AFIA CANCELS FORM REPORT
Total Records
2425
Showing 1501–1550 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 12/15/2025 06:22 pm | Paul Actis | BAC9046990 | 10 | MA | - | 12/08/2024 | 12/09/2024 | Green D | 12/15/2025 | MA | Client purchased a Major Medical plan | - | - | - |
| 12/15/2025 07:51 am | Janna Jovine | CHE2014105 | 10 | PA | - | 02/23/2025 | 02/24/2025 | Traffic Tree (ON) | 12/15/2025 | PA | Plan does not fit needs | - | - | - |
| 12/15/2025 07:51 am | Kelly Butelli | CHE2013373 | 110 | PA | - | 01/22/2025 | 01/23/2025 | Cheeba Cohiba | 05/22/2025 | PA | Client purchased a Major Medical plan | - | - | - |
| 12/15/2025 07:51 am | Lesha Glaush | CHE2015731 | 10 | PA | - | 04/30/2025 | 05/01/2025 | HOT POTATO 3 | 12/15/2025 | PA | Client can't afford plan | - | - | - |
| 12/15/2025 07:51 am | Amber Liegey | CHE2019899 | 20 | PA | Same day | 12/15/2025 | 01/01/2026 | HOT POTATO 1 | 12/15/2025 | PA | Client doesn't want to move forward after reviewing plan | 379.95 | V | 99.95 |
| 12/15/2025 07:51 am | Hiral Rudani | CHH9003950 | 70 | PA | - | 02/09/2023 | 02/10/2023 | RANK(ON) | 12/15/2025 | PA | Client is going on spouses coverage | - | - | - |
| 12/15/2025 07:51 am | Keith Trone | CHE2018250 | 30 | PA | - | 08/19/2025 | 09/01/2025 | CONVOSO AGED | 12/15/2025 | PA | Client purchased a Major Medical plan | - | - | - |
| 12/12/2025 10:04 pm | Jay Mccall | CHE2019817 | 250 | PA | Same week | 12/11/2025 | 01/01/2026 | HOT POTATO 1 | 12/12/2025 | PA | Client has Pre-X that is ot covered | 669.95 | - | 99.95 |
| 12/12/2025 10:00 pm | Devon Velez | CHE2019520 | 10 | PA | 30 day | 11/19/2025 | 01/01/2026 | REF/REWRITE | 12/12/2025 | PA | Client is going on spouses coverage | 669.95 | - | 99.95 |
| 12/12/2025 09:56 pm | Hannah Van Weelden | BAC9079070 | 30 | IA | 30 day | 11/02/2025 | 01/01/2026 | KIWI T-3 | 12/11/2025 | IA | Client can't afford plan | 234.95 | - | 99.95 |
| 12/12/2025 09:50 pm | Emir Jarebica | BAC2002839 | 20 | NH | 30 day | 10/22/2025 | 10/23/2025 | KIWI T-3 | 12/12/2025 | NH | Client purchased a Major Medical plan | 192.55 | - | - |
| 12/12/2025 09:46 pm | Carol Phillips | BAC9082290 | 250 | AL | 30 day | 12/01/2025 | 01/01/2026 | Cheeba Cohiba | 12/12/2025 | AL | Client doesn't want to move forward after reviewing plan | 299.95 | - | 99.95 |
| 12/12/2025 09:40 pm | Samantha Brittain | BAC9079765 | 220 | FL | - | 11/06/2025 | 11/07/2025 | KIWI T-3 | 12/12/2025 | FL | Client is going on spouses coverage | - | - | - |
| 12/12/2025 08:52 pm | Rebecca Lumley | BAC9082073 | 220 | FL | - | 11/28/2025 | 12/01/2025 | Kiwi T-2 | 12/12/2025 | FL | Client purchased a Major Medical plan | 379.95 V | - | 99.95 |
| 12/12/2025 08:19 pm | Aubrey Ming | BAC9037013 | 500 | TX | - | 08/29/2024 | 09/01/2024 | Best D | 12/12/2025 | TX | Client purchased a Major Medical plan | - | - | - |
| 12/11/2025 05:54 pm | Nataliia Ivaniv | CHE2019812 | 110 | PA | Same day E | 12/11/2025 | 01/01/2026 | KOMPLIANT KEVIN | 12/11/2025 | PA | Client doesn't want to move forward after reviewing plan | 439.95 | - | 99.95 |
