AFIA CANCELS FORM REPORT
Total Records
2425
Showing 801–850 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 03/12/2026 06:22 pm | Kevin Mcdaniel | BAC9083745 | 110 | MI | - | 12/12/2025 | 01/01/2026 | HOT POTATO 1 | 03/12/2026 | MI | Client is going on state coverage | - | - | - |
| 03/12/2026 06:18 pm | Kathleen Woods | BAC9081461 | 20 | WI | - | 11/20/2025 | 12/01/2025 | Keystone Plat | 03/12/2026 | WI | Client is going on state coverage | - | - | - |
| 03/12/2026 06:13 pm | Kylie Foti | BAC9084896 | 220 | LA | 30 day | 12/18/2026 | 02/15/2026 | Traffic Tree D | 03/12/2026 | LA | Client is going through employer | 299.95 | - | 99.95 |
| 03/12/2026 06:08 pm | John Mayo | BAC9087426 | 110 | GA | 30 day | 01/15/2026 | 03/01/2026 | Cheeba Cohiba | 03/12/2026 | GA | Client purchased a Major Medical plan | 379.95 | E | 99.95 |
| 03/12/2026 06:04 pm | Robert Dieber | BAC9049576 | 500 | GA | - | 01/06/2025 | 02/01/2025 | Sittin" Sidewayz | 03/12/2026 | GA | Client is going on state coverage | - | - | - |
| 03/12/2026 05:13 pm | Darrell Klanchar | 1507800037 | 220 | PA | 30 day | 03/09/2026 | 03/20/2026 | KOMPLIANT KEVIN | 03/12/2026 | PA | Other Coverage | 305.00 | - | 99.95 |
| 03/12/2026 05:02 pm | Mona House | CHE2012016 | 10 | PA | - | 11/17/2024 | 11/18/2024 | PEPPERS N EGGS | 03/12/2026 | PA | Client purchased a Major Medical plan | - | - | - |
| 03/12/2026 04:58 pm | Ellison Randall | HES9004259 | 30 | GA | 30 day | 03/02/2026 | 03/03/2026 | Keystone Inbound | 03/12/2026 | GA | Client is going through employer | 234.95 | - | 99.95 |
| 03/12/2026 04:53 pm | Peter Georges | BAC2004214 | 110 | NH | - | 02/15/2026 | 02/16/2026 | Traffic Tree D | 03/12/2026 | NH | Client purchased a Major Medical plan | - | - | - |
| 03/12/2026 11:45 am | Robert Handzo | CHE2015730 | 10 | PA | - | 04/30/2025 | 05/01/2025 | Traffic Tree D | 03/12/2026 | PA | Client is unsatisfied with claims payout | - | - | - |
| 03/12/2026 11:28 am | Charles Berreth | 1008200089 | 260 | ME | Same day | 03/12/2026 | 04/01/2026 | KING BENNY | 03/12/2026 | ME | Client doesn't want to move forward after reviewing plan | 219.61 | - | 49.95 |
| 03/12/2026 11:17 am | Daniel Magalhaes | 1007700558 | 260 | MA | Same week | 03/11/2026 | 04/01/2026 | Keystone Inbound | 03/12/2026 | MA | Client doesn't want to move forward after reviewing plan | 471.95 | - | 99.95 |
| 03/11/2026 04:44 pm | Kennedy Chiasson | 1007700510 | 20 | LA | Same day | 03/11/2026 | 04/01/2026 | Keystone Plat | 03/11/2026 | LA | Other Coverage | 365.00 | - | 99.95 |
| 03/11/2026 04:39 pm | Robert Daisey Jr | BAC9079734 | 110 | VA | - | 11/06/2025 | 11/07/2025 | REF/REWRITE | 03/11/2026 | VA | Client purchased a Major Medical plan | - | - | - |
| 03/11/2026 12:16 pm | Dominique Kourie | BAC9092005 | 260 | OH | 30 day | 03/02/2026 | 03/03/2026 | Keystone Inbound | 03/10/2026 | OH | Client wants Wellness benefits included | 320.95 | - | 99.95 |
| 03/11/2026 10:26 am | Nicholas Kirschbaum | BAC9090058 | 230 | MS | - | 02/10/2026 | 02/11/2026 | Keystone Inbound | 03/10/2026 | MS | Client is going through employer | - | - | - |
