AFIA CANCELS FORM REPORT
Total Records
2425
Showing 51–100 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 07/24/2026 01:34 pm | Allison Rains | 1007706492 | 80 | AL | - | 05/17/2026 | 05/18/2026 | Kiwi T-1 | 07/24/2026 | AL | Client is going through employer | - | - | - |
| 07/24/2026 10:33 am | Keith Fought | 1507801216 | 110 | PA | Same week | 07/21/2026 | 07/22/2026 | Kiwi (ON) | 07/24/2026 | PA | Client doesn't want to move forward after reviewing plan | 305.00 | - | 99.95 |
| 07/24/2026 10:29 am | Richard Sams Ii | BAC9073589 | 110 | GA | - | 09/17/2026 | 09/18/2025 | Cheeba Cohiba 2 | 07/24/2026 | GA | Client is unsatisfied with claims payout | - | - | - |
| 07/23/2026 04:45 pm | Adewale Jafojo | 1207903132 | 10 | - | 30 day | 06/29/2026 | 07/01/2026 | REF/REWRITE | 07/23/2026 | - | Client doesn't want to move forward after reviewing plan | 467.00 | - | - |
| 07/23/2026 03:59 pm | Denise Brown | 138901862 | 10 | LA | Same week | 07/21/2026 | 07/22/2026 | Keystone Inbound | 07/23/2026 | LA | Client doesn't want to move forward after reviewing plan | 266.00 | - | 99.95 |
| 07/23/2026 03:26 pm | Miguel Solla | 138901546 | 30 | IN | 30 day | 07/16/2026 | 07/17/2026 | Kiwi T-2 | 07/23/2026 | IN | Client is going through employer | 399.00 | - | 99.95 |
| 07/23/2026 03:13 pm | Lea Jensen | 1008201443 | 10 | NH | - | 06/15/2026 | 06/16/2026 | PICKLED PETE | 07/23/2026 | NH | Client is unsatisfied with claims payout | - | - | - |
| 07/23/2026 11:56 am | Patricia Rogers | 138901658 | 260 | AL | 30 day | 07/17/2026 | 07/18/2026 | KEYSTONE 1X | 07/23/2026 | AL | Client doesn't want to move forward after reviewing plan | 325.00 | - | 99.95 |
| 07/23/2026 09:43 am | Emina Krdzic | 1207903670 | 110 | CT | Same week | 07/21/2026 | 09/01/2026 | Kiwi T-2 | 07/23/2026 | CT | Client doesn't want to move forward after reviewing plan | 335.95 | - | 99.95 |
| 07/22/2026 04:55 pm | Shelly Whiten | 1008202258 | 30 | WA | 30 day | 07/16/2026 | 07/18/2026 | Kiwi T-2 | 07/22/2026 | WA | Client's doctor in not in network/ accepting plan | 185.52 | - | 49.95 |
| 07/22/2026 03:27 pm | Soniya Islam | HES9003212 | 110 | TX | - | 12/22/2025 | 01/15/2026 | Traffic Tree D | 07/22/2026 | TX | Plan does not fit needs | - | - | - |
| 07/22/2026 03:24 pm | Stacey Carton | 1007704063 | 10 | AZ | - | 04/21/2026 | 04/22/2026 | Kiwi T-1 | 07/22/2026 | AZ | Plan does not fit needs | - | - | - |
| 07/22/2026 02:59 pm | Devin Morrison | 138901855 | 80 | LA | Same week | 07/21/2026 | 07/22/2026 | Keystone Inbound | 07/22/2026 | LA | Client doesn't want to move forward after reviewing plan | 266.00 | - | 99.95 |
| 07/22/2026 01:26 pm | Veronica Corral | 1008201966 | 80 | CO | 30 day | 07/02/2026 | 07/06/2026 | PICKLED PETE | 07/22/2026 | CO | Client doesn't want to move forward after reviewing plan | 245.66 | - | 49.95 |
| 07/22/2026 01:18 pm | Shinita Young | BAC9090969 | 20 | IL | - | 02/19/2026 | 02/20/2026 | Traffic Tree D | 07/22/2026 | IL | Client is unsatisfied with claims payout | - | - | - |
