AFIA CANCELS FORM REPORT
Total Records
2425
Showing 851–900 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 03/04/2026 04:30 pm | Bj Hosaka | HES9002134 | 110 | HI | - | 06/03/2025 | 06/04/2025 | Keystone Plat | 03/04/2026 | HI | Client is going through employer | - | - | - |
| 03/04/2026 11:22 am | Candy Kane | HES9003057 | 30 | HI | - | 11/30/2025 | 01/01/2026 | Sunrise 1 | 03/04/2026 | HI | Plan does not fit needs | - | - | - |
| 03/04/2026 09:59 am | Charlene Krings | BAC9089049 | 220 | NE | 30 day | 01/29/2026 | 03/01/2026 | Keystone Plat | 03/04/2026 | NE | Client is unsatisfied with RX savings | 379.95 | - | 99.95 |
| 03/04/2026 09:54 am | Linda Murphy | BAC9091861 | 110 | MI | 30 day | 03/01/2026 | 03/09/2026 | KOMPLIANT KEVIN | 03/04/2026 | MI | Client can't afford plan | 234.95 | - | 99.95 |
| 03/03/2026 04:56 pm | Dana Childs | BAC9046987 | 20 | TN | - | 12/08/2024 | 01/01/2026 | Nexus D | 03/03/2026 | TN | Client can't afford plan | - | - | - |
| 03/03/2026 04:48 pm | Daniel Butler | BAC9091906 | 110 | MI | 30 day | 03/02/2026 | 03/03/2026 | Keystone Plat | 03/03/2026 | MI | Client's doctor in not in network/ accepting plan | 234.95 | - | 99.95 |
| 03/03/2026 04:45 pm | Yvonne Mcquaker | HES9003777 | 260 | GA | 30 day | 02/12/2026 | 02/15/2026 | Keystone Plat | 03/03/2026 | GA | Client doesn't want to move forward after reviewing plan | 299.95 | - | - |
| 03/03/2026 04:39 pm | Gena Harris | CHE2021086 | 220 | NC | 30 day | 03/02/2026 | 03/03/2026 | Traffic Tree D | 03/03/2026 | NC | Client's doctor in not in network/ accepting plan | 379.95 | V | 99.95 |
| 03/03/2026 04:29 pm | James Mccurdy | BAC9085320 | 110 | MA | - | 12/28/2025 | 01/01/2026 | PURPLE ELEPHANT X | 03/03/2026 | MA | Client is going through employer | - | - | - |
| 03/03/2026 04:26 pm | Carrie Thompson | BAC9092012 | 220 | KY | Same day | 03/03/2026 | 03/04/2026 | Keystone Plat | 03/03/2026 | KY | Client doesn't want to move forward after reviewing plan | 379.95 | V | 99.95 |
| 03/03/2026 03:45 pm | Kerry Tomlinson | BAC2001945 | 10 | AK | - | 06/18/2025 | 06/19/2025 | Kiwi T-1 | 03/03/2026 | AK | Client wants a plan that meets ACA requirements | - | - | - |
| 03/03/2026 03:41 pm | David Lopez | BAC9090071 | 110 | IL | 30 day | 02/10/2026 | 02/11/2026 | BAC9090071 | 03/03/2026 | IL | Client purchased another Limited Medical Plan | 439.95 | - | 99.95 |
| 03/03/2026 03:36 pm | Timothy Miller | BAC9087360 | 10 | FL | - | 01/14/2026 | 01/24/2026 | JOSHY LT | 03/03/2026 | FL | Client wants a plan that meets ACA requirements | - | - | - |
| 03/03/2026 03:32 pm | Emma Lashley | BAC9054467 | 20 | IN | - | 03/20/2025 | 03/01/2025 | Keystone Plat | 03/03/2026 | IN | Client is going through employer | - | - | - |
| 03/03/2026 03:30 pm | Theriesa Bolton | BAC9059350 | 220 | IL | - | 04/15/2025 | 05/01/2025 | Traffic Tree D | 03/03/2026 | IL | Client purchased a Major Medical plan | - | - | - |
| 03/03/2026 03:26 pm | Paula Andersen | CHE2019285 | 20 | PA | - | 11/03/2025 | 12/01/2025 | Keystone Plat | 03/03/2026 | PA | Client is going on state coverage | - | - | - |
