AFIA CANCELS FORM REPORT
Total Records
2425
Showing 1801–1850 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 11/04/2025 05:55 pm | Thomas Reynolds | BAC9045254 | 30 | FL | - | 11/18/2024 | 12/10/2024 | Keystone Inbound | 11/04/2025 | FL | Client is going through employer | - | - | - |
| 11/04/2025 05:39 pm | Kimberly Roberts | BAC9079135 | 220 | VA | 30 day | 11/03/2025 | 01/01/2026 | Kiwi T-1 | 11/04/2025 | VA | Client doesn't want to move forward after reviewing plan | 379.95 | - | 99.95 |
| 11/04/2025 05:30 pm | Jeremy Carter | BAC9076447 | 10 | AZ | 30 day | 10/12/2025 | 11/01/2025 | KIWI LT | 11/04/2025 | AZ | Client doesn't want to move forward after reviewing plan | 609.95 | - | - |
| 11/04/2025 05:26 pm | Brian Ernster | BAC9079180 | 220 | WI | 30 day | 11/03/2025 | 01/01/2026 | JOSHY LT | 11/04/2025 | WI | Client doesn't want to move forward after reviewing plan | 379.95 | - | 99.95 |
| 11/04/2025 05:23 pm | William Hawkins | BAC9072447 | 20 | GA | - | 09/07/2025 | 09/08/2025 | Traffic Tree D | 11/04/2025 | GA | Client purchased another Limited Medical Plan | - | - | - |
| 11/04/2025 05:20 pm | Christina Mirumyan | BAC9076657 | 220 | TX | 30 day | 10/14/2025 | 11/01/2025 | JOSHY LT | 11/04/2025 | TX | Client's doctor in not in network/ accepting plan | 379.95 | V | 99.95 |
| 11/04/2025 04:55 pm | Rory Marz | BAC9011651 | 10 | GA | - | 11/16/2023 | 11/17/2023 | Nexus Excl | 11/04/2025 | GA | Plan does not fit needs | - | - | - |
| 11/04/2025 04:49 pm | Yvette Heard | BAC9078976 | 10 | AL | 30 day | 11/01/2025 | 11/02/2025 | Keystone Inbound | 11/04/2025 | AL | Client doesn't want to move forward after reviewing plan | 379.95 | V | 99.95 |
| 11/04/2025 04:46 pm | Sherri Robinson | BAC9079272 | 30 | TX | 30 day | 11/03/2025 | 01/01/2026 | KOMPLIANT KEVIN | 11/04/2025 | TX | Client's doctor in not in network/ accepting plan | 509.95 | 89.95,86.95 | 99.95 |
| 11/04/2025 04:12 pm | Tori Justice | BAC2000776 | 210 | CO | - | 01/05/2025 | 02/01/2025 | Kiwi (ON) | 11/04/2025 | CO | Client is going on state coverage | - | - | - |
| 11/03/2025 09:39 pm | Caitlin Miller | CHE2019208 | 240 | PA | Same week | 10/30/2025 | 11/01/2025 | Kiwi T-2 | 11/03/2025 | PA | Client wants a plan that meets ACA requirements | 234.95 | - | 99.95 |
| 11/03/2025 09:36 pm | Nathaniel Marmolejos Lopez | CHE2017530 | 10 | PA | - | 07/16/2025 | 07/26/2025 | Keystone Plat | 11/03/2025 | PA | Client is going through employer | - | - | - |
| 11/03/2025 09:33 pm | Deanna Niechwiadowicz | CHE2019270 | 30 | PA | Same week | 11/02/2025 | 01/01/2026 | Kiwi (ON) | 11/03/2025 | PA | Client doesn't want to move forward after reviewing plan | 809.95 | - | 99.95 |
| 11/03/2025 09:30 pm | Karen Bohler | BAC9066491 | 110 | AZ | - | 07/02/2025 | 08/01/2025 | Sittin" Sidewayz | 11/03/2025 | AZ | Plan does not fit needs | - | - | - |
| 11/03/2025 09:26 pm | Leanette Wilson | BAC9079146 | 10 | MI | Same day | 11/03/2025 | 11/04/2025 | Keystone Plat | 11/03/2025 | MI | Client wants a plan that meets ACA requirements | 299.95 | - | 99.95 |
| 11/03/2025 09:00 pm | Jacob Kaldenberg | BAC9076535 | 10 | WI | 30 day | 10/13/2025 | 10/14/2025 | REF/REWRITE | 11/03/2025 | WI | Client purchased a Major Medical plan | 234.95 | - | - |