| 07/22/2026 01:14 pm | Rachel Matteson | 138901936 | 20 | IL | Same day | 07/22/2026 | 08/01/2026 | Cheeba Cohiba | 07/22/2026 | IL | Client doesn't want to move forward after reviewing plan | 393.00 | - | 99.95 |
| 07/22/2026 12:36 pm | Eric Mcdonnell | 1008202358 | 110 | VT | Same day | 07/22/2026 | 07/23/2026 | KEYSTONE 1X | 07/22/2026 | VT | Found other coverage | 216.63 | - | 49.95 |
| 07/22/2026 12:31 pm | James Wheeler | 1007710076 | 20 | MO | 30 day | 07/19/2026 | 08/01/2026 | Kiwi (ON) | 07/22/2026 | MO | Client is going through employer | 388.00 | - | 99.95 |
| 07/22/2026 11:55 am | Mary Diring | BAC9088684 | 220 | WI | - | 01/25/2026 | 01/26/2026 | Traffic Tree D | 07/22/2026 | WI | Client is going on state coverage | - | - | - |
| 07/22/2026 11:05 am | Ali Mance | CHE2021025 | 220 | PA | - | 02/27/2026 | 03/01/2026 | Cheeba Cohiba | 07/22/2026 | PA | Client purchased a Major Medical plan | - | - | - |
| 07/22/2026 11:01 am | Elaine Berkeley | BAC9087558 | 220 | FL | - | 01/15/2026 | 02/01/2026 | REF/REWRITE | 07/22/2026 | FL | Plan does not fit needs | - | - | - |
| 07/22/2026 10:49 am | Ricardo Lasa | 1007701414 | 30 | MA | - | 03/23/2026 | 03/24/2026 | Keystone Plat | 07/22/2026 | MA | Client purchased a Major Medical plan | - | - | - |
| 07/22/2026 10:46 am | Ryan Thompson | 1207903623 | 20 | FL | - | 07/20/2026 | 07/21/2026 | KEYSTONE 1X | 07/22/2026 | FL | Client doesn't want to move forward after reviewing plan | - | - | - |
| 07/21/2026 05:28 pm | Kimberly Edwards | 1007700100 | 30 | FL | - | 03/04/2026 | 04/01/2026 | Keystone Plat | 07/21/2026 | FL | Client was given incorrect benefit information | - | - | - |
| 07/21/2026 01:29 pm | Jack Liburdi | 1007702978 | 10 | MI | - | 04/09/2026 | 04/20/2026 | Keystone Inbound | 07/21/2026 | MI | Client can't afford plan | - | - | - |
| 07/21/2026 09:13 am | Ali Cakir | 1007710080 | 30 | MA | 30 day | 07/19/2026 | 07/20/2026 | Kiwi T-2 | 07/21/2026 | MA | Client can't afford plan | 244.00 | - | - |
| 07/21/2026 08:06 am | Lynn Garetson | BAC9033544 | 20 | WI | - | 07/29/2024 | 08/01/2024 | Keystone Plat | 07/21/2026 | WI | Client is going through employer | - | - | - |
| 07/20/2026 06:33 pm | Mercedes Pelayo | BAC9088870 | 220 | NV | - | 01/27/2026 | 02/01/2026 | MOMMY FINGER | 07/20/2026 | NV | Client purchased a Major Medical plan | - | - | - |
| 07/20/2026 06:29 pm | Grayson Russell | BAC9025228 | 30 | OK | - | 04/19/2024 | 04/24/2024 | QW CATCH ALL | 07/20/2026 | OK | Client is going through employer | - | - | - |
| 07/20/2026 06:23 pm | Rose Tomlin | 1007709872 | 80 | MA | 30 day | 07/03/2026 | 07/04/2026 | Kiwi T-2 | 07/20/0026 | MA | Client is going on state coverage | 244.00 | - | - |
| 07/20/2026 06:19 pm | Coy Elliott | 1007705435 | 10 | OK | - | 05/04/2026 | 05/14/2026 | Cheeba Cohiba | 07/20/2026 | OK | Client is unsatisfied with claims payout | - | - | - |
| 07/20/2026 01:49 pm | Paul Harnage | BAC9089692 | 30 | FL | - | 02/04/2026 | 02/05/2026 | Keystone Plat | 07/20/2026 | FL | Plan does not fit needs | - | - | - |
| 07/20/2026 12:54 pm | Said Yusuf | 1007710082 | 20 | MN | Same day | 07/20/2026 | 07/21/2026 | SUNRISE (ON) | 07/20/2026 | MN | Client doesn't want to move forward after reviewing plan | 244.00 | - | 99.95 |
