AFIA CANCELS FORM REPORT
Showing 2251–2300 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 08/05/2025 10:19 am | Ski Kostman | HES9002120 | 10 | ND | - | 06/01/2025 | 07/01/2025 | Sittin" Sidewayz | 08/05/2025 | ND | Client's doctor in not in network/ accepting plan | - | - | - |
| 08/04/2025 05:24 pm | Valeria Heyward | CHE2016760 | 70 | PA | 30 day | 06/11/2025 | 10/01/2025 | Traffic Tree D | 08/04/2025 | PA | Client's doctor in not in network/ accepting plan | 379.95 | - | 99.95 |
| 08/04/2025 05:18 pm | Jimmy Valencia | BAC9057175 | 20 | VA | - | 03/23/2025 | 03/24/2025 | Kiwi(ON) | 08/04/2025 | VA | Client can't afford plan | - | - | - |
| 08/04/2025 03:26 pm | Griselda Reyna | BAC2000726 | 70 | CO | - | 12/22/2024 | 01/01/2025 | Daddy Finger | 08/04/2025 | CO | Plan does not fit needs | - | - | - |
| 08/04/2025 03:21 pm | Valerie Clark | CHE2017816 | 20 | PA | 30 day | 07/28/2025 | 08/01/2025 | Cheeba Cohiba | 08/04/2025 | PA | Client wants a plan that meets ACA requirements | 509.95 | - | 99.95 |
| 08/04/2025 03:16 pm | Walter Geroda | CHE2015861 | 30 | PA | - | 05/06/2025 | 05/07/2025 | Cheeba Cohiba | 08/04/2025 | PA | Client can't afford plan | - | - | - |
| 08/04/2025 01:03 pm | Robin Tucker | CHE2017952 | 220 | PA | Same week | 08/03/2025 | 08/04/2025 | KOMPLIANT KEVIN | 08/04/2025 | PA | Client thought this was United Healthcare plan | 379.95 | v | 99.95 |
| 08/04/2025 12:57 pm | Patricia Dietrich | TCR7001172 | 500 | CA | - | 04/15/2022 | 05/01/2022 | Silver Data | 08/04/2025 | CA | Plan was terminated by carrier- client didn't need this Anc | - | - | - |
| 08/04/2025 12:51 pm | Nancy Gruenke | BAC9065627 | 220 | MN | - | 06/24/2025 | 07/01/2025 | HOT POTATO 3 | 08/04/2025 | MN | Client is going through employer | - | - | - |
| 08/04/2025 12:47 pm | Michael Stanziale | BAC9064897 | 70 | DE | - | 06/16/2025 | 07/01/2025 | HOT POTATO 3 | 08/04/2025 | DE | Plan does not fit needs | - | - | - |
| 08/04/2025 12:43 pm | Brenda Christensen | BAC9069094 | 80 | AR | Same week | 08/01/2025 | 08/02/2025 | Keystone Plat | 08/04/2025 | AR | Client wants a plan that meets ACA requirements | 379.95 | v | 99.95 |
| 08/04/2025 12:10 pm | Kimberly Hydes | BAC9046879 | 20 | MA | - | 12/06/2025 | 12/07/2024 | HOT POTATO 1 | 08/04/2025 | MA | Client can't afford plan | - | - | - |
| 08/04/2025 11:48 am | William Corbett Jr | BAC9049536 | 20 | MA | - | 01/06/2025 | 01/07/2025 | Daddy Finger | 08/04/2025 | MA | Client is unsatisfied with claims payout | - | - | - |
| 08/04/2025 10:40 am | Lori Leavenworth | BAC9067658 | 220 | GA | 30 day | 07/17/2025 | 08/01/2025 | Cheeba Cohiba | 08/04/2025 | GA | Client is unsatisfied with RX savings | 379.95 | v | 99.95 |
| 08/01/2025 05:55 pm | Boris Gorshkov | BAC9068803 | 220 | TN | Same week | 07/30/2025 | 08/01/2025 | KOMPLIANT KEVIN | 08/01/2025 | TN | Other | 379.95 | - | 99.95 |
| 08/01/2025 05:50 pm | Ashton Joseph | BAC2002053 | 220 | CO | 30 day | 07/01/2025 | 07/02/2025 | Keystone Plat | 08/01/2025 | CO | Client purchased a Major Medical plan | 196.98 | - | 49.95 |