| 03/11/2026 09:57 am | Blanca Nidia Aristizabal Botero | BAC9085593 | 10 | AZ | - | 12/30/2025 | 01/01/2026 | JOSHY LT | 03/11/2026 | AZ | Client can't afford plan | - | - | - |
| 03/10/2026 04:55 pm | Sherry Mauzerolle | BAC2002507 | 220 | ME | - | 09/04/2026 | 09/15/2025 | Keystone Inbound | 03/10/2026 | ME | Client is going through employer | - | - | - |
| 03/10/2026 04:51 pm | Julie Drayton | BAC2000493 | 20 | AK | - | 12/02/2024 | 12/03/2024 | Green D | 03/10/2026 | AK | Client is going through employer | - | - | - |
| 03/10/2026 04:46 pm | Dieudonne Ndenge | BAC9086114 | 110 | MN | - | 01/05/2026 | 01/06/2026 | Traffic Tree D | 03/10/2026 | MN | Other Coverage | - | - | - |
| 03/10/2026 03:54 pm | Dillon Wang | 1007700094 | 20 | VA | 30 day | 03/04/2026 | 04/01/2026 | MOMMY FINGER | 03/10/2026 | VA | Other Coverage | 538.95 | - | 99.95 |
| 03/10/2026 03:48 pm | Louis Maldonado Jr | BAC9065211 | 30 | TX | - | 06/19/2025 | 06/20/2025 | Gold LT | 03/10/2026 | TX | Client is unsatisfied with RX savings | - | - | - |
| 03/10/2026 03:45 pm | Georgina Seal | BAC9081709 | 10 | IN | - | 11/23/2025 | 11/24/2025 | Kiwi (ON) | 03/10/2026 | IN | Client can't afford plan | - | - | - |
| 03/10/2026 01:41 pm | Emily Vogel | CHE2012479 | 10 | PA | - | 12/10/2024 | 12/11/2024 | Sittin" Sidewayz | 03/10/2026 | PA | Client is going on spouses coverage | - | - | - |
| 03/10/2026 11:44 am | Andre Sevigny | 1007700340 | 110 | MA | 30 day | 03/09/2026 | 04/01/2026 | Keystone Plat | 03/10/2026 | MA | Plan does not fit needs | 453.00 | - | 99.95 |
| 03/10/2026 11:40 am | Shantoya Wilson | 1007700104 | 10 | IL | 30 day | 03/04/2026 | 03/05/2026 | Keystone Plat | 03/10/2026 | IL | Plan does not fit needs | 209.00 | - | 99.95 |
| 03/10/2026 11:27 am | Sharon Miller | BAC9091149 | 20 | MN | 30 day | 02/22/2026 | 03/23/2026 | Kiwi T-1 | 03/10/2026 | MN | Client can't afford plan | 299.95 | - | 99.95 |
| 03/10/2026 09:36 am | Ruth Vitale | 1007700220 | 20 | DE | 30 day | 03/05/2026 | 04/01/2026 | Keystone Plat | 03/10/2026 | DE | Client purchased a Major Medical plan | 305.00 | - | 99.95 |
| 03/09/2026 02:45 pm | Oneal Johnson | BAC9086052 | 80 | IL | - | 01/05/2026 | 01/06/2026 | White LT/ Nate-orade | 03/09/2026 | IL | Client is unsatisfied with claims payout | - | - | - |
| 03/09/2026 02:41 pm | Hoby Matlock | CRC2036403 | 110 | TX | - | 11/11/2024 | 01/01/2025 | Keystone Inbound | 03/09/2026 | TX | Client can't afford plan | - | - | - |
| 03/09/2026 11:54 am | Tiffany Campbell | BAC9091866 | 10 | VA | 30 day | 03/01/2026 | 03/02/2026 | Kiwi T-2 | 03/09/2026 | VA | Client is going on spouses coverage | 379.95 | 57.95 | 99.95 |
| 03/09/2026 11:26 am | Kimberly Wahlen | 1008200050 | 210 | SD | Same week | 03/08/2026 | 04/01/2026 | Traffic Tree D | 03/09/2026 | SD | Plan does not fit needs | 190.90 | - | 49.95 |
| 03/09/2026 09:30 am | Frances Brodsky | BAC9084940 | 220 | FL | - | 12/18/2025 | 01/01/2026 | Traffic Tree D | 03/09/2026 | FL | Plan does not fit needs | - | - | - |
