AFIA CANCELS FORM REPORT
Total Records
2425
Showing 1951–2000 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 10/06/2025 05:40 pm | Janice Storey | BAC9070594 | 10 | FL | - | 08/18/2025 | 09/01/2025 | Kiwi (ON) | 10/06/2025 | FL | Client is going on spouses coverage | - | - | - |
| 10/06/2025 05:38 pm | Zachary Gruning | BAC9064902 | 220 | IN | - | 06/16/2025 | 07/15/2025 | HOT POTATO 1 | 10/06/2025 | IN | Client is going through employer | - | - | - |
| 10/06/2025 05:29 pm | Dennis St George | BAC9075372 | 10 | OK | Same week | 10/02/2025 | 10/03/2025 | NITROUS | 10/06/2025 | OK | Client doesn't want to move forward after reviewing plan | 509.95 | - | 99.95 |
| 10/06/2025 05:26 pm | Trokon Jallah | BAC9050348 | 10 | MN | - | 01/13/2025 | 01/14/2025 | Valley Girl D | 10/06/2025 | MN | Client is going through employer | - | - | - |
| 10/06/2025 05:24 pm | Tammy Price | BAC9057805 | 500 | KY | - | 04/01/2025 | 04/01/2025 | Green D | 10/06/2025 | KY | Client purchased another Limited Medical Plan | - | - | - |
| 10/06/2025 05:21 pm | Ricky Gortmaker | BAC2001144 | 210 | SD | - | 02/20/2025 | 02/21/2025 | Keystone Inbound | 10/06/2025 | SD | Client purchased a Major Medical plan | - | - | - |
| 10/06/2025 05:19 pm | Joseph Palmer | BAC9045504 | 110 | MN | - | 11/20/2024 | 01/01/2025 | Kiwi (ON) | 10/06/2025 | MN | Client wants Wellness benefits included | 379.95 | - | 99.95 |
| 10/06/2025 12:27 pm | Carole Walker | BAC9074738 | 220 | FL | Same week | 09/29/2025 | 10/01/2025 | White LT/ Nate-orade | 10/06/2025 | FL | Client can't afford plan | 379.95 | V | 99.95 |
| 10/06/2025 11:41 am | Lisa Storm | CHE2018805 | 10 | PA | 30 day | 09/28/2025 | 10/01/2025 | Cheeba Cohiba | 10/06/2025 | PA | Client's doctor in not in network/ accepting plan | $299.95 | - | 99.95 |
| 10/06/2025 11:37 am | Emilie Slossar | BAC2001785 | 30 | NH | - | 05/28/2025 | 07/01/2025 | Kiwi (ON) | 10/06/2025 | NH | Client is going on parents coverage | - | - | - |
| 10/06/2025 11:34 am | Eliseu De Souza | BAC9064827 | 10 | MA | - | 06/16/2025 | 06/17/2025 | HOT POTATO 1 | 10/06/2025 | MA | Client is going through employer | - | - | - |
| 10/06/2025 11:29 am | Angela Kesslar | Z702002138 | 500 | IA | - | 09/02/2021 | 10/21/2021 | Silver D | 10/06/2025 | IA | Client purchased a Major Medical plan | - | - | - |
| 10/03/2025 04:10 pm | Michael Ciaramella | CHE2016004 | 110 | PA | - | 05/12/2025 | 06/01/2025 | Cheeba Cohiba | 10/03/2025 | PA | Client is going on spouses coverage | - | - | - |
| 10/03/2025 04:06 pm | Victoria Campbell | BAC2002361 | 10 | CO | - | 08/11/2025 | 08/12/2025 | Cheeba Cohiba | 10/03/2025 | CO | Client's doctor in not in network/ accepting plan | - | - | - |
| 10/03/2025 04:01 pm | Laurie Moore | BAC2000819 | 110 | NH | - | 01/10/2025 | 02/01/2025 | HOT POTATO 1 | 10/03/2025 | NH | Client is going through employer | - | - | - |
| 10/03/2025 03:57 pm | Tricia Pair | BAC9032077 | 10 | AL | - | 07/11/2024 | 09/01/2024 | NEXUS D | 10/03/2025 | AL | Going on school insurance | - | - | - |