| 08/01/2025 05:47 pm | Laura Applen Cooper | BAC9068585 | 20 | MN | 30 day | 07/28/2025 | 08/01/2025 | Kiwi (ON) | 08/01/2025 | MN | Client is unsatisfied with RX savings | 299.95 | - | 99.95 |
| 08/01/2025 12:06 pm | Kourtney Lynn Cannon | BAC9068635 | 110 | AZ | 30 day | 07/28/2025 | 08/01/2025 | Keystone Inbound | 08/01/2025 | AZ | Client is going on state coverage | 234.95 | - | 99.95 |
| 07/31/2025 02:05 pm | Stacy Golden | CHE2017176 | 70 | NV | 30 day | 06/30/2025 | 07/01/2025 | Kiwi (ON) | 07/31/2025 | NV | Plan does not fit needs | 234.95 | - | 99.95 |
| 07/31/2025 12:50 pm | Adeel Khan | BAC9067260 | 110 | VA | 30 day | 07/13/2025 | 08/01/2025 | Kiwi (ON) | 07/31/2025 | VA | Client is going through employer | 439.95 | - | 99.95 |
| 07/31/2025 11:30 am | Patrick Esposito | BAC9018634 | 70 | LA | - | 01/23/2024 | 02/02/2024 | Raspberry Data | 08/01/2025 | LA | Client is going on state coverage | - | - | - |
| 07/31/2025 11:24 am | Jan Ettrich | BAC9067721 | 20 | WI | 30 day | 07/17/2025 | 08/01/2025 | Cheeba Cohiba | 07/31/2025 | WI | Client wants a plan that meets ACA requirements | 609.95 | - | 99.95 |
| 07/31/2025 10:10 am | Aaron Brenner | BAC9067961 | 10 | IN | 30 day | 07/21/2025 | 07/22/2025 | Keystone Plat | 07/31/2025 | IN | Client is going through employer | 234.95 | - | - |
| 07/30/2025 04:34 pm | Nicholas Psimaras | BAC9064312 | 10 | IL | 30 day | 06/09/2025 | 07/01/2025 | Keystone Plat | 07/30/2025 | IL | Other | - | - | - |
| 07/30/2025 04:30 pm | Melissa Surprenant | BAC2002008 | 30 | NH | 30 day | 06/26/2025 | 07/01/2025 | HOT POTATO 1 | 07/30/2025 | NH | Client is going through employer | - | - | - |
| 07/30/2025 02:25 pm | Andrea M Christophe | BAC9055830 | 70 | LA | - | 03/06/2025 | 04/01/2025 | Green Bean | 07/30/2025 | LA | Plan does not fit needs | - | - | - |
| 07/30/2025 02:17 pm | Derick Hunter | BAC9065787 | 80 | GA | 30 day | 06/26/2025 | 07/01/2025 | Kiwi (ON) | 07/30/2025 | GA | Client doesn't want to move forward after reviewing plan | 379.95 | - | - |
| 07/30/2025 02:02 pm | Maria Coello | BAC9056903 | 220 | DC | - | 03/19/2025 | 04/01/2025 | HOT POTATO 1 | 07/30/2025 | DC | Plan does not fit needs | - | - | - |
| 07/30/2025 01:48 pm | John Kowalski | BAC9052914 | 160 | WI | - | 02/04/2025 | 02/05/2025 | Keystone Plat | 07/30/2025 | WI | Client wants Wellness benefits included | - | - | - |
| 07/30/2025 09:37 am | Reginald Wynn | BAC9060732 | 30 | VA | - | 04/30/2025 | 05/01/2025 | Keystone Plat | 07/30/2025 | VA | Client purchased a Major Medical plan | - | - | - |
| 07/29/2025 06:26 pm | Dale Vargo | TCR7002079 | 10 | CA | - | 09/26/2022 | 01/01/2023 | QW (ON) | 07/29/2025 | CA | Client is going on state coverage | - | - | - |
| 07/29/2025 06:20 pm | Donald Gunn | BAC2000310 | 500 | CO | - | 11/08/2024 | 11/09/2024 | HOT POTATO 3 | 07/29/2025 | CO | Client is going on spouses coverage | - | - | - |
| 07/29/2025 02:32 pm | Miles Marshall | BAC9043347 | 500 | IL | - | 10/31/2024 | 11/01/2024 | Sunrise 1 | 07/29/2025 | IL | Client is going through employer | - | - | - |