| 03/03/2026 03:22 pm | Paul Sowa | HES9004249 | 220 | TX | 30 day | 03/01/2026 | 03/15/2026 | Kiwi (ON) | 03/03/2026 | TX | Client doesn't want to move forward after reviewing plan | 379.95 | v | 99.95 |
| 03/02/2026 06:44 pm | Jane Kopperl | BAC2003195 | 500 | CO | - | 11/24/2025 | 01/01/2026 | Cheeba Cohiba | 03/02/2026 | CO | Plan does not fit needs | - | - | - |
| 03/02/2026 06:31 pm | Cody Taylor | BAC9083571 | 220 | MN | - | 12/11/2025 | 01/01/2026 | HOT POTATO 1 | 03/02/2026 | MN | Client wants a plan that meets ACA requirements | - | - | - |
| 03/02/2026 06:11 pm | Craig Treisch | BAC9091939 | 30 | OH | Same day | 03/02/2026 | 03/02/2026 | Cheeba Cohiba | 03/02/2026 | OH | Client is unsatisfied with RX savings | 234.95 | - | 99.95 |
| 03/02/2026 06:09 pm | Ray Ramos | BAC9085506 | 10 | TX | - | 12/29/2025 | 01/01/2026 | KOMPLIANT KEVIN | 03/02/2026 | TX | Client is unsatisfied with claims payout | - | - | - |
| 03/02/2026 06:07 pm | Kari Kraus | BAC9056291 | 220 | TX | - | 03/12/2025 | 04/01/2025 | Kiwi (ON) | 03/02/2026 | TX | Client is going on state coverage | - | - | - |
| 03/02/2026 06:04 pm | Scott Windelspecht | BAC9081501 | 220 | MN | - | 11/20/2025 | 12/01/2025 | HOT POTATO 1 | 03/02/2026 | MN | Client is going through employer | - | - | - |
| 03/02/2026 05:59 pm | Laura Eslick | BAC9089688 | 10 | OK | - | 02/04/2026 | 02/05/2026 | Keystone Plat | 03/02/2026 | OK | Client can't afford plan | - | - | - |
| 03/02/2026 05:41 pm | Valerie Bartkus | BAC9080261 | 20 | FL | - | 11/11/2026 | 11/12/2025 | Keystone Plat | 03/02/2026 | FL | Client is going on state coverage | - | - | - |
| 03/02/2026 05:31 pm | Judy Gray | BAC9053181 | 500 | MA | - | 02/07/2025 | 02/08/2025 | HOT POTATO 1 | 03/02/2026 | MA | Client purchased a Major Medical plan | - | - | - |
| 03/02/2026 05:11 pm | Teresa Bechard | BAC2004065 | 110 | SD | - | 01/30/2026 | 02/01/2026 | Traffic Tree D | 03/02/2026 | SD | Client's doctor in not in network/ accepting plan | - | - | - |
| 03/02/2026 05:08 pm | Samantha Maiden | BAC9084360 | 110 | IN | - | 12/15/2025 | 01/01/2026 | TRAFFIC TREE LT | 03/02/2026 | IN | Client's doctor in not in network/ accepting plan | - | - | - |
| 03/02/2026 05:05 pm | Ryan Cambre | BAC9091880 | 10 | LA | Same day | 03/02/2026 | 03/03/2026 | Keystone Plat | 03/02/2026 | LA | Client doesn't want to move forward after reviewing plan | 234.95 | - | 99.95 |
| 03/02/2026 05:03 pm | Allyson Mccarty | BAC2003562 | 110 | ME | - | 12/15/2026 | 01/01/2026 | Keystone Plat | 03/02/2026 | ME | Client is going on spouses coverage | - | - | - |
| 03/02/2026 05:00 pm | Eva Doran | BAC9084037 | 220 | MN | - | 12/14/2025 | 01/01/2026 | HOT POTATO 1 | 03/02/2026 | MN | Client purchased another Limited Medical Plan | - | - | - |
| 03/02/2026 04:55 pm | Julie Gordon | BAC9087696 | 220 | FL | 30 day | 01/15/2026 | 02/01/2026 | Cheeba Cohiba | 03/02/2026 | FL | Plan does not fit needs | 509.95 | - | 99.95 |
| 03/02/2026 04:51 pm | Saskia Sayeg | CHE2019729 | 10 | PA | - | 12/07/2025 | 12/08/2025 | KOMPLIANT KEVIN | 03/02/2026 | PA | Client is going through employer | - | - | - |
