AFIA CANCELS FORM REPORT
Showing 201–250 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 06/30/2026 12:51 pm | Juan Mendoza | BAC9082197 | 80 | AZ | - | 12/01/2025 | 01/01/2026 | PURPLE ELEPHANT X | 06/30/2026 | AZ | Client is going through employer | - | - | - |
| 06/30/2026 12:46 pm | Richard Cleveringa | 138900049 | 260 | TN | 30 day | 06/23/2026 | 06/24/2026 | PICKLED PETE | 06/30/2026 | TN | Client doesn't want to move forward after reviewing plan | 393.00 | - | 99.95 |
| 06/30/2026 12:32 pm | Keiko Schlabach | 1007709722 | 20 | MA | 30 day | 06/25/2026 | 07/01/2026 | PICKLED PETE | 06/30/2026 | MA | Client doesn't want to move forward after reviewing plan | 504.00 | - | 99.95 |
| 06/30/2026 12:14 pm | Joseph Carlstein | CHE2003253 | 20 | PA | - | 01/10/2024 | 02/01/2024 | Silver Data | 06/30/2026 | PA | Client purchased a Major Medical plan | - | - | - |
| 06/30/2026 08:15 am | Jason Colson | 1007705433 | 110 | IL | 30 day | 05/04/2026 | 06/01/2026 | Cheeba Cohiba | 06/30/2026 | IL | Client doesn't want to move forward after reviewing plan | 600.00 | - | 99.95 |
| 06/29/2026 06:31 pm | Brooklyn Arp | 138900415 | 210 | TN | Same day | 06/29/2026 | 07/01/2026 | Sittin" Sidewayz | 06/29/2026 | TN | Client doesn't want to move forward after reviewing plan | 266.00 | - | 99.95 |
| 06/29/2026 06:23 pm | Sharon Rock | BAC2002028 | 110 | NH | - | 06/30/2025 | 07/01/2025 | HOT POTATO 3 | 06/29/2026 | NH | Client is going through employer | - | - | - |
| 06/29/2026 06:20 pm | Lisa Graciano | 1008201622 | 80 | WA | 30 day | 06/22/2026 | 07/01/2026 | PICKLED PETE | 06/29/2026 | WA | Client is going on state coverage | 235.59 | - | 49.95 |
| 06/29/2026 06:14 pm | Trystan Lozier | 1007707121 | 220 | LA | - | 05/24/2026 | 05/25/2026 | Traffic Tree D | 06/29/2026 | LA | Client is going through employer | - | - | - |
| 06/29/2026 06:12 pm | Natalie Kyllonen | 1008201447 | 220 | ME | 30 day | 06/15/2026 | 07/01/2026 | Kiwi T-2 | 06/29/2026 | ME | Client doesn't want to move forward after reviewing plan | 259.38 | - | 49.95 |
| 06/29/2026 06:08 pm | Hossein Jolani | 1007700603 | 30 | IL | - | 03/12/2026 | 03/13/2026 | Keystone Inbound | 06/29/2026 | IL | Client can't afford plan | - | - | - |
| 06/29/2026 06:06 pm | Sue Bagi | 1007703868 | 80 | AL | - | 04/19/2026 | 04/20/2026 | Traffic Tree D | 06/29/2026 | AL | Client's doctor in not in network/ accepting plan | - | - | - |
| 06/29/2026 05:56 pm | Randy Smith | 1007708097 | 220 | SC | 30 day | 06/04/2026 | 07/01/2026 | Keystone Plat | 06/29/2026 | SC | Client doesn't want to move forward after reviewing plan | 515.00 | - | 99.95 |
| 06/29/2026 05:44 pm | Redonda Phillips Collins | 1008201152 | 110 | OR | - | 06/01/2026 | 06/02/2026 | PICKLED PETE | 06/29/2026 | OR | Client is going on spouses coverage | - | - | - |
| 06/29/2026 05:42 pm | Alicia Thomas | 1007707790 | 260 | MS | 30 day | 06/01/2026 | 06/02/2026 | Kiwi T-2 | 06/29/2026 | MS | Client doesn't want to move forward after reviewing plan | 388.00 | - | 99.95 |
| 06/29/2026 01:36 pm | Tania Dayon | 1007704289 | 110 | MN | - | 04/23/2026 | 05/01/2026 | Cheeba Cohiba | 06/29/2026 | MN | Client is going on spouses coverage | - | - | - |
| 06/29/2026 01:33 pm | Joseph Mckinney | BAC9085342 | 20 | TX | - | 12/28/2025 | 01/01/2026 | Traffic Tree D | 06/29/2026 | TX | Client purchased a Major Medical plan | - | - | - |
| 06/29/2026 01:29 pm | Alonzo Hardinger | BAC2001853 | 110 | UT | - | 06/05/2025 | 06/06/2025 | Keystone Inbound | 06/29/2026 | UT | Client's doctor in not in network/ accepting plan | - | - | - |
