AFIA CANCELS FORM REPORT
Total Records
2425
Showing 2051–2100 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 09/17/2025 11:44 am | Jeffrey Harmon | BAC9072205 | 110 | KY | 30 day | 09/04/2025 | 09/05/2025 | White LT | 09/17/2025 | KY | Client doesn't want to move forward after reviewing plan | 299.95 | - | - |
| 09/17/2025 09:57 am | Belinda Anderson | BAC9060174 | 10 | TX | - | 04/24/2025 | 06/01/2025 | Traffic Tree D | 09/17/2025 | TX | Client purchased a Major Medical plan | - | - | - |
| 09/17/2025 09:54 am | Eugene Gonda | BAC9070483 | 10 | OH | - | 08/18/2025 | 08/19/2025 | Kiwi (ON) | 09/17/2025 | OH | Client can't afford plan | - | - | - |
| 09/16/2025 04:05 pm | Radha Wallace | CHE2018212 | 30 | PA | 30 day | 08/17/2025 | 08/18/2025 | Kiwi (ON) | 09/16/2025 | PA | Client's doctor in not in network/ accepting plan | 234.95 | - | 99.95 |
| 09/16/2025 04:01 pm | Aiping Bai | BAC9062885 | 80 | MA | - | 05/26/2025 | 05/27/2025 | Sittin" Sidewayz | 09/16/2025 | MA | Client is going through employer | - | - | - |
| 09/16/2025 03:57 pm | Hannah Kyyitan | BAC9064640 | 210 | AZ | - | 06/13/2025 | 06/14/2025 | Sittin" Sidewayz | 09/16/2025 | AZ | Client's doctor in not in network/ accepting plan | - | - | - |
| 09/16/2025 03:55 pm | Jacob Engelstad | BAC9065167 | 20 | MA | - | 06/19/2025 | 06/20/2025 | HOT POTATO 3 | 09/16/2025 | MA | Client was given incorrect benefit information | - | - | - |
| 09/16/2025 03:51 pm | Amy Long | BAC9063541 | 210 | IN | - | 06/01/2025 | 06/02/2025 | Sittin" Sidewayz | 09/16/2025 | IN | Plan does not fit needs | - | - | - |
| 09/16/2025 03:43 pm | Nicholas Gilman | BAC2001195 | 10 | CO | - | 02/27/2025 | 02/28/2025 | Keystone Inbound | 09/16/2025 | CO | Client is going on state coverage | - | - | - |
| 09/16/2025 03:40 pm | Steven Haerr | BAC9013153 | 10 | OH | - | 12/01/2023 | 01/01/2024 | Raspberry Data | 09/16/2025 | OH | Client is unsatisfied with claims payout | - | - | - |
| 09/16/2025 03:32 pm | Tassi Witbeck | BAC9039009 | 110 | MI | - | 09/20/2025 | 09/21/2024 | Keystone Inbound | 09/16/2025 | MI | Client is unsatisfied with claims payout | - | - | - |
| 09/16/2025 10:05 am | Ronald King | BAC2001333 | 500 | ME | - | 03/18/2025 | 05/17/2025 | Keystone Plat | 09/16/2025 | ME | Client is going through employer | - | - | - |
| 09/15/2025 04:29 pm | Jacquelyn Hannigan | CHE2013092 | 20 | PA | - | 01/12/2025 | 01/13/2025 | Cheeba Cohiba | 09/15/2025 | PA | Client is going on state coverage | - | - | - |
| 09/15/2025 04:15 pm | Amy Ellis | BAC9063301 | 110 | TX | - | 05/29/2025 | 07/27/2025 | HOT POTATO 1 | 09/15/2025 | TX | Client is unsatisfied with claims payout | - | - | - |
| 09/15/2025 04:01 pm | Tera Garner | BAC9071175 | 10 | FL | 30 day | 08/25/2025 | 08/28/2025 | Cheeba Cohiba | 09/15/2025 | FL | Client is going on spouses coverage | 299.95 | - | 99.95 |
| 09/15/2025 03:48 pm | Brent Newman | BAC9073051 | 80 | GA | Same week | 09/12/2025 | 10/01/2025 | Cheeba Cohiba 2 | 09/15/2025 | GA | Client doesn't want to move forward after reviewing plan | 389.95 | - | 99.95 |