| 12/11/2025 05:51 pm | Kimberly Weber | CHE2011462 | 80 | PA | - | 10/28/2024 | 12/18/2024 | Sittin" Sidewayz | 12/11/2025 | PA | Client is going through employer | - | - | - |
| 12/11/2025 05:48 pm | Tamera Jackson | BAC9013635 | 500 | VA | - | 12/05/2023 | 12/01/2024 | KIWI T-1 | 12/11/2025 | VA | Client is going on state coverage | - | - | - |
| 12/11/2025 05:44 pm | Teri Juenger | BAC9082384 | 220 | MN | 30 day | 12/02/2025 | 01/01/2026 | KOMPLIANT KEVIN | 12/11/2025 | MN | Client's doctor in not in network/ accepting plan | 379.95 | - | 99.95 |
| 12/11/2025 05:41 pm | Tammy Dickinson | BAC9082619 | 80 | MI | 30 day | 12/04/2025 | 12/05/2025 | Keystone Inbound | 12/11/2025 | MI | Client is going on spouses coverage | 439.95 | - | 99.95 |
| 12/11/2025 05:38 pm | Lori Martinez | BAC2003283 | 20 | CO | 30 day | 12/02/2025 | 01/01/2026 | PURPLE ELEPHANT X | 12/11/2025 | CO | Client doesn't want to move forward after reviewing plan | 218.62 | - | 49.95 |
| 12/11/2025 05:31 pm | Carl Lee Jr | BAC9053535 | 110 | TX | - | 02/11/2025 | 03/01/2025 | PEPPERS N EGGS | 12/11/2025 | TX | Client's doctor in not in network/ accepting plan | - | - | - |
| 12/11/2025 04:37 pm | Barbara Bouey | BAC9069254 | 110 | - | - | 08/04/2025 | 08/05/2025 | KOMPLIANT KEVIN | 12/11/2025 | - | Client is going through employer | - | - | - |
| 12/11/2025 04:35 pm | Edward Brzuskiewicz | BAC9083349 | 20 | FL | Same week | 12/10/2025 | 01/01/2026 | Kiwi T-2 | 12/11/2025 | FL | Client doesn't want to move forward after reviewing plan | 299.95 | - | 99.95 |
| 12/11/2025 04:22 pm | Karl Lauffer | BAC2003406 | 220 | CO | Same week | 12/09/2025 | 01/01/2026 | Kiwi T-2 | 12/11/2025 | CO | ACA plan agent pitched doesn't exist-Member cxl this as well | 245.66 | - | 49.95 |
| 12/11/2025 04:19 pm | Julie Pitre | BAC9082816 | 30 | TX | 30 day | 12/05/2025 | 01/01/2026 | Mommy FInger | 12/11/2025 | TX | Client is going on state coverage | 420.95 | - | 99.95 |
| 12/11/2025 04:10 pm | Kenta Katagai | BAC9046577 | 20 | MA | - | 12/04/2024 | 01/01/2025 | HOT POTATO 1 | 12/11/2025 | MA | Client purchased a Major Medical plan | - | - | - |
| 12/11/2025 04:07 pm | Mary Kirk | BAC9083022 | 10 | IN | 30 day P | 12/08/2025 | 01/01/2026 | Cheeba Cohiba | 12/11/2025 | IN | Client doesn't want to move forward after reviewing plan | 439.95 | 57.95 | 99.95 |
| 12/11/2025 04:02 pm | Rhonda Buresh | BAC9082520 | 30 | IL | 30 day V | 12/03/2025 | 01/01/2026 | Keystone Plat | 12/11/2025 | IL | Client doesn't want to move forward after reviewing plan | 379.95 | 57.95,61.95 | 99.95 |
| 12/10/2025 07:41 pm | Josefina Rivera | HES9003075 | 250 | HI | 30 day | 12/01/2025 | 01/01/2026 | Daddy Finger AI | 12/10/2025 | HI | Client doesn't want to move forward after reviewing plan | 234.95 | - | 99.95 |
| 12/10/2025 07:37 pm | Justin Brasel | BAC9064165 | 10 | MN | - | 06/08/2025 | 06/09/2025 | Kiwi (ON) | 12/10/2025 | MN | Client is going through employer | - | - | - |
| 12/10/2025 07:35 pm | James Naples | BAC9083357 | 10 | FL | Same day | 12/10/2025 | 01/01/2026 | Keystone Plat | 12/10/2025 | FL | Client doesn't want to move forward after reviewing plan | 234.95 | - | 99.95 |
