AFIA CANCELS FORM REPORT
Showing 1451–1500 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 12/18/2025 04:29 pm | Josephine Manuntag | BAC9051668 | 500 | MN | - | 01/23/2025 | 02/01/2025 | Cheeba Cohiba | 12/18/2025 | MN | Client is going on state coverage | - | - | - |
| 12/18/2025 04:26 pm | Jason Pacyna | BAC9083093 | 10 | IL | 30 day | 12/08/2025 | 12/09/2025 | Cheeba Cohiba | 12/18/2025 | IL | Client's doctor in not in network/ accepting plan | 234.95 | - | 99.95 |
| 12/18/2025 04:23 pm | Emily Lentz | BAC9083276 | 20 | IN | 30 day | 12/09/2025 | 12/10/2025 | Cheeba Cohiba | 12/18/2025 | IN | Client purchased a Major Medical plan | 320.95 | - | 99.95 |
| 12/18/2025 04:19 pm | Michael Walker | BAC9065905 | 110 | TX | - | 06/26/2025 | 07/01/2025 | Keystone Plat | 12/18/2025 | TX | Plan does not fit needs | - | - | - |
| 12/18/2025 04:14 pm | Conner Lewis | BAC9028295 | 500 | KY | - | 05/29/2025 | 06/01/2024 | BERRY | 12/18/2025 | KY | Plan does not fit needs | - | - | - |
| 12/18/2025 04:10 pm | Heidi Gulbranson | BAC9075897 | 10 | WI | - | 10/07/2025 | 10/09/2025 | KOMPLIANT KEVIN | 12/18/2025 | WI | Client is going on spouses coverage | - | - | - |
| 12/18/2025 04:07 pm | Christopher Knapp | BAC9084891 | 20 | OH | Same day | 12/18/2025 | 01/01/2026 | Traffic Tree D | 12/18/2025 | OH | Client doesn't want to move forward after reviewing plan | 439.95 | E | 99.95 |
| 12/18/2025 04:03 pm | Ronald Johnson | BAC9063165 | 10 | WI | - | 05/28/2025 | 06/01/2025 | Green D | 12/18/2025 | WI | Client wants a plan that meets ACA requirements | - | - | - |
| 12/18/2025 03:57 pm | Veronica Tennant | BAC9077226 | 30 | MI | - | 10/19/2025 | 01/01/2026 | Kiwi (ON) | 12/18/2025 | MI | Client purchased a Major Medical plan | 299.95 | - | 99.95 |
| 12/18/2025 03:54 pm | Zeeshan Ahmad | BAC9082551 | 250 | TX | 30 day | 12/03/2025 | 12/07/2025 | JOSHY LT | 12/18/2025 | TX | Client's doctor in not in network/ accepting plan | 299.95 | - | 99.95 |
| 12/18/2025 03:49 pm | Patricia Spoerle | BAC9084869 | 220 | FL | Same week | 12/17/2025 | 01/15/2026 | Traffic Tree D | 12/18/2025 | FL | Client doesn't want to move forward after reviewing plan | 379.95 | V | 99.95 |
| 12/18/2025 03:43 pm | Thomas Glass | CHE2019914 | 30 | NC | 30 day | 12/15/2025 | 01/01/2026 | CHE2019914 | 12/17/2025 | NC | Client extended Cobra plan | 439.95 | - | 99.95 |
| 12/17/2025 07:47 pm | Misbahul Hasan | CHE2019943 | 220 | PA | Same week | 12/16/2025 | 01/01/2026 | HOT POTATO 1 | 12/17/2026 | PA | Client doesn't want to move forward after reviewing plan | 669.95 | - | 99.95 |
| 12/17/2025 07:44 pm | Katherine Heilmann | BAC9084169 | 80 | FL | 30 day | 12/14/2025 | 01/01/2026 | Keystone Plat | 12/17/2025 | FL | Client doesn't want to move forward after reviewing plan | 234.95 | - | 99.95 |
| 12/17/2025 07:41 pm | Margaret Prine | BAC9084651 | 250 | NE | 30 day | 12/15/2025 | 01/01/2026 | HOT POTATO 1 | 12/17/2025 | NE | Client doesn't want to move forward after reviewing plan | 299.95 | - | 99.95 |
| 12/17/2025 07:35 pm | Paul Mahon | BAC9065369 | 210 | AR | - | 06/22/2025 | 07/01/2025 | Green D | 12/17/2025 | AR | Client purchased a Major Medical plan | - | - | - |