| 09/15/2025 03:39 pm | Dawn Mcfall | CHE2015348 | 20 | NC | - | 04/13/2025 | 04/14/2025 | Green D | 09/15/2025 | NC | Client purchased a Major Medical plan | - | - | - |
| 09/15/2025 01:20 pm | Marcia Bradshaw | CHE2018200 | 10 | NC | 30 day | 08/17/2025 | 09/15/2025 | Kiwi T-1 | 09/15/2025 | NC | Client doesn't want to move forward after reviewing plan | 299.95 | - | - |
| 09/15/2025 01:05 pm | Daniel Barton | BAC9073040 | 110 | NE | Same week | 09/12/2025 | 09/13/2025 | Keystone Inbound | 09/15/2025 | NE | Client doesn't want to move forward after reviewing plan | 609.95 | - | 99.95 |
| 09/12/2025 01:47 pm | Jonathan Patton | BAC9065035 | 30 | MN | - | 06/18/2025 | 06/19/2025 | Green D | 09/12/2025 | MN | Client is going through employer | - | - | - |
| 09/12/2025 01:43 pm | Shannon Chapell | BAC9069848 | 30 | MS | - | 08/10/2025 | 08/11/2025 | NG PREMIUM | 09/12/2025 | MS | Client is going on spouses coverage | - | - | - |
| 09/12/2025 01:38 pm | Krystal Ramsey | BAC9068328 | 20 | OK | - | 07/24/2025 | 07/25/2025 | Gold LT | 09/12/2025 | OK | Client is going on state coverage | - | - | - |
| 09/11/2025 04:37 pm | Emma Gilmore | CHE2015560 | 80 | PA | - | 04/22/2025 | 04/23/2025 | CARE CONNECT REWRITE | 09/11/2025 | PA | Client can't afford plan | - | - | - |
| 09/11/2025 04:30 pm | Maribeth Djurdjulov | BAC9072736 | 10 | WI | Same week | 09/09/2025 | 09/19/2025 | Keystone Plat | 09/11/2025 | WI | Client purchased another Limited Medical Plan | 234.95 | - | 99.95 |
| 09/11/2025 12:25 pm | Christopher Solesbee | BAC9026683 | 10 | SC | - | 05/08/2025 | 05/09/2024 | REF/REWRITE | 09/11/2025 | SC | Client's doctor in not in network/ accepting plan | - | - | - |
| 09/11/2025 12:21 pm | Manuel Penichet | CRC2052176 | 80 | CA | - | 04/24/2025 | 05/15/2025 | CARE CONNECT REWRITE | 09/11/2025 | CA | Plan does not fit needs | - | - | - |
| 09/10/2025 04:19 pm | Brenda Bolton | BAC9071408 | 20 | TX | 30 day | 08/27/2025 | 08/28/2025 | Kiwi (ON) | 09/10/2025 | TX | Client doesn't want to move forward after reviewing plan | 299.95 | - | 99.95 |
| 09/10/2025 04:09 pm | Susan Hartigan | BAC9072792 | 10 | AZ | Same day | 09/10/2025 | 09/11/2025 | HOT POTATO 1 | 09/10/2025 | AZ | Client doesn't want to move forward after reviewing plan | 379.95 | E | 99.95 |
| 09/10/2025 04:02 pm | Steven Williams | BAC9072471 | 210 | OH | 30 day | 09/08/2025 | 11/07/2025 | Kiwi (ON) | 09/10/2025 | OH | Duplicate Sale | 299.95 | - | 99.95 |
| 09/10/2025 03:48 pm | Sharmilaben Patel | BAC9059082 | 220 | KY | - | 04/13/2025 | 04/14/2025 | Kiwi (ON) | 09/10/2025 | KY | Client is unsatisfied with claims payout | - | - | - |
| 09/10/2025 03:42 pm | Jodi Maupin | BAC9042073 | 30 | SC | - | 10/21/2024 | 10/22/2024 | Kiwi (ON) | 09/10/2025 | SC | Client purchased a Major Medical plan | - | - | - |
| 09/09/2025 07:54 pm | Russel Miracle | BAC2002420 | 80 | CO | 30 day | 08/21/2025 | 08/22/2025 | REF/REWRITE | 09/09/2025 | CO | Client purchased a Major Medical plan | 355.88 | - | 49.95 |
| 09/09/2025 07:50 pm | Debra Baumert | BAC9068640 | 10 | NV | - | 07/28/2025 | 08/01/2025 | KOMPLIANT KEVIN | 09/09/2025 | NV | Client's doctor in not in network/ accepting plan | - | - | - |