| 03/09/2026 09:26 am | Teagan Zurface | BAC9043813 | 30 | OH | - | 11/05/2024 | 11/06/2024 | PEPPERS N EGGS | 03/09/2026 | OH | Plan does not fit needs | - | - | - |
| 03/09/2026 09:21 am | Deepa Moholkar | BAC9052691 | 20 | TX | - | 02/02/2025 | 02/03/2025 | Kiwi (ON) | 03/09/2026 | TX | Plan does not fit needs | - | - | - |
| 03/09/2026 09:13 am | Suman Prasad | 1507800032 | 30 | PA | Same week | 03/08/2026 | 04/01/2026 | Kiwi (ON) | 03/09/2026 | PA | Plan does not fit needs | 305.00 | - | 99.95 |
| 03/06/2026 03:21 pm | Monty Coker | BAC9089582 | 30 | AR | 30 day | 02/03/2026 | 03/01/2026 | Keystone Plat | 03/06/2026 | AR | Client doesn't want to move forward after reviewing plan | 439.95 | E | 99.95 |
| 03/06/2026 02:49 pm | Jillian Fagerness | BAC9077036 | 110 | MN | - | 10/16/2025 | 10/17/2025 | Kiwi (ON) | 03/06/2026 | MN | Client purchased another Limited Medical Plan | - | - | - |
| 03/06/2026 12:48 pm | Stephanie Sullivan | 1507800024 | 260 | PA | Same week | 03/05/2026 | 03/06/2026 | Keystone Inbound | 03/06/2026 | PA | Plan does not fit needs | 244.00 | - | 99.95 |
| 03/06/2026 10:39 am | Ralph Bove | 1008200039 | 20 | VT | Same week | 03/05/2026 | 03/06/2026 | Keystone Plat | 03/06/2026 | VT | Client doesn't want to move forward after reviewing plan | 241.73 | - | 49.95 |
| 03/05/2026 04:56 pm | Jerri Shank | BAC9090862 | 220 | IN | 30 day | 02/18/2026 | 03/01/2026 | KOMPLIANT KEVIN | 03/05/2026 | IN | Client purchased a Major Medical plan | 299.95 | - | 99.95 |
| 03/05/2026 02:53 pm | Ljupka Neducsin | CHE2019268 | 220 | PA | - | 11/01/2025 | 11/02/2025 | Kiwi (ON) | 03/05/2026 | PA | Plan does not fit needs | - | - | - |
| 03/05/2026 02:42 pm | Karen Foret | BAC9042066 | 80 | LA | - | 10/21/2024 | 10/22/2024 | Kiwi (ON) | 03/05/2026 | LA | Client is unsatisfied with claims payout | - | - | - |
| 03/05/2026 02:38 pm | Lynda Bockrath | BAC9079254 | 500 | OH | - | 11/03/2026 | 11/04/2025 | Keystone Plat | 03/05/2026 | OH | Client is going through employer | - | - | - |
| 03/05/2026 02:33 pm | Angela Hernandez | BAC9091935 | 30 | NC | 30 day | 03/02/2026 | 03/03/2026 | Keystone Inbound | 03/05/2026 | NC | Client doesn't want to move forward after reviewing plan | 379.95 | - | 99.95 |
| 03/04/2026 04:50 pm | Deidra C Nuness | CTN9007314 | 10 | AZ | - | 06/07/2023 | 07/01/2023 | REF/REWRITE | 03/04/2026 | AZ | Client is going on state coverage | - | - | - |
| 03/04/2026 04:45 pm | Kimberly Cook | BAC9086389 | 220 | OH | - | 01/07/2026 | 02/01/2026 | JOSHY LT | 03/04/2026 | OH | Client is going on spouses coverage | - | - | - |
| 03/04/2026 04:41 pm | Michelle Brown | BAC9084864 | 10 | WY | - | 12/17/2026 | 01/01/2026 | HOT POTATO 1 | 03/04/2026 | WY | Client is unsatisfied with RX savings | - | - | - |
| 03/04/2026 04:38 pm | Erik Jaques Rosales | BAC9086108 | 10 | IN | - | 01/05/2026 | 01/06/2026 | KOMPLIANT KEVIN | 03/04/2026 | IN | Client is going through employer | - | - | - |
| 03/04/2026 04:34 pm | Laura Becker | BAC9088031 | 10 | OH | - | 01/19/2026 | 01/20/2026 | Traffic Tree D | 03/04/2026 | OH | Client is unsatisfied with RX savings | - | - | - |