AFIA CANCELS FORM REPORT
Showing 1551–1600 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 12/09/2025 02:16 pm | Daniel Rupert | BAC9082672 | 110 | NC | 30 day | 12/04/2025 | 01/01/2026 | KOMPLIANT KEVIN | 12/09/2025 | NC | Client doesn't want to move forward after reviewing plan | 299.95 | - | 99.95 |
| 12/09/2025 11:36 am | Antonio Torres | BAC9073327 | 20 | MA | - | 09/16/2025 | 09/17/2025 | Keystone Inbound | 12/09/2025 | MA | Client need plan with surgery benefits | - | - | - |
| 12/09/2025 11:25 am | Sjean Furze | BAC9083005 | 250 | IN | 30 day | 12/08/2025 | 01/01/2026 | Kiwi (ON) | 12/09/2025 | IN | Client doesn't want to move forward after reviewing plan | 379.95 | - | 99.95 |
| 12/08/2025 07:19 pm | Liia Maysilles | CHE2018285 | 30 | PA | - | 08/21/2025 | 08/22/2025 | Keystone Plat | 12/08/2025 | PA | Client is going on spouses coverage | - | - | - |
| 12/08/2025 07:15 pm | David Escobar | CHE2017972 | 110 | PA | - | 08/04/2025 | 08/05/2025 | KOMPLIANT KEVIN | 12/08/2025 | PA | Client wants a plan that meets ACA requirements | - | - | - |
| 12/08/2025 07:13 pm | Krystal Corigliano | CHE2013030 | 20 | PA | - | 01/09/2025 | 01/10/2025 | HOT POTATO 1 | 12/08/2025 | PA | Client is going on state coverage | - | - | - |
| 12/08/2025 07:09 pm | Cheryl Skjoiten | HES9003094 | 220 | ND | Same week | 12/04/2025 | 01/01/2026 | HOT POTATO 1 | 12/08/2025 | ND | Client has Pre-X that is ot covered | 379.95 | - | 99.95 |
| 12/08/2025 07:02 pm | Lynn Steever | BAC9082391 | 110 | NC | Same week | 12/02/2025 | 01/01/2026 | HOT POTATO 1 | 12/08/2025 | NC | Client purchased a Major Medical plan | 439.95 | - | 99.95 |
| 12/08/2025 06:59 pm | Elizabeth Robles | BAC9082685 | 80 | TX | Same week | 12/04/2025 | 01/01/2026 | Keystone Plat | 12/08/2025 | TX | Client purchased another Limited Medical Plan | 234.95 | - | 99.95 |
| 12/08/2025 06:56 pm | Yvonne White | BAC9044428 | 20 | MO | - | 11/10/2024 | 01/01/2025 | KIWI Inbound | 12/08/2025 | MO | Client is unsatisfied with claims payout | - | - | - |
| 12/08/2025 06:54 pm | Srilatha Rapelli | BAC9059110 | 10 | TX | - | 04/13/2025 | 05/01/2025 | Green D | 12/08/2025 | TX | Client is going through employer | - | - | - |
| 12/08/2025 06:48 pm | Brad Skolnick | BAC9082973 | 20 | GA | Same week | 12/07/2025 | 12/10/2025 | Kiwi (ON) | 12/08/2025 | GA | Client is going through employer | 669.95 | - | 99.95 |
| 12/08/2025 06:45 pm | Glenn Griffith Jr | BAC9032255 | 10 | AZ | - | 07/15/2025 | 07/16/2024 | Kiwi(ON) | 12/08/2025 | AZ | Client is going on state coverage | - | - | - |
| 12/08/2025 06:41 pm | Tommy Perque | BAC9069242 | 30 | LA | - | 08/04/2025 | 08/05/2025 | Kiwi T-1 | 12/08/2025 | LA | Client is unsatisfied with claims payout | - | - | - |
| 12/08/2025 06:38 pm | Anne Blanchard | BAC9078512 | 220 | SC | - | 10/29/2025 | 11/01/2025 | Keystone Plat | 12/08/2025 | SC | Plan does not fit needs | - | - | - |
| 12/08/2025 06:34 pm | Patricia Laylle | BAC9082967 | 30 | OH | Same week | 12/07/2025 | 01/01/2026 | 379.95 | 12/08/2025 | OH | Client doesn't want to move forward after reviewing plan | 379.95 | - | 99.95 |
