AFIA CANCELS FORM REPORT
Total Records
2425
Showing 551–600 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 04/27/2026 02:34 pm | Alicia Hawkins | 1007701694 | 200 | WI | - | 03/26/2026 | 03/27/2026 | Traffic Tree D | 04/27/2026 | WI | Client is going on state coverage | - | - | - |
| 04/27/2026 02:32 pm | Christopher Sloneker | 1007701615 | 220 | MN | - | 03/25/2026 | 03/26/2026 | Cheeba Cohiba | 04/27/2026 | MN | Client is unsatisfied with claims payout | - | - | - |
| 04/27/2026 02:25 pm | Corey O'hara | 1007704260 | 80 | MI | Same week | 04/23/2026 | 04/24/2026 | KING BENNY | 04/27/2026 | MI | Client doesn't want to move forward after reviewing plan | 305.00 | - | - |
| 04/27/2026 11:31 am | Dianna Wilson | 1007704505 | 80 | MI | Same week | 04/26/2026 | 04/27/2026 | Cheeba Cohiba | 04/27/2026 | MI | Client purchased a Major Medical plan | 388.00 | - | 99.95 |
| 04/24/2026 05:23 pm | Deborah Farmer | BAC9041948 | 110 | TX | - | 10/20/2024 | 10/21/2024 | White LT | 04/24/2026 | TX | Client is unsatisfied with claims payout | - | - | - |
| 04/24/2026 03:54 pm | Tyler Melvig | 1007700840 | 20 | MI | - | 03/16/2026 | 03/17/2026 | Keystone Plat | 04/24/2026 | MI | Client is unsatisfied with claims payout | - | - | - |
| 04/24/2026 03:16 pm | Ashley Curl | 1007703777 | 110 | NE | 30 day | 04/17/2026 | 04/18/2026 | Keystone Plat | 04/24/2026 | NE | Client is unsatisfied with claims payout | 365.00 | - | 99.95 |
| 04/24/2026 01:07 pm | Valerie Martin | 1007702253 | 10 | MI | 30 day | 04/01/2026 | 04/02/2026 | Keystone Inbound | 04/24/2026 | MI | Client's doctor in not in network/ accepting plan | 365.00 | - | - |
| 04/24/2026 01:04 pm | Sandra Helmer | 1008200524 | 220 | CO | 30 day | 04/21/2026 | 05/01/2026 | Cheeba Cohiba | 04/24/2026 | CO | Client purchased a Major Medical plan | 196.98 | - | 49.95 |
| 04/24/2026 12:49 pm | Zaina Hachem | 1007703065 | 20 | MI | 30 day | 04/10/2026 | 04/11/2026 | Keystone Plat | 04/24/2026 | MI | Client doesn't want to move forward after reviewing plan | 244.00 | - | 99.95 |
| 04/24/2026 10:52 am | Elise Katz | 1007703318 | 80 | FL | 30 day | 04/13/2026 | 04/14/2026 | Cheeba Cohiba | 04/24/2026 | FL | Client doesn't want to move forward after reviewing plan | 244.00 | - | 99.95 |
| 04/23/2026 03:30 pm | Tina Tebo | BAC2003243 | 20 | NH | - | 12/01/2025 | 12/02/2025 | PURPLE ELEPHANT X | 04/23/2026 | NH | Plan does not fit needs | - | - | - |
| 04/23/2026 03:26 pm | Frances Savage | BAC9079725 | 110 | TN | - | 11/06/2025 | 11/07/2025 | Keystone Plat | 04/23/2026 | TN | Client wants a plan that meets ACA requirements | - | - | - |
| 04/23/2026 02:08 pm | Paul Losch | BAC9092010 | 10 | FL | - | 03/03/2026 | 03/04/2026 | Keystone Plat | 04/23/2026 | FL | Client is going through employer | - | - | - |
| 04/23/2026 02:04 pm | Heather Riney | 1007702046 | 260 | MO | 30 day | 03/31/2026 | 04/08/2026 | Keystone Plat | 04/23/2026 | MO | Client is unsatisfied with RX savings | 305.00 | - | 99.95 |
| 04/23/2026 01:41 pm | Cathy Bird | 1008200278 | 220 | CO | 30 day | 03/31/2026 | 04/20/2026 | Cheeba Cohiba | 04/23/2026 | CO | Client extended Cobra plan | 337.48 | - | 49.95 |