| 07/29/2025 02:27 pm | Juanita Leipold | BAC9066365 | 110 | AZ | 30 day | 07/01/2025 | 07/02/2025 | Traffic Tree D | 07/29/2025 | AZ | Client purchased another Limited Medical Plan | 509.95 | - | 99.95 |
| 07/29/2025 10:09 am | Edson Herrera | BAC9066540 | 110 | MA | 30 day | 07/02/2025 | 07/03/2025 | HOT POTATO 3 | 07/29/2025 | MA | Client is going on state coverage | 234.95 | - | 99.95 |
| 07/28/2025 04:46 pm | Randall Lindsey | BAC9052161 | 70 | AL | - | 01/08/2025 | 03/01/2025 | Keystone Plat | 07/28/2025 | AL | Client is going on state coverage | - | - | - |
| 07/28/2025 04:42 pm | Vickie Wilson | BAC9002915 | 70 | IN | - | 08/31/2023 | 09/01/2023 | Rank(ON) | 07/28/2025 | IN | Client is going on state coverage | - | - | - |
| 07/28/2025 02:03 pm | Bradley Carlin | BAC9068325 | 30 | TN | - | 07/24/2025 | 07/25/2025 | - | 07/28/2025 | TN | Client extended Cobra plan | 439.95 | 86.95, 87.95 | 99.95 |
| 07/28/2025 10:58 am | John Froughton | BAC9063551 | 220 | MA | - | 06/02/2025 | 06/03/2025 | HOT POTATO 3 | 07/28/2025 | MA | Client purchased a Major Medical plan | - | - | - |
| 07/28/2025 09:58 am | Eric Foreman | BAC9054671 | 20 | GA | - | 02/24/2025 | 02/25/2025 | HOT POTATO 1 | 07/24/2025 | GA | Client is unsatisfied with claims payout | - | - | - |
| 07/25/2025 05:43 pm | Joshua Chouinard | BAC9064814 | 30 | MA | 30 day | 06/16/2025 | 07/01/2025 | HOT POTATO 1 | 07/25/2025 | MA | Client doesn't want to move forward after reviewing plan | 669.95 | 86.95 | 99.95 |
| 07/25/2025 04:16 pm | Huong Do | BAC9068182 | 30 | MA | - | 07/23/2025 | 08/01/2025 | Kiwi (ON) | 07/25/2025 | MA | Client wants a plan that meets ACA requirements | 234.95 | - | 99.95 |
| 07/25/2025 03:20 pm | Justin Weber | BAC9023349 | 30 | MA | - | 03/27/2025 | 03/28/2024 | SMORES | 07/25/2025 | MA | Client purchased a Major Medical plan | - | - | - |
| 07/25/2025 03:16 pm | Sharon Parker | BAC9066095 | 220 | OH | - | 06/29/2025 | 07/01/2025 | Kiwi (ON) | 07/25/2025 | OH | Client extended Cobra plan | - | - | - |
| 07/25/2025 03:13 pm | Margaret Stone | BAC9065648 | 80 | GA | - | 06/24/2025 | 07/11/2025 | HOT POTATO 3 | 07/25/2025 | GA | Client purchased a Major Medical plan | - | - | - |
| 07/25/2025 03:07 pm | Twyla Hopkins | BAC9065560 | 10 | TX | - | 06/24/2025 | 06/25/2025 | HOT POTATO 3 | 07/25/2025 | TX | Client's doctor in not in network/ accepting plan | - | - | - |
| 07/25/2025 03:01 pm | Steven Langford | BAC9064560 | 20 | VA | - | 06/11/2025 | 07/01/2025 | Traffic Tree D | 07/25/2025 | VA | Client can't afford plan | - | - | - |
| 07/25/2025 02:54 pm | Christopher Emme | BAC2002091 | 110 | SD | 30 day | 07/07/2025 | 07/08/2025 | Keystone Plat | 07/25/2025 | SD | Client purchased a Major Medical plan | 246.37 | 56.93 | 49.95 |
| 07/25/2025 12:06 pm | Denice Janosky | CHE2007651 | 500 | PA | - | 05/30/2024 | 06/03/2024 | - | 07/25/2025 | PA | Client purchased another Limited Medical Plan | - | - | - |
| 07/24/2025 04:58 pm | Emily Borzillo | BAC9027431 | 20 | WI | - | 05/18/2024 | 05/19/2024 | Sunrise LT | 07/24/2025 | WI | Client is going through employer | - | - | - |