| 09/09/2025 07:46 pm | Gerilynn Blue | BAC9048041 | 10 | IA | - | 12/15/2025 | 12/16/2024 | Nexus D | 09/09/2025 | IA | Client's doctor in not in network/ accepting plan | - | - | - |
| 09/09/2025 07:43 pm | Kadijah Basir | BAC9070810 | 220 | MA | 30 day | 08/21/2025 | 08/22/2025 | Kiwi (ON) | 09/09/2025 | MA | Plan does not fit needs | 299.95 | - | - |
| 09/09/2025 07:38 pm | Brenda Samaniego | BAC9070458 | 20 | FL | 30 day | 08/17/2025 | 08/18/2025 | Kiwi (ON) | 09/09/2025 | FL | Client wants a plan that meets ACA requirements | 379.95 | - | 99.95 |
| 09/09/2025 06:13 pm | Paul Fedor | BAC9070318 | 30 | MN | 30 day | 08/14/2025 | 10/13/2025 | Sittin" Sidewayz | 09/09/2025 | MN | Client purchased another Limited Medical Plan | 669.95 | - | 99.95 |
| 09/09/2025 04:01 pm | Paul Carpenter | BAC9050025 | 10 | AZ | - | 01/10/2025 | 01/11/2025 | Green D | 09/09/2025 | AZ | Client is unsatisfied with claims payout | - | - | - |
| 09/09/2025 03:58 pm | Thomas Mathias | BAC9070794 | 20 | WV | 30 day | 08/21/2025 | 09/01/2025 | Sittin" Sidewayz | 09/09/2025 | WV | Client is unsatisfied with RX savings | 299.95 | - | 99.95 |
| 09/09/2025 03:43 pm | Ethan Moncada | CHE2018566 | 30 | PA | 30 day | 09/08/2025 | 09/09/2025 | NG PREMIUM | 09/09/2025 | PA | Client's doctor in not in network/ accepting plan | 234.95 | - | 99.95 |
| 09/08/2025 05:46 pm | David Richardson | CHE2014374 | 70 | NC | - | 03/04/2025 | 03/05/2025 | Keystone Plat | 09/08/2025 | NC | Client is going through employer | - | - | - |
| 09/08/2025 05:37 pm | Sandra Kaminski | BAC9072439 | 10 | WI | Same week | 09/07/2025 | 10/01/2025 | Kiwi (ON) | 09/08/2025 | WI | Client doesn't want to move forward after reviewing plan | 509.95 | - | 99.95 |
| 09/08/2025 01:34 pm | Keely Taylor | CHE2006784 | 70 | PA | - | 04/18/2024 | 04/19/2024 | Smart Kid | 09/08/2025 | PA | Client is unsatisfied with claims payout | - | - | - |
| 09/08/2025 01:13 pm | John Piaskowski | CHE2018532 | 10 | PA | Same week | 09/04/2025 | 09/14/2025 | Kiwi (ON) | 09/08/2025 | PA | Client purchased a Major Medical plan | 299.95 | - | 99.95 |
| 09/08/2025 11:27 am | Raymond Schreiner | CHE2016836 | 20 | NC | - | 06/16/2025 | 06/17/2025 | Kiwi (ON) | 09/08/2025 | NC | Plan does not fit needs | - | - | - |
| 09/08/2025 11:23 am | James Frontera | BAC9071034 | 20 | MA | 30 day | 08/25/2025 | 08/26/2025 | Keystone Plat | 09/08/2025 | MA | Client purchased a Major Medical plan | 299.95 | - | 99.95 |
| 09/08/2025 11:18 am | Naiqi Shi | BAC9049480 | 20 | MO | - | 01/05/2025 | 01/06/2025 | White LT/ Nate-orade | 09/08/2025 | MO | Client is going through employer | - | - | - |
| 09/05/2025 05:04 pm | Scott Blohm | BAC9065780 | 110 | AZ | - | 06/25/2025 | 07/01/2025 | HOT POTATO 1 | 09/05/2025 | AZ | Client is going through employer | - | - | - |
| 09/05/2025 04:59 pm | Paula Shaw | BAC9071712 | 220 | FL | 30 day | 09/29/2025 | 09/01/2025 | Kiwi (ON) | 09/05/2025 | FL | Client is going on state coverage | 299.95 | - | 99.95 |
| 09/05/2025 04:54 pm | Christopher Frappier | BAC9072262 | 80 | AZ | Same week | 09/04/2025 | 09/15/2025 | Kiwi (ON) | 09/05/2025 | AZ | Client wants a plan that meets ACA requirements | 299.95 | - | 99.95 |