| 03/02/2026 04:14 pm | Michael Calderone | CHE2019592 | 500 | PA | - | 11/25/2025 | 01/01/2026 | Keystone Plat | 03/02/2026 | PA | Plan does not fit needs | - | - | - |
| 03/02/2026 03:58 pm | Tanya Trewick Ryans | CHE2021075 | 260 | PA | Same week | 03/01/2026 | 04/01/2026 | Cheeba Cohiba | 03/02/2026 | PA | Client doesn't want to move forward after reviewing plan | 509.95 | - | 99.95 |
| 03/02/2026 02:39 pm | Lauren Holdcroft | CHE2019614 | 110 | PA | - | 11/28/2025 | 12/01/2025 | Cheeba Cohiba | 03/02/2026 | PA | Plan does not fit needs | - | - | - |
| 02/27/2026 08:59 pm | Callistus Nzeh | BAC2003192 | 20 | VT | - | 11/24/2026 | 01/22/2026 | HOT POTATO 1 | 02/27/2026 | VT | Client has relocated where plan is not available | - | - | - |
| 02/27/2026 08:56 pm | Michael Porter | BAC9085776 | 220 | AZ | 30 day | 12/31/2025 | 02/01/2026 | KOMPLIANT KEVIN | 02/27/2026 | AZ | Client doesn't want to move forward after reviewing plan | 669.95 | - | 99.95 |
| 02/27/2026 08:49 pm | Sherri Knox | BAC9079293 | 10 | IA | - | 11/03/2025 | 11/13/2025 | Keystone Plat | 02/27/2026 | IA | Client is unsatisfied with claims payout | - | - | - |
| 02/27/2026 08:43 pm | Gina Mccormick | BAC9086767 | 20 | IL | 30 day | 01/11/2026 | 02/01/2026 | KOMPLIANT KEVIN | 02/27/2026 | IL | Client's doctor in not in network/ accepting plan | 379.95 | 57.95 | 99.95 |
| 02/27/2026 08:30 pm | Nader Barakat | BAC9085727 | 20 | IL | - | 12/31/2025 | 01/01/2026 | MOMMY FINGER | 02/27/2026 | IL | Client is going on state coverage | - | - | - |
| 02/27/2026 05:20 pm | Daphne Douglas | BAC9089512 | 20 | DC | 30 day | 02/03/2026 | 02/04/2026 | Keystone Plat | 02/27/2026 | DC | Client's doctor in not in network/ accepting plan | 299.95 | - | 99.95 |
| 02/27/2026 05:05 pm | Joseph Stych | BAC9079336 | 10 | FL | - | 11/04/2025 | 11/05/2025 | Keystone Inbound | 02/27/2026 | FL | Client is going through employer | - | - | - |
| 02/27/2026 05:03 pm | Susan Alemao | BAC9084711 | 30 | FL | - | 12/16/2025 | 01/01/2026 | - | 02/27/2026 | FL | Client has relocated where plan is not available | - | - | - |
| 02/27/2026 04:47 pm | Henry Gainer | CHE2011860 | 500 | PA | - | 11/10/2024 | 11/11/2024 | Kiwi (ON) | 02/27/2026 | PA | Client is going on state coverage | - | - | - |
| 02/27/2026 04:45 pm | Kerry Altland Klase | CHE2020004 | 10 | PA | - | 12/22/2026 | 01/01/2026 | KOMPLIANT KEVIN | 02/27/2026 | PA | Client's doctor in not in network/ accepting plan | - | - | - |
| 02/27/2026 04:43 pm | Klaus Schwarz | HES9004134 | 220 | TX | Same week | 02/25/2026 | 03/01/2026 | Keystone Plat | 03/27/2026 | TX | Client's doctor in not in network/ accepting plan | 379.95 | v | 99.95 |
| 02/27/2026 12:34 pm | Lora Hamilton | BAC2003662 | 10 | UT | - | 12/23/2025 | 01/01/2026 | - | 02/27/2026 | UT | Client is going on state coverage | - | - | - |
| 02/27/2026 11:55 am | Gailon Greene | BAC2003997 | 210 | CO | - | 01/23/2026 | 01/24/2026 | MOMMY FINGER | 02/27/2026 | CO | Client can't afford plan | - | - | - |
| 02/27/2026 11:28 am | Kristen Damveld | BAC9090850 | 220 | FL | 30 day | 02/18/2026 | 03/01/2026 | Traffic Tree D | 02/27/2026 | FL | Client doesn't want to move forward after reviewing plan | 299.95 | - | 99.95 |