| 11/03/2025 08:56 pm | Douglas Coon | BAC9055700 | 70 | IA | - | 03/05/2025 | 03/06/2025 | Green D | 11/03/2025 | IA | Client is unsatisfied with claims payout | - | - | - |
| 11/03/2025 08:53 pm | Darla Pickard | BAC9074259 | 20 | PA | - | 10/01/2025 | 11/03/2025 | Kiwi (ON) | 11/03/2025 | PA | Client is going on state coverage | - | - | - |
| 11/03/2025 07:58 pm | Brandon Acuff | BAC9070707 | 220 | AR | - | 08/20/2025 | 09/01/2025 | Keystone Inbound | 11/03/2025 | AR | Client is going through employer | - | - | - |
| 11/03/2025 07:54 pm | Elyse Feldmann | BAC9078952 | 240 | IL | Same week | 11/01/2025 | 01/01/2026 | KOMPLIANT KEVIN | 11/03/2025 | IL | Client is unsatisfied with claims payout | 379.95 | - | 99.95 |
| 11/03/2025 07:50 pm | Ralph Peralta | BAC9047039 | 500 | AZ | - | 12/09/2024 | 01/01/2025 | Daddy Finger | 11/03/2025 | AZ | Client purchased another Limited Medical Plan | - | - | - |
| 11/03/2025 07:13 pm | Karen Greer | BAC9078712 | 210 | SC | Same week | 10/31/2025 | 12/28/2025 | Keystone Plat | 11/03/2025 | SC | Client doesn't want to move forward after reviewing plan | 299.95 | - | 99.95 |
| 11/03/2025 07:08 pm | David Winnie Iii | BAC9079013 | 240 | IL | - | 11/01/2025 | 01/01/2026 | Kiwi (ON) | 11/03/2025 | IL | Client is going on spouses coverage | 389.95 | - | 99.95 |
| 11/03/2025 07:05 pm | Jonah Maidoff | BAC9079003 | 30 | MA | Same week | 11/01/2025 | 01/01/2026 | Keystone Plat | 11/03/2025 | MA | Plan does not fit needs | 509.95 | 86.95 | 99.95 |
| 10/31/2025 05:37 pm | Phoutthaphone Inthavong | BAC9066336 | 20 | MN | - | 07/01/2025 | 07/02/2025 | HOT POTATO 1 | 10/31/2025 | MN | Client purchased a Major Medical plan | - | - | - |
| 10/31/2025 05:35 pm | Brock Linning | BAC9035325 | 500 | SC | - | 08/13/2025 | 08/14/2024 | Keystone Plat | 10/31/2025 | SC | Plan does not fit needs | - | - | - |
| 10/31/2025 05:31 pm | Raymond Deethardt | BAC2002649 | 110 | CO | 30 day | 09/25/2025 | 11/24/2025 | GRAVY TRAIN INBOUND | 10/31/2025 | CO | Client is going through employer | 245.66 | - | 49.95 |
| 10/31/2025 05:21 pm | Cynthia Hagfors | BAC9060340 | 80 | MN | - | 04/27/2025 | 04/28/2025 | Kiwi (ON) | 10/31/2025 | MN | Client is unsatisfied with claims payout | - | - | - |
| 10/31/2025 05:17 pm | Ronilo Catajan | HES9002858 | 110 | HI | 30 day | 10/19/2025 | 10/20/2025 | Daddy Finger AI | 10/31/2025 | HI | Client's doctor in not in network/ accepting plan | 234.95 | - | 99.95 |
| 10/31/2025 05:13 pm | Uzma Tahrim | CHE2018152 | 30 | NC | - | 08/14/2025 | 08/15/2025 | Cheeba Cohiba | 10/31/2025 | NC | Client purchased another Limited Medical Plan | - | - | - |
| 10/31/2025 05:09 pm | Freddie Thomas | CHE2018533 | 20 | NC | - | 09/04/2025 | 09/05/2025 | Cheeba Cohiba 2 | 10/31/2025 | NC | Plan does not fit needs | - | - | - |
| 10/31/2025 05:03 pm | Pamela Butler | BAC9077203 | 30 | WI | 30 day | 10/19/2025 | 10/20/2025 | Kiwi (ON) | 10/31/2025 | WI | Client's doctor in not in network/ accepting plan | 234.95 | - | 99.95 |
| 10/31/2025 03:02 pm | Benjamin Joiner Sr | BAC9039182 | 500 | GA | - | 09/22/2024 | 10/01/2024 | Kiwi (ON) | 10/31/2025 | GA | Client can't afford plan | - | - | - |