| 10/03/2025 03:46 pm | Sheri Rook | BAC9066582 | 30 | KY | - | 07/03/2025 | 08/01/2025 | Keystone Plat | 10/03/2025 | KY | Client is going on state coverage | - | - | - |
| 10/03/2025 03:37 pm | Carson Spargo | BAC9074737 | 10 | AR | Same week | 09/29/2025 | 10/01/2025 | KIWI T-3 | 10/03/2025 | AR | Client purchased another Limited Medical Plan | 299.95 | - | 99.95 |
| 10/03/2025 03:31 pm | Bennie Altizer | BAC9065844 | 110 | IN | - | 06/26/2025 | 06/27/2025 | Keystone Inbound | 10/03/2025 | IN | Client is going through employer | - | - | - |
| 10/02/2025 06:00 pm | Kevin Panaggio | BAC2002275 | 10 | CO | - | 07/30/2025 | 08/01/2025 | KOMPLIANT KEVIN | 10/02/2025 | CO | Plan does not fit needs | - | - | - |
| 10/02/2025 05:42 pm | Linda Wick | BAC9061136 | 30 | MN | - | 05/05/2025 | 05/06/2025 | HOT POTATO 3 | 10/02/2025 | MN | Client is going through employer | - | - | - |
| 10/02/2025 05:33 pm | John Pauze | BAC9049139 | 10 | MA | - | 12/30/2024 | 01/01/2025 | Daddy Finger | 10/02/2025 | MA | Client is unsatisfied with claims payout | - | - | - |
| 10/02/2025 04:56 pm | Jamie Paul | BAC9055472 | 110 | TX | - | 03/03/2025 | 04/01/2025 | Keystone Inbound | 10/02/2025 | TX | Client is going through employer | - | - | - |
| 10/02/2025 04:52 pm | Melinda Zemberi | CRC2059553 | 10 | CA | - | 07/13/2025 | 08/01/2025 | CARE CONNECT REWRITE | 10/02/2025 | CA | Client is going through employer | - | - | - |
| 10/02/2025 04:48 pm | Ronald Deputy | CHE2010193 | 110 | NC | - | 09/09/2024 | 09/10/2024 | Sittin" Sidewayz | 10/02/2025 | NC | Client is going on state coverage | - | - | - |
| 10/02/2025 04:30 pm | Jerica Rogers | CHE2014264 | 210 | PA | - | 02/27/2025 | 03/01/2025 | Keystone Plat | 10/02/2025 | PA | Client is unsatisfied with claims payout | - | - | - |
| 10/02/2025 04:26 pm | Susan Weaver | CHE2017961 | 80 | PA | - | 08/04/2025 | 08/05/2025 | KOMPLIANT KEVIN | 10/02/2025 | PA | Client extended Cobra plan | - | - | - |
| 10/02/2025 09:30 am | Karl Shields | BAC9072444 | 210 | WI | 30 day | 09/07/2025 | 09/08/2025 | White LT/ Nate-orade | 10/02/2025 | WI | Client is going through employer | 234.95 | - | 99.95 |
| 10/01/2025 06:36 pm | Russell Fernald | BAC2002415 | 80 | NH | - | 08/21/2025 | 09/01/2025 | Kiwi (ON) | 10/01/2025 | NH | Client purchased a Major Medical plan | - | - | - |
| 10/01/2025 06:26 pm | Hannah Evans | BAC9072351 | 10 | TX | 30 day | 09/05/2025 | 09/06/2025 | HOT POTATO 1 | 10/01/2025 | TX | Client is going through employer | 299.95 | - | - |
| 10/01/2025 06:21 pm | Sonja Teague | BAC9072436 | 10 | IN | 30 day | 09/07/2025 | 10/01/2025 | Kiwi (ON) | 10/01/2025 | IN | Client is going through employer | 299.95 | - | 99.95 |
| 10/01/2025 06:18 pm | Callie Buchanan | BAC9074713 | 10 | FL | 30 day | 09/28/2025 | 10/01/2025 | ONE-EYED WILLIE | 10/01/2025 | FL | Client purchased another Limited Medical Plan | 379.95 E | - | 99.95 |
| 10/01/2025 06:13 pm | Mark Daly | BAC9074262 | 30 | OK | 30 day | 09/24/2025 | 09/25/2025 | White LT/ Nate-orade | 10/01/2025 | OK | Other | 234.95 | - | 99.95 |