| 07/20/2026 12:45 pm | Tyler Lamborn | 1007705918 | 80 | NE | - | 05/10/2026 | 05/11/2026 | Kiwi T-2 | 08/10/2026 | NE | Client is going through employer | - | - | - |
| 07/19/2026 02:01 pm | Rachael Dant | 1008202300 | 10 | CO | Same day | 07/19/2026 | 07/20/2026 | Traffic Tree D | 07/19/2026 | CO | Client doesn't want to move forward after reviewing plan | 196.98 | - | 49.95 |
| 07/19/2026 12:54 pm | Cynthia Trisolini | 1207902372 | 260 | HI | - | 06/01/2026 | 06/02/2026 | PICKLED PETE | 07/19/2026 | HI | Client is unsatisfied with claims payout | - | - | - |
| 07/19/2026 12:47 pm | Courtney White | 1007700487 | 20 | DC | - | 03/10/2026 | 03/11/2026 | Keystone Plat | 03/19/2026 | DC | Found other coverage | - | - | - |
| 07/17/2026 05:12 pm | Paula Drakeford | 1007702247 | 30 | OH | - | 04/01/2026 | 04/02/2026 | Keystone Plat | 07/17/2026 | OH | Client is going on state coverage | - | - | - |
| 07/17/2026 05:04 pm | Patrick Schuesler | 1007704089 | 220 | MI | - | 04/21/2026 | 04/23/2026 | Keystone Plat | 07/17/2026 | MI | Client is going on state coverage | - | - | - |
| 07/17/2026 04:53 pm | Kaydance Ard | 1007703957 | 20 | AZ | - | 04/20/2026 | 04/21/2026 | Keystone Plat | 07/17/2026 | AZ | Client is going on state coverage | - | - | - |
| 07/16/2026 04:38 pm | Mitchell Cordle | 1007708982 | 110 | OH | 30 day | 06/14/2026 | 06/15/2026 | Kiwi T-1 | 07/16/2026 | OH | Client is going through employer | 209.00 | - | - |
| 07/16/2026 04:35 pm | James Wright | 1008201727 | 80 | WA | - | 06/25/2026 | 06/26/2026 | SUNRISE (ON) | 07/16/2026 | WA | Found other coverage | - | - | - |
| 07/16/2026 02:21 pm | Paula Hurley | 1007705344 | 80 | SC | - | 05/04/2026 | 07/01/2026 | Keystone Plat | 07/16/2026 | SC | Client is going through employer | - | - | - |
| 07/16/2026 02:18 pm | Robert Robinson | 1007707106 | 220 | MI | - | 05/24/2026 | 05/25/2026 | Kiwi (ON) | 07/16/2026 | MI | Client is going on state coverage | - | - | - |
| 07/16/2026 01:50 pm | Brittany Ballou | 1008200850 | 220 | WA | - | 05/14/2026 | 05/15/2026 | PICKLED PETE | 07/16/2026 | WA | Client can't afford plan | - | - | - |
| 07/16/2026 01:41 pm | Sage Gaudette | 1008200224 | 500 | NH | - | 03/26/2026 | 03/27/2026 | Sunrise 1 | 07/16/2026 | NH | Client can't afford plan | - | - | - |
| 07/16/2026 12:47 pm | Zuan Wolmarans | 138900119 | 10 | ND | 30 day | 06/24/2026 | 06/25/2026 | PICKLED PETE | 07/16/2026 | ND | INSULIN AND DIABETIC SUPPLIESNOT COVERED | 393.00 | - | 99.95 |
| 07/16/2026 08:41 am | Madison Bruce | 1007703642 | 80 | VA | - | 04/16/2026 | 04/17/2026 | Cheeba Cohiba | 07/16/2026 | VA | Found other coverage | - | - | - |
| 07/15/2026 06:51 pm | Francisco Gonzalez | 1007710025 | 10 | MN | Same day | 07/15/2026 | 07/16/2026 | PICKLED PETE | 07/15/2026 | MN | Found other coverage | 209.00 | - | 99.95 |
| 07/15/2026 05:09 pm | Susan Schneider | BAC9033858 | 80 | TX | - | 07/31/2024 | 08/01/2024 | GREEN BEAN | 07/15/2026 | TX | Client is going on state coverage | - | - | - |