| 12/08/2025 06:31 pm | Scott Sandberg | BAC9082279 | 30 | MN | 30 day | 12/01/2025 | 01/01/2026 | Cheeba Cohiba | 12/08/2025 | MN | Client doesn't want to move forward after reviewing plan | 669.95 | - | 99.95 |
| 12/05/2025 06:59 pm | Brett Wagner | CHE2019516 | 20 | PA | - | 11/19/2025 | 01/01/2026 | HOT POTATO 1 | 12/05/2025 | PA | Client's doctor in not in network/ accepting plan | 509.95 | - | 99.95 |
| 12/05/2025 06:57 pm | Karen Eastwood | CTN9004499 | - | MS | - | 09/02/2025 | 09/03/2022 | - | 12/05/2025 | MS | Plan does not fit needs | - | - | - |
| 12/05/2025 06:54 pm | Curtis Delpezzo | BAC9076061 | 10 | NC | - | 10/08/2025 | 10/09/2025 | KIWI LT | 12/05/2025 | NC | Client is unsatisfied with claims payout | - | - | - |
| 12/05/2025 06:52 pm | Camila Jeffers | BAC9082079 | 220 | FL | - | 11/28/2025 | 01/01/2026 | White LT/ Nate-orade | 12/05/2025 | FL | Client purchased a Major Medical plan | 379.95 | - | 99.95 |
| 12/05/2025 06:49 pm | Robert Brown | BAC9055372 | 220 | GA | - | 03/02/2025 | 03/03/2025 | Kiwi (ON) | 12/05/2025 | GA | Client is unsatisfied with claims payout | - | - | - |
| 12/05/2025 06:45 pm | Seneca Saunders | BAC9076460 | 110 | WI | - | 10/12/2025 | 10/13/2025 | KIWI T-3 | 12/05/2025 | WI | Client is going through employer | - | - | - |
| 12/05/2025 06:41 pm | Robert Garrett | BAC9075501 | 110 | AZ | - | 10/02/2025 | 10/03/2025 | JOSHY LT | 11/05/2025 | AZ | Client is going on state coverage | - | - | - |
| 12/05/2025 06:38 pm | Luis Exposito | BAC2003304 | 110 | CO | Same week | 12/03/2025 | 12/04/2025 | Cheeba Cohiba | 12/05/2025 | CO | Client doesn't want to move forward after reviewing plan | 196.98 | - | 49.95 |
| 12/05/2025 06:33 pm | Diane Coyne | BAC9082514 | 110 | SC | Same week | 12/03/2025 | 01/01/2026 | KOMPLIANT KEVIN | 12/05/2025 | SC | Client's doctor in not in network/ accepting plan | 299.95 | - | 99.95 |
| 12/05/2025 02:44 pm | Jose Escamilla | BAC9048087 | 500 | TX | - | 12/15/2024 | 01/01/2025 | HOT POTATO 1 | 12/05/2025 | TX | Client purchased a Major Medical plan | - | - | - |
| 12/05/2025 02:41 pm | Carmen Pearson | BAC9081066 | 30 | MI | 30 day | 11/17/2025 | 01/01/2026 | Keystone Inbound | 12/05/2025 | MI | Client purchased a Major Medical plan | 509.95 | - | 99.95 |
| 12/04/2025 08:03 pm | Auston Cymbalisty | CHE2017074 | 220 | NC | - | 06/25/2025 | 06/26/2025 | Keystone Plat | 12/04/2025 | NC | Client can't afford plan | - | - | - |
| 12/04/2025 08:00 pm | Douglas Spry | CHE2019370 | 30 | PA | 30 day | 11/09/2025 | 01/01/2026 | Kiwi T-1 | 12/04/2025 | PA | Client wants a plan that meets ACA requirements | 234.95 | - | 99.95 |
| 12/04/2025 07:57 pm | Brenda Dente | BAC2003291 | 10 | VT | 30 day | 12/02/2025 | 01/01/2026 | KOMPLIANT KEVIN | 12/04/2025 | VT | Client is unsatisfied with claims payout | 194.11 | - | 49.95 |
| 12/04/2025 07:48 pm | Sherri French | BAC9071635 | 220 | FL | - | 08/28/2025 | 09/01/2025 | Joshin' LT | 12/04/2025 | FL | Plan does not fit needs | - | - | - |
| 12/04/2025 07:30 pm | Kimberly Colvin | BAC9058478 | 220 | MA | - | 04/06/2025 | 06/05/2025 | Traffic Tree (ON) | 12/04/2025 | MA | Client purchased a Major Medical plan | - | - | - |