| 10/01/2025 06:09 pm | Lori Marshall | BAC9075000 | 30 | DE | Same week | 09/30/2025 | 10/01/2025 | JOSHY LT | 10/01/2025 | DE | Client doesn't want to move forward after reviewing plan | 299.95 | - | 99.95 |
| 10/01/2025 06:04 pm | Susie Wang | HHS8002661 | 500 | LA | - | 04/18/2022 | 08/19/2022 | QW PLUS | 10/01/2025 | LA | Client has relocated where plan is not available | - | - | - |
| 10/01/2025 06:01 pm | Marie Zaccaro | CHE2018560 | 30 | NC | 30 day | 09/08/2025 | 11/01/2025 | KOMPLIANT KEVIN | 10/01/2025 | NC | Client doesn't want to move forward after reviewing plan | 439.95 P | - | 99.95 |
| 10/01/2025 05:54 pm | Karen Taylor | BAC9069038 | 110 | KY | - | 07/31/2025 | 08/12/2025 | KOMPLIANT KEVIN | 10/01/2025 | KY | Plan does not fit needs | - | - | - |
| 10/01/2025 02:41 pm | Catharine Bizousky | CHE2012947 | 110 | PA | - | 01/06/2025 | 01/07/2025 | HOT POTATO 1 | 10/01/2025 | PA | Client is going on state coverage | - | - | - |
| 10/01/2025 11:01 am | Lori Welch | BAC9071542 | 20 | MA | 30 day | 08/28/2025 | 09/01/2025 | Kiwi (ON) | 10/01/2025 | MA | Client is unsatisfied with claims payout | 299.95 | - | - |
| 10/01/2025 10:57 am | Careyann Kelly | BAC2002691 | 10 | NH | Same week | 09/30/2025 | 10/01/2025 | White LT/ Nate-orade | 10/01/2025 | NH | Client is going through employer | 192.55 | - | 49.95 |
| 10/01/2025 10:54 am | Linda Johnson | BAC9055354 | 20 | KY | - | 03/02/2025 | 03/03/2025 | Daddy Finger | - | KY | Client is going through employer | - | - | - |
| 09/30/2025 04:21 pm | Kathleen Mulkerin | CHE2009797 | 10 | PA | - | 08/25/2024 | 09/01/2024 | Sittin" Sidewayz | 09/30/2025 | PA | Client is going through employer | - | - | - |
| 09/30/2025 04:15 pm | Adam Poore | CHE2015748 | 220 | PA | - | 04/30/2025 | 05/01/2025 | HOT POTATO 1 | 09/30/2025 | PA | Plan does not fit needs | - | - | - |
| 09/30/2025 03:03 pm | Janaki Pavan Gopal Siddireddy | BAC9060106 | 220 | MN | - | 04/24/2025 | 05/01/2025 | HOT POTATO 1 | 09/30/2025 | MN | Client is going through employer | - | - | - |
| 09/30/2025 03:00 pm | Sean Maguire | BAC2002044 | 220 | NH | - | 06/30/2025 | 07/25/2025 | Keystone Inbound | 09/30/2025 | NH | Plan does not fit needs | - | - | - |
| 09/30/2025 12:10 pm | Randy Lapan | BAC2001887 | 20 | - | - | 06/11/2025 | 07/01/2025 | Keystone Plat | 09/30/2025 | - | Client is going on state coverage | - | - | - |
| 09/30/2025 10:48 am | Samuel Rivilis | CHE2018768 | 110 | PA | 30 day | 09/24/2025 | 09/25/2025 | Cheeba Cohiba | 09/30/2025 | PA | Client is going through employer | 299.95 | - | - |
| 09/30/2025 10:44 am | Polly Morris | BAC2000890 | 30 | NH | - | 01/15/2025 | 01/17/2025 | Kiwi (ON) | 09/30/2025 | NH | Client is unsatisfied with claims payout | - | - | - |
| 09/29/2025 05:23 pm | Brandon Snider | BAC9071808 | 10 | WI | 30 day | 08/29/2025 | 09/01/2025 | Nexus D | 09/29/2025 | WI | Client doesn't want to move forward after reviewing plan | 299.95 | - | 99.95 |
| 09/29/2025 04:09 pm | Neyat Tesfazion | BAC9052259 | 10 | MA | - | 01/29/2025 | 02/01/2025 | Keystone Plat | 09/29/2025 | MA | Client purchased a Major Medical plan | - | - | - |