| 12/17/2025 07:04 pm | Sandra Mena | BAC9073375 | 20 | VA | - | 09/16/2025 | 09/17/2025 | Cheeba Cohiba | 02/17/2025 | VA | Client doesn't want to move forward after reviewing plan | - | - | - |
| 12/17/2025 07:02 pm | Alexandra Daniell | BAC9084387 | 20 | MA | 30 day | 12/15/2025 | 01/01/2026 | HOT POTATO 1 | 12/17/2025 | MA | Client wants a plan that meets ACA requirements | 439.95 | P | 99.95 |
| 12/17/2025 06:53 pm | Navin Singh | BAC9084440 | 10 | FL | Same week | 12/15/2025 | 12/16/2025 | Kiwi T-2 | 12/17/2025 | FL | Client purchased a Major Medical plan | 299.95 | - | 99.95 |
| 12/17/2025 06:47 pm | Lori Dunn | BAC9084746 | 220 | MA | Same week | 12/16/2025 | 01/01/2026 | Traffic Tree D | 12/17/2025 | MA | Client wants a plan that meets ACA requirements | 379.95 | V | 99.95 |
| 12/16/2025 08:30 pm | Julio Oryan | BAC9083350 | 110 | TX | 30 day | 12/10/2025 | 01/01/2026 | HOT POTATO 1 | 12/16/2025 | TX | Client's doctor in not in network/ accepting plan | 439.95 | - | 99.95 |
| 12/16/2025 08:26 pm | Joan Hayes | BAC9051890 | 10 | MN | - | 01/26/2025 | 02/01/2025 | Daddy Finger | 12/16/2025 | MN | Client purchased a Major Medical plan | - | - | - |
| 12/16/2025 08:23 pm | Roshma Maboo | BAC9066283 | 10 | OH | - | 06/30/2025 | 07/01/2025 | Keystone Plat | 12/16/2025 | OH | Client is unsatisfied with claims payout | - | - | - |
| 12/16/2025 08:20 pm | Sandra Manning | BAC9079757 | 20 | TX | - | 11/06/2025 | 11/07/2025 | Kiwi T-1 | 12/16/0025 | TX | Client is going on state coverage | - | - | - |
| 12/16/2025 08:08 pm | Anthony West | BAC9055494 | 10 | MO | - | 03/03/2025 | 03/04/2025 | Keystone Plat | 02/16/2025 | MO | Client purchased a Major Medical plan | - | - | - |
| 12/16/2025 08:06 pm | Susan St Laurent | BAC2002199 | 210 | NH | - | 07/20/2025 | 09/01/2025 | Kiwi (ON) | 12/16/2025 | NH | Client purchased a Major Medical plan | - | - | - |
| 12/16/2025 08:03 pm | Todd Andersen | BAC9062815 | 30 | MN | - | 05/25/2025 | 07/15/2025 | Traffic Tree D | 12/16/2025 | MN | Client is going through employer | - | - | - |
| 12/16/2025 07:52 pm | Danielle Childress | BAC9078616 | 10 | MO | - | 10/30/2025 | 11/01/2025 | Kiwi (ON) | 12/16/2025 | MO | Client is going on state coverage | - | - | - |
| 12/16/2025 07:27 pm | John Ragonese | BAC2003547 | 10 | NH | 30 day | 12/15/2025 | 01/01/2026 | - | 12/16/2025 | NH | Client purchased a Major Medical plan | 192.55 | - | 49.95 |
| 12/16/2025 07:13 pm | Gregory Schmid | BAC9083029 | 250 | OH | 30 day | 12/08/2025 | 01/01/2026 | Kiwi T-2 | 12/16/2025 | OH | Client doesn't want to move forward after reviewing plan | 669.95 | - | 99.95 |
| 12/15/2025 11:58 pm | Sandra O Brien | CHE2013783 | 210 | PA | - | 02/09/2025 | 02/10/2025 | Kiwi (ON) | 12/15/2025 | PA | Client is going on state coverage | - | - | - |
| 12/15/2025 11:56 pm | Nadeem Sikandar | BAC9084113 | 110 | MA | Same week | 12/14/2025 | 01/01/2026 | Keystone Plat | 12/15/2025 | MA | Client doesn't want to move forward after reviewing plan | 389.95 | - | 99.95 |
| 12/15/2025 11:52 pm | Debbie Hodnett | BAC9083703 | 30 | DC | Same week | 12/12/2025 | 01/01/2026 | Kiwi T-2 | 12/15/2025 | DC | Plan does not fit needs | 379.95V | 57.95, 61.95 | 99.95 |
| 12/15/2025 11:49 pm | Erick Delahooke | BAC2002176 | 10 | CO | - | 07/16/2025 | 07/17/2025 | Traffic Tree D | 12/15/2025 | CO | Client is going on state coverage | - | - | - |