| 10/31/2025 02:59 pm | Mark Malone | CHE2018855 | 10 | PA | 30 day | 10/01/2025 | 10/02/2025 | REF/KEYSTONE PLAT | 10/31/2025 | PA | Client is going through employer | 509.95 | - | - |
| 10/31/2025 02:56 pm | Dioukha Diakite | CHE2019231 | 110 | PA | Same day | 10/31/2025 | 11/01/2025 | Keystone Plat | 10/31/2025 | PA | Client's doctor in not in network/ accepting plan | 234.95 | - | 99.95 |
| 10/31/2025 02:51 pm | Michael Howard | CRC2050708 | 10 | ID | - | 04/06/2025 | 05/07/2025 | CARE CONNECT REWRITE | 10/31/2025 | ID | Client can't afford plan | - | - | - |
| 10/30/2025 04:12 pm | Daniel Chosa Jr | BAC9078462 | 10 | WI | Same week | 10/29/2025 | 11/01/2025 | HOT POTATO 1 | 10/30/2025 | WI | Client purchased a Major Medical plan | 439.95 | - | 99.95 |
| 10/30/2025 04:08 pm | Deirdre Jansen Van Rensburg | BAC9046725 | 10 | IL | - | 12/05/2024 | 01/01/2025 | PEPPERS N EGGS | 10/30/2025 | IL | Client purchased a Major Medical plan | - | - | - |
| 10/30/2025 03:59 pm | Maxwell Burkhart | BAC9052162 | 20 | MN | - | 01/28/2025 | 02/01/2025 | Sittin" Sidewayz | 10/30/2025 | MN | Client is going through employer | - | - | - |
| 10/30/2025 03:26 pm | Ryan Toevs | BAC9071521 | 20 | FL | - | 08/27/2025 | 09/01/2025 | Kiwi T-1 | 10/30/2025 | FL | Client is going through employer | - | - | - |
| 10/30/2025 03:19 pm | Noah Griffith | BAC2002778 | 110 | UT | 30 day | 10/13/2025 | 10/14/2025 | JOSHY LT | 10/30/2025 | UT | Client purchased a Major Medical plan | 255.13 | - | 49.95 |
| 10/30/2025 03:14 pm | Penny Marti | BAC9075989 | 110 | FL | - | 10/07/2025 | 10/08/2025 | Keystone Plat | 10/30/2025 | FL | Client is unsatisfied with claims payout | - | - | - |
| 10/30/2025 11:07 am | Brian Solomon | BAC9078541 | 20 | IL | Same day | 10/29/2025 | 11/01/2025 | JOSHY LT | 10/30/2025 | IL | Client's doctor in not in network/ accepting plan | 234.95 | - | 99.95 |
| 10/30/2025 10:33 am | Patrick Breen | BAC9078490 | 240 | WI | Same week | 10/29/2025 | 12/01/2025 | KIWI T-3 | 10/30/2025 | WI | Client doesn't want to move forward after reviewing plan | 669.95 | 86.95,104.95 | 99.95 |
| 10/29/2025 03:14 pm | Amber Adams | BAC9071633 | 30 | MO | - | 08/28/2025 | 09/01/2025 | KOMPLIANT KEVIN | 10/29/2025 | MO | Plan does not fit needs | - | - | - |
| 10/29/2025 03:12 pm | Catherine Cantell | BAC9048053 | 20 | TX | - | 12/15/2024 | 07/01/2025 | Sittin" Sidewayz | 10/29/2025 | TX | Client can't afford plan | - | - | - |
| 10/29/2025 03:08 pm | Hayden Iverson | BAC9066281 | 20 | WI | - | 06/30/2025 | 07/12/2025 | Keystone Inbound | 10/29/2025 | WI | Plan does not fit needs | - | - | - |
| 10/29/2025 03:04 pm | Tonja Barnes | BAC9074353 | 220 | IA | - | 09/24/2025 | 09/25/2025 | Kiwi T-1 | 10/24/2025 | IA | Client is unsatisfied with claims payout | - | - | - |
| 10/29/2025 02:56 pm | Melissa Tylor Troutman | BAC9078199 | 110 | TX | Same week | 10/28/2025 | 12/01/2025 | KIWI Inbound | 10/29/2025 | TX | Client wants a plan that meets ACA requirements | 439.95 | - | 99.95 |
| 10/29/2025 01:00 pm | Denise Laauwe | BAC2002810 | 220 | NH | 30 day | 10/19/2025 | 11/01/2025 | Kiwi (ON) | 10/29/2025 | NH | Client extended Cobra plan | 238.6 | - | 49.95 |