| 12/04/2025 07:28 pm | Douglas Johnson | BAC9080914 | 10 | MN | 30 day | 11/16/2025 | 12/01/2025 | Cheeba Cohiba | 12/04/2025 | MN | Client doesn't want to move forward after reviewing plan | 439.95 | - | 99.95 |
| 12/04/2025 07:18 pm | Eric Parrish | BAC9031160 | 10 | TX | - | 06/30/2025 | 07/09/2024 | KIWI (ON) | 12/04/2025 | TX | Client is going on state coverage | - | - | - |
| 12/04/2025 07:12 pm | Dawn Campbell | BAC2003124 | 10 | ME | 30 day | 11/17/2025 | 01/01/2026 | Keystone Plat | 12/04/2025 | ME | Plan does not fit needs | 195.61 | - | 49.95 |
| 12/04/2025 06:59 pm | Donald Gibson | BAC9064191 | 220 | TN | - | 06/08/2025 | 07/01/2025 | Kiwi (ON) | 12/04/2025 | TN | Client purchased a Major Medical plan | - | - | - |
| 12/04/2025 06:56 pm | Laverne Millard | BAC9081463 | 10 | WI | 30 day | 11/20/2025 | 11/21/2025 | Keystone Plat | 12/04/2025 | WI | Client doesn't want to move forward after reviewing plan | 379.95 | 57.95 | - |
| 12/04/2025 06:52 pm | Mark Benson | BAC9075703 | 20 | MI | - | 10/05/2025 | 10/06/2025 | ONE-EYED WILLIE | 12/04/2025 | MI | Client is unsatisfied with claims payout | - | - | - |
| 12/04/2025 06:49 pm | Stephanie Brodock | BAC9054212 | 20 | AL | - | 02/18/2025 | 02/19/2025 | Keystone Plat | 12/04/2025 | AL | Client purchased a Major Medical plan | - | - | - |
| 12/04/2025 06:41 pm | Benton Kennedy | BAC9066740 | 10 | MS | - | 07/07/2025 | 07/08/2025 | HOT POTATO 1 | 12/04/2025 | MS | Client is going on state coverage | - | - | - |
| 12/04/2025 06:38 pm | Alexandra Niezgoda | BAC9062225 | 110 | MA | - | 05/19/2025 | 06/01/2025 | Kiwi (ON) | 12/04/2025 | MA | Client is going through employer | - | - | - |
| 12/04/2025 06:30 pm | Cora Pierson | BAC9074483 | 220 | MN | - | 09/25/2025 | 10/01/2025 | Daddy Finger AI | 12/04/2025 | MN | Plan does not fit needs | - | - | - |
| 12/03/2025 08:49 pm | Rickey Tanner | CHE2013965 | 110 | PA | - | 02/17/2025 | 03/02/2025 | Green D | 12/03/2025 | PA | Client can't afford plan | - | - | - |
| 12/03/2025 08:45 pm | Reanah Cruz | BAC9081214 | 10 | TX | 30 day | 11/18/2025 | 11/19/2025 | Keystone Plat | 12/03/2025 | TX | Client's doctor in not in network/ accepting plan | 234.95 | - | - |
| 12/03/2025 08:40 pm | Stephen Triglia | BAC9082563 | 10 | DE | Same day | 12/03/2025 | 01/01/2026 | Daddy Finger | 12/03/2025 | DE | Client purchased a Major Medical plan | 234.95 | - | 99.95 |
| 12/03/2025 08:36 pm | Michael Wicker | BAC9057940 | 10 | IL | - | 03/31/2025 | 05/27/2025 | HOT POTATO 1 | 12/03/2025 | IL | Member is deceased | - | - | - |
| 12/03/2025 08:32 pm | Kevin Johnson | BAC9081309 | 70 | TN | 30 day | 11/19/2025 | 12/01/2025 | Keystone Inbound | 12/03/2025 | TN | Client's doctor in not in network/ accepting plan | 439.95 | - | 99.95 |
| 12/03/2025 08:29 pm | Norma Toussaint | BAC9062170 | 210 | DC | - | 05/18/2025 | 05/19/2025 | Kiwi (ON) | 12/03/2025 | DC | Client is going through employer | - | - | - |
| 12/03/2025 08:25 pm | Shobhan Rajam | BAC9044068 | 110 | MI | - | 11/06/2024 | 01/01/2025 | KIWI Inbound | 12/03/2025 | MI | Client's doctor in not in network/ accepting plan | - | - | - |