| 12/10/2025 07:29 pm | Melissa Edwards | BAC2002742 | 10 | NH | - | 10/08/2025 | 10/09/2025 | White LT/ Nate-orade | 12/10/2025 | NH | Client is going on spouses coverage | - | - | - |
| 12/10/2025 07:27 pm | Cheryl Sharpe | BAC9044296 | 20 | MI | - | 11/08/2024 | 12/01/2024 | Sittin" Sidewayz | 12/10/2025 | MI | Client purchased a Major Medical plan | - | - | - |
| 12/10/2025 07:24 pm | Susan Bailey | BAC9080668 | 30 | NC | 30 day | 11/13/2025 | 01/01/2026 | Cheeba Cohiba | 12/10/2025 | NC | Client's doctor in not in network/ accepting plan | 439.95 | - | 99.95 |
| 12/10/2025 07:21 pm | Zoe Richards | BAC9036883 | 500 | MA | - | 08/28/2024 | 10/01/2024 | Keystone Inbound | 12/10/2025 | MA | Client is going through employer | - | - | - |
| 12/09/2025 05:04 pm | Tommie Landis | CHE2010779 | 500 | NV | - | 09/30/2025 | 11/01/2024 | Best D | 12/09/2025 | NV | Other | - | - | - |
| 12/09/2025 04:50 pm | Kelly Lyon | BAC2001153 | 30 | ME | - | 02/23/2025 | 02/24/2025 | Sunrise 1 | 12/09/2025 | ME | Client is going through employer | - | - | - |
| 12/09/2025 03:28 pm | Carlito Mondido | HES9001799 | 10 | HI | - | 02/27/2025 | 02/28/2025 | Daddy Finger | 12/09/2025 | HI | Client can't afford plan | - | - | - |
| 12/09/2025 03:24 pm | Cristina Everhart | CHE2019549 | 110 | PA | 30 day | 11/20/2025 | 01/01/2026 | Cheeba Cohiba | 12/09/2025 | PA | Client purchased a Major Medical plan | 299.95 | - | 99.95 |
| 12/09/2025 03:19 pm | Deborah Pezanowski | CHE2019316 | 110 | PA | 30 day | 11/04/2025 | 11/14/2025 | Keystone Platinum | 02/09/2025 | PA | Client is unsatisfied with RX savings | 234.95 | - | - |
| 12/09/2025 03:14 pm | Lynne Garton | BAC9082372 | 110 | AZ | 30 day | 12/02/2025 | 01/01/2026 | Cheeba Cohiba | 12/09/2025 | AZ | Client purchased a Major Medical plan | 609.95 | - | 99.95 |
| 12/09/2025 03:11 pm | Sean Reilly | BAC9056023 | 20 | MN | - | 03/09/2025 | 03/10/2025 | Traffic Tree (ON) | 12/09/2025 | MN | Client purchased a Major Medical plan | - | - | - |
| 12/09/2025 03:07 pm | Sharon Stidham | BAC9083190 | 220 | KY | Same day | 12/09/2025 | 01/03/2026 | JOSHY LT | 12/09/2025 | KY | Client is going on state coverage | 379.95 | - | 99.95 |
| 12/09/2025 03:03 pm | Johnathon Dudley | BAC9072429 | 80 | AL | - | 09/07/2025 | 09/08/2025 | PEPPERS N EGGS | 12/09/2025 | AL | Client can't afford plan | - | - | - |
| 12/09/2025 03:00 pm | Anjelica Renteria | BAC9050591 | 20 | TX | - | 01/14/2025 | 01/15/2025 | HOT POTATO 1 | 12/09/2025 | TX | Client is going on spouses coverage | - | - | - |
| 12/09/2025 02:57 pm | Darlene Fuller | BAC2001864 | 10 | VT | - | 06/08/2025 | 06/09/2025 | Kiwi (ON) | 12/09/2025 | VT | Client purchased a Major Medical plan | - | - | - |
| 12/09/2025 02:54 pm | Cynthia Hurt | BAC9065554 | 30 | MO | - | 06/24/2025 | 07/01/2025 | HOT POTATO 1 | 12/09/2025 | MO | Client is going on state coverage | - | - | - |
| 12/09/2025 02:51 pm | Naveed Hasan | BAC9083123 | 250 | MN | 30 day | 12/08/2025 | 01/01/2026 | Cheeba Cohiba | 12/09/2025 | MN | Client purchased a Major Medical plan | 299.95 | - | 99.95 |
| 12/09/2025 02:44 pm | Regina Riddle | BAC9072426 | 30 | VA | - | 09/07/2025 | 09/08/2025 | Kiwi T-2 | 12/09/2025 | VA | Plan does not fit needs | - | - | - |