| 04/23/2026 01:19 pm | Rebecca Jackson | 1007701324 | 220 | IN | 30 day | 03/23/2026 | 04/01/2026 | Kiwi (ON) | 04/23/2026 | IN | Client is unsatisfied with RX savings | 305.00 | - | 99.95 |
| 04/23/2026 11:45 am | Elena Ignatova | 1007703870 | 110 | MO | 30 day | 04/19/2026 | 04/20/2026 | Traffic Tree D | 04/23/2026 | MO | Client doesn't want to move forward after reviewing plan | 388.00 | - | 99.95 |
| 04/22/2026 06:12 pm | William Clemente | 1008200429 | 200 | CO | 30 day | 04/14/2026 | 05/01/2026 | PICKLED PETE | 04/22/2026 | CO | Plan does not fit needs | 287.33 | E | 49.95 |
| 04/22/2026 06:09 pm | Jacqueline Prokop | 1007704106 | 10 | MN | Same week | 04/21/2026 | 06/01/2026 | Cheeba Cohiba | 04/22/2026 | MN | Client wants a plan that meets ACA requirements | 515.00 | - | 99.95 |
| 04/22/2026 06:05 pm | Don Burns | 1007704058 | 10 | AL | Same week | 04/21/2026 | 04/22/2026 | Keystone Inbound | 04/22/2026 | AL | Client doesn't want to move forward after reviewing plan | 209.00 | - | 99.95 |
| 04/22/2026 06:01 pm | Dustin Saylor | 1007702597 | 260 | IN | - | 04/06/2026 | 04/07/2026 | Keystone Inbound | 04/22/2026 | IN | Client's doctor in not in network/ accepting plan | - | - | - |
| 04/22/2026 05:58 pm | Senait Tadesse | 1007703978 | 20 | VA | 30 day | 04/20/2026 | 04/21/2026 | Keystone Plat | 04/22/2026 | VA | Client's doctor in not in network/ accepting plan | 244.00 | - | 99.95 |
| 04/22/2026 05:55 pm | Amelia Nunez | BAC9087730 | 210 | TX | - | - | 01/15/2026 | KOMPLIANT KEVIN | 01/16/2026 | TX | Client wants a plan that meets ACA requirements | - | - | - |
| 04/22/2026 05:50 pm | Peter Kerckhof | BAC9015467 | 10 | GA | - | 12/15/2023 | 01/01/2024 | Nexus Excl | 04/22/2026 | GA | Client purchased a Major Medical plan | - | - | - |
| 04/22/2026 05:46 pm | Kimberly Putman | BAC9090660 | 110 | MS | - | 02/17/2026 | 02/18/2026 | REF/REWRITE | 04/22/2026 | MS | Client can't afford plan | - | - | - |
| 04/22/2026 05:43 pm | Benjamin Waniski | BAC2004013 | 30 | NH | - | 01/26/2026 | 01/27/2026 | PICKLED PETE | 04/22/2026 | NH | Client can't afford plan | - | - | - |
| 04/22/2026 05:12 pm | Michael Mcmahon | BAC2000134 | 20 | VT | - | 10/13/2024 | 10/23/2024 | Green D | 04/23/2026 | VT | Client is going on state coverage | - | - | - |
| 04/22/2026 05:09 pm | Elizabeth Soslow | 1507800389 | 20 | PA | 30 day | 04/14/2026 | 05/01/2026 | Cheeba Cohiba | 04/22/2026 | PA | Client doesn't want to move forward after reviewing plan | 600.00 | - | 99.95 |
| 04/22/2026 05:06 pm | Adefunke Fabayo | 1207900010 | 30 | GA | - | 03/03/2026 | 03/04/2026 | Keystone Plat | 04/22/2026 | GA | Client is going on state coverage | - | - | - |
| 04/21/2026 05:55 pm | Rana Shirer | 1007701744 | 20 | FL | 30 day | 03/26/2026 | 03/27/2026 | Keystone Plat | 04/21/2026 | FL | Client doesn't want to move forward after reviewing plan | 388.00 | - | 99.95 |
| 04/21/2026 05:48 pm | Autumn Shea | 1008200492 | 10 | CO | 30 day | 04/20/2026 | 05/01/2026 | REF/REWRITE | 04/21/2026 | CO | Plan does not fit needs | 196.98 | - | 49.95 |
| 04/21/2026 05:43 pm | Isabel Luna Torres | 1007701411 | 260 | AZ | 30 day | 03/23/2026 | 04/03/2026 | Keystone Plat | 04/21/2026 | AZ | Client doesn't want to move forward after reviewing plan | 305.00 | - | 99.95 |