| 12/15/2025 11:44 pm | Karen Ricker | BAC9083427 | 250 | OH | Same week | 12/10/2025 | 01/01/2026 | MOMMY FINGER | 12/15/2025 | OH | Client doesn't want to move forward after reviewing plan | 379.95 | E | 99.95 |
| 12/15/2025 11:27 pm | William Fili | BAC9084248 | 10 | MA | Same day | 12/15/2025 | 01/01/2026 | Keystone Plat | 12/15/2025 | MA | Client's doctor in not in network/ accepting plan | 669.95 | - | 99.95 |
| 12/15/2025 11:23 pm | Sau Fung Kwan | BAC9079700 | 220 | MA | 30 day | 11/08/2025 | 01/01/2026 | Kiwi (ON) | 12/15/2025 | MA | Client is going through employer | 379.95 | V | 99.95 |
| 12/15/2025 11:19 pm | Luke Thompson | BAC9070621 | 30 | IL | - | 08/19/2025 | 08/20/2025 | Keystone Plat | 12/15/2025 | IL | Client is going through employer | - | - | - |
| 12/15/2025 11:05 pm | Cecilia Hoffman | BAC9083519 | 250 | MN | Same week | 12/11/2025 | 01/01/2026 | HOT POTATO 1 | 12/15/2025 | MN | Client doesn't want to move forward after reviewing plan | 439.95 | - | 99.95 |
| 12/15/2025 11:03 pm | Vickie Branham | BAC9083932 | 30 | SC | Same week | 12/13/2025 | 01/01/2026 | Keystone Plat | 12/15/2025 | SC | Client's doctor in not in network/ accepting plan | 234.95 | - | 99.95 |
| 12/15/2025 10:53 pm | Donna Tarquinio | BAC9083836 | 80 | FL | Same week | 12/12/2025 | 01/01/2026 | Cheeba Cohiba | 12/15/2025 | FL | Client doesn't want to move forward after reviewing plan | 379.95 | V | 99.95 |
| 12/15/2025 10:50 pm | Santiago Cano Van Der Meer | BAC9078103 | 10 | GA | 30 day | 10/25/2025 | 12/15/2025 | KIWI T-3 | 12/15/2025 | GA | Client is going through employer | 320.95 | - | 99.95 |
| 12/15/2025 10:47 pm | Dennis Rodrigues | BAC9083074 | 220 | FL | 30 day | 12/08/2025 | 01/01/2026 | Cheeba Cohiba | 12/15/2025 | FL | Client doesn't want to move forward after reviewing plan | 379.95 | E | 99.95 |
| 12/15/2025 10:42 pm | Anita Astley | BAC9044421 | 20 | WI | - | 11/10/2024 | 01/01/2025 | White LT | 12/15/2025 | WI | Plan does not fit needs | - | - | - |
| 12/15/2025 10:39 pm | David Klucas | BAC9082132 | 10 | OH | 30 day | 11/30/2025 | 01/01/2026 | Kiwi T-1 | 12/15/2025 | OH | Client doesn't want to move forward after reviewing plan | 379.95 | V | 99.95 |
| 12/15/2025 10:36 pm | Wenting Dong | BAC9083628 | 10 | MA | Same week | 12/11/2025 | 01/01/2026 | HOT POTATO 1 | 12/15/2025 | MA | Client doesn't want to move forward after reviewing plan | 609.95 | - | 99.95 |
| 12/15/2025 06:36 pm | Bhavesh Patel | BAC9071533 | 20 | MA | - | 08/28/2025 | 09/01/2025 | Kiwi (ON) | 12/15/2025 | MA | Client purchased a Major Medical plan | - | - | - |
| 12/15/2025 06:33 pm | Evan Young | BAC9058329 | 210 | MN | - | 04/03/2025 | 04/04/2025 | Sittin" Sidewayz | 12/15/2025 | MN | Client is going through employer | - | - | - |
| 12/15/2025 06:29 pm | Chase Speert | BAC9083928 | 10 | OH | Same week | 12/13/2025 | 12/14/2025 | Keystone Inbound | 12/15/2025 | OH | Client doesn't want to move forward after reviewing plan | - | V | - |
| 12/15/2025 06:27 pm | Todd Wells | BAC9082961 | 10 | LA | 30 day | 12/07/2025 | 01/01/0206 | Traffic Tree (ON) | 12/15/2025 | LA | Client is going on spouses coverage | 379.95 | V | 99.95 |