AFIA CANCELS FORM REPORT
Showing 2401–2425 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 07/02/2025 12:08 pm | Diane Gruber | BAC9043032 | 20 | IL | - | 10/29/2024 | 12/01/2024 | Green LT | 07/02/2025 | IL | Plan does not fit needs | - | - | - |
| 07/02/2025 11:54 am | Brenda Romo | BAC9066354 | 220 | MO | Same week | 07/01/2025 | 07/02/2025 | HOT POTATO 1 | 07/02/2025 | MO | Client purchased another Limited Medical Plan | 379.95 | - | 99.95 |
| 07/02/2025 11:28 am | Raghunandan Gopalan | BAC9065138 | 20 | MA | 30 day | 06/19/2025 | 06/23/2025 | HOT POTATO 1 | 07/02/2025 | MA | Client is going through employer | 379.95 | - | - |
| 07/02/2025 11:19 am | Trudy Cash | BAC9066323 | 30 | TN | Same week | 07/01/2025 | 07/11/2025 | Keystone Inbound | 07/02/2025 | TN | Client purchased a Major Medical plan | 379.95 | - | 99.95 |
| 07/02/2025 11:04 am | Margaret Buckles | BAC9065685 | 10 | OK | 30 day | 06/25/2025 | 06/26/2025 | Keystone Platinum | 07/02/2025 | OK | Client doesn't want to move forward after reviewing plan | 234.95 | - | - |
| 07/01/2025 02:25 pm | Robin Donohue | BAC9052748 | 30 | WV | - | 02/03/2025 | 03/01/2025 | HOT POTATO 1 | 07/01/2025 | WV | Client is going on state coverage | - | - | - |
| 07/01/2025 01:48 pm | Vanessa Santosuosso | BAC2000685 | 30 | NH | - | 12/17/2024 | 01/15/2025 | Kiwi T-2 | 07/01/2025 | NH | Client is going through employer | - | - | - |
| 07/01/2025 12:25 pm | Ryan Bloom | BAC9064188 | 500 | MN | 30 day | 06/08/2025 | 06/09/2025 | Traffic Tree D | 07/01/2025 | MN | Client purchased a Major Medical plan | 234.95 | - | - |
| 07/01/2025 11:00 am | Tariq Ahmad | CHE2016405 | 110 | PA | 30 day | 05/28/2025 | 06/01/2025 | Traffic Tree D | 06/30/2025 | PA | Client's doctor in not in network/ accepting plan | 609.95 + Enrollment Fee | - | 99.95 |
| 07/01/2025 10:57 am | Caroline Castle | HES9001028 | 500 | LA | - | 09/08/2024 | 10/01/2024 | Green D | 07/01/2025 | LA | Client is going through employer | - | - | - |
| 06/27/2025 01:54 pm | Navdeep Meeta | BAC9049943 | 10 | OH | Same Week | 01/09/2025 | 01/10/2025 | Green D | 01/10/2025 | OH | Client doesn't want to move forward after reviewing plan | 379.95 | - | 99.95 |
| 06/27/2025 01:20 pm | Clarissa Williamson Williford | BAC9038560 | 500 | TX | - | 09/16/2024 | 09/26/2024 | Keystone Platinum | 12/27/2024 | TX | Client doesn't want to move forward after reviewing plan | - | - | - |
| 06/27/2025 01:18 pm | Sarita Deshpande | BAC9045875 | 20 | VA | 30 day | 11/24/2024 | 01/01/2025 | Green D | 12/27/2024 | VA | Client purchased a Major Medical plan | 379.95 | - | 99.95 |
| 06/27/2025 01:13 pm | Melissa Furman | CHE2007648 | 500 | PA | - | 05/30/2024 | 07/01/2024 | Berry | 12/27/2024 | PA | Client is going through employer | - | - | - |
| 06/27/2025 01:11 pm | Teialissa Gough | BAC9032655 | 10 | AL | - | 07/18/2024 | 08/01/2024 | Green Bean | 12/26/2024 | AL | Client is going through employer | - | - | - |
| 06/27/2025 01:09 pm | Brian Robertson | BAC9009496 | 20 | TN | - | 11/01/2023 | 11/02/2023 | Nexus Excl | 12/26/2024 | TN | Client purchased a Major Medical plan | - | - | - |
| 06/27/2025 01:06 pm | Laura Williams | BAC9044836 | 20 | GA | 30 day | 11/14/2024 | 11/24/2024 | Keystone Platinum | 12/26/2024 | GA | Client was given incorrect benefit information | 234.95 | 57.95 | NO |
| 06/27/2025 12:52 pm | Gordon Watters | BAC9016615 | 20 | IL | - | 01/08/2024 | 02/01/2024 | Silver D | 12/26/2024 | IL | Client purchased a Major Medical plan | - | - | - |
| 06/27/2025 12:50 pm | Chantia Wilson | BAC9046017 | 10 | KY | 30 day | 11/26/2024 | 11/27/2024 | Hot Potato 3 | 12/26/2024 | KY | Client is unsatisfied with RX savings | 299.95 | - | NO |
| 06/27/2025 12:47 pm | Cheyenne Hershberger | BAC9040686 | 500 | OH | - | 10/07/2024 | 10/08/2024 | Keystone Platinum | 12/26/2024 | OH | Client purchased a Major Medical plan | - | - | - |
| 06/27/2025 12:45 pm | Fabricio De Moura | CHE2004914 | 500 | PA | - | 02/12/2024 | 02/23/2024 | Smores D | 12/26/2024 | PA | Client can't afford plan | - | - | - |
| 06/27/2025 12:23 pm | Johnnie Johnson Jr | BAC9042351 | 110 | SC | - | 10/23/2024 | 10/24/2024 | Kiwi Inbound | 12/24/2024 | SC | Client can't afford plan | - | - | - |
| 06/27/2025 12:00 pm | Timothy Smith Jr | CHE2009451 | 30 | PA | - | 08/11/2024 | 09/01/2024 | Kiwi(ON) | 12/24/2024 | PA | Client is going through employer | - | - | - |
| 06/27/2025 11:52 am | Johnnie Johnson Jr | 456456456 | 70 | - | - | - | - | - | - | - | - | - | - | - |
| 07/04/2024 07:54 am | Donna Crowell | BAC9087947 | 80 | GA | - | 01/16/2026 | 01/17/2026 | REF/REWRITE | 07/04/2026 | GA | Client purchased another Limited Medical Plan | - | - | - |