| 04/21/2026 05:40 pm | Seth Badwe | BAC2004049 | 30 | ME | - | 01/29/2026 | 02/01/2026 | MOMMY FINGER | 04/21/2026 | ME | Client is unsatisfied with claims payout | - | - | - |
| 04/21/2026 05:38 pm | Edward Brackett | BAC2003197 | 10 | NH | - | 11/24/2025 | 01/01/2026 | JOSHY LT | 04/21/2026 | NH | Client is unsatisfied with claims payout | - | - | - |
| 04/20/2026 07:58 pm | Darrell Friedman | BAC9087312 | 110 | MN | - | 01/14/2026 | 02/01/2026 | Cheeba Cohiba | 04/20/2026 | MN | Client was given incorrect benefit information | - | - | - |
| 04/20/2026 07:55 pm | Rebecca Setzer | BAC9041973 | 20 | MO | - | 10/21/2024 | 11/01/2024 | Green D | 04/20/2026 | MO | Client is going on state coverage | - | - | - |
| 04/20/2026 07:53 pm | Leslie Cisneros Ramirez | BAC9091181 | 10 | FL | - | 02/23/2026 | 02/24/2026 | Keystone Plat | 04/20/2026 | FL | Client is unsatisfied with claims payout | - | - | - |
| 04/20/2026 07:36 pm | Gregory Jones | BAC9089225 | 10 | AZ | - | 01/30/2026 | 02/01/2026 | PICKLED PETE | 04/20/2026 | AZ | Client is going through employer | - | - | - |
| 04/20/2026 07:33 pm | Nicholas Alemao | BAC9084721 | 30 | FL | - | 12/16/2025 | 01/01/2026 | REF/REWRITE | 04/20/2026 | FL | Client's doctor in not in network/ accepting plan | - | - | - |
| 04/20/2026 07:29 pm | Kelly Holihan | BAC9050644 | 500 | SC | - | 01/15/2026 | 01/16/2025 | Green D | 04/20/2026 | SC | Client is going on state coverage | - | - | - |
| 04/20/2026 07:25 pm | Michael Burlett | BAC9085761 | 20 | MI | - | 12/31/2025 | 01/01/2026 | KOMPLIANT KEVIN | 04/30/2026 | MI | Client is going through employer | - | - | - |
| 04/20/2026 06:59 pm | Sara Mohamed | BAC9090661 | 20 | AZ | - | 02/17/2026 | 02/18/2026 | Traffic Tree D | 04/20/2026 | AZ | Client purchased another Limited Medical Plan | - | - | - |
| 04/20/2026 06:55 pm | Giuseppina Settimo | BAC9081583 | 20 | MI | - | 11/21/2025 | 12/05/2025 | Keystone Inbound | 04/20/2026 | MI | Client is going on state coverage | - | - | - |
| 04/20/2026 06:52 pm | Kaitlynn Tussey | 1007701072 | 20 | OH | 30 day | 03/19/2026 | 04/01/2026 | Kiwi T-2 | 04/20/2026 | OH | Client wants a plan that meets ACA requirements | 244 | - | 99.95 |
| 04/20/2026 06:37 pm | Richard Ayala | 1007701281 | 220 | FL | 30 day | 03/22/2026 | 04/01/2026 | Kiwi T-2 | 04/20/2026 | FL | Client purchased another Limited Medical Plan | 305.00 | - | 99.95 |
| 04/17/2026 05:47 pm | Correy Farniok | 1007700125 | 220 | MN | 30 day | 03/04/2026 | 05/04/2026 | REF/REWRITE | 04/17/2026 | MN | Client doesn't want to move forward after reviewing plan | 660.00 | - | 99.95 |
| 04/17/2026 04:56 pm | Linzy Leggett | 1207901081 | 220 | GA | Same week | 04/15/2026 | 04/16/2026 | PICKLED PETE | 04/17/2026 | GA | Client doesn't want to move forward after reviewing plan | 305.00 | - | 99.95 |
| 04/17/2026 04:12 pm | Christina Lamothe | 1007701114 | 10 | MA | 30 day | 03/19/2026 | 04/01/2026 | Keystone Inbound | 04/17/2026 | MA | Client purchased a Major Medical plan | 660.00 | - | 99.95 |
| 04/17/2026 04:06 pm | Jacqueline Mcnabb | 1207901004 | 20 | HI | 30 day | 04/13/2026 | 04/17/2026 | PICKLED PETE | 04/17/2026 | HI | Plan does not fit needs | 388.00 | 61.9 | 99.95 |