAC9086062 | 10 | GA | - | 01/05/2026 | 01/06/2026 | Kompliant Kevin | 05/05/2026 | GA | Client is unsatisfied with claims payout | - | - | - |
| 05/05/2026 10:46 am | Brian Chadwell | 1007702445 | 10 | MI | 30 day | 04/02/2026 | 05/01/2026 | REF/REWRITE | 05/04/2026 | MI | Client is going through employer | 305.00 | - | 99.95 |
| 05/04/2026 04:01 pm | Jaidyn Halliday | 1007701882 | 110 | MI | - | 03/29/2026 | 04/01/2026 | Kiwi T-2 | 05/04/2026 | MI | Client is unsatisfied with claims payout | - | - | - |