| 06/29/2026 01:26 pm | Nancy Nixon | BAC9079878 | 10 | MA | - | 11/07/2025 | 12/01/2025 | Kiwi T-1 | 06/29/2026 | MA | Client purchased another Limited Medical Plan | - | - | - |
| 06/29/2026 01:24 pm | Scott Hornish | BAC9020994 | 500 | IN | - | 02/23/2024 | 02/24/2024 | SMORES DATA | 06/29/2026 | IN | Client is going on state coverage | - | - | - |
| 06/28/2026 10:45 am | Amy Handford | BAC9091614 | 10 | WY | - | 02/26/2026 | 02/27/2026 | Keystone Plat | 06/28/2026 | WY | Client is unsatisfied with claims payout | - | - | - |
| 06/28/2026 10:28 am | Aviana Palacios | 1008200969 | 80 | WA | - | 05/21/2026 | 05/22/2026 | PICKLED PETE | 06/28/2026 | WA | Plan does not fit needs | - | - | - |
| 06/28/2026 10:23 am | Sabrina Zimmerman | 1008201769 | 80 | WA | Same week | 06/26/2026 | 07/01/2026 | PICKLED PETE | 06/26/2026 | WA | Client doesn't want to move forward after reviewing plan | 225.14 | - | 49.95 |
| 06/28/2026 10:18 am | Joseline Arroyo De Jesus | CHE2014814 | 80 | PA | - | 03/23/2025 | 04/01/2025 | Traffic Tree (ON) | 06/26/2026 | PA | Client can't afford plan | - | - | - |
| 06/26/2026 03:45 pm | Diego Mas Marques | 1007707384 | 80 | MA | 30 day | 05/27/2026 | 06/01/2026 | Traffic Tree D | 06/26/2026 | MA | Client doesn't want to move forward after reviewing plan | 388.00 | - | - |
| 06/26/2026 03:39 pm | Conner Backus | 1008201737 | 110 | WA | Same week | 06/25/2026 | 06/26/2026 | SUNRISE (ON) | 06/26/2026 | WA | Client can't afford plan | 212.25 | - | 49.95 |
| 06/26/2026 03:29 pm | Bennett Howe | BAC9090205 | 500 | MO | - | 02/11/2026 | 02/12/2026 | Keystone Plat | 06/26/2026 | MO | Client is going on state coverage | - | - | - |
| 06/26/2026 11:32 am | Terri Kelm | BAC9085524 | 20 | TX | - | 12/29/2025 | 06/01/2026 | PURPLE ELEPHANT X | 06/26/2026 | TX | Client is unsatisfied with claims payout | - | - | - |
| 06/26/2026 11:26 am | Nicole Heater | 1507800971 | 20 | SC | 30 day | 06/17/2026 | 06/18/2026 | Cheeba Cohiba | 06/26/2026 | SC | Client doesn't want to move forward after reviewing plan | 439.00 | - | 99.95 |
| 06/25/2026 06:19 pm | Venkata Ramanamma Gopireddy | 1007709732 | 10 | MN | Same day | 06/25/2026 | 06/26/2026 | Sunrise 1 | 06/25/2026 | MN | Client can't afford plan | 365.00 | - | 99.95 |
| 06/25/2026 06:05 pm | Marcus Lepke | BAC2002277 | 220 | CO | - | - | 08/01/2025 | KOMPLIANT KEVIN | 06/25/2026 | CO | Client purchased a Major Medical plan | - | - | - |
| 06/25/2026 05:56 pm | Pragnesh Shah | BAC9085322 | 220 | NC | - | 12/28/2025 | 01/01/2026 | Traffic Tree D | 06/25/2026 | NC | Client purchased another Limited Medical Plan | REFUNDED 2 MONTHS | - | - |
| 06/25/2026 04:23 pm | Brandie Noblitt | 1007709502 | 260 | NC | 30 day | 06/19/2026 | 06/20/2026 | PICKLED PETE | 06/25/2026 | NC | Client purchased another Limited Medical Plan | 305.00 | - | 99.95 |
| 06/25/2026 04:17 pm | Journey Lemar | 1008201457 | 220 | WA | 30 day | 06/15/2026 | 06/16/2026 | PICKLED PETE | 06/25/2026 | WA | Client doesn't want to move forward after reviewing plan | 188.77 | - | - |
| 06/25/2026 04:13 pm | Robert Keister | 1007701326 | 220 | OH | - | - | 03/24/2026 | Keystone Plat | 06/25/2026 | OH | Client purchased another Limited Medical Plan | - | - | - |
| 06/25/2026 04:06 pm | Eva Jane | 1008200537 | 220 | VT | - | 04/23/2026 | 04/24/2026 | Keystone Plat | 06/25/2026 | VT | Client is unsatisfied with claims payout | - | - | - |
| 06/25/2026 03:59 pm | Komasepele Molapo | 1007704284 | 20 | VA | - | 04/23/2026 | 04/24/2026 | REF/REWRITE | 06/25/2026 | VA | Client purchased another Limited Medical Plan | - | - | - |
| 06/25/2026 03:55 pm | Mohamed Alli | 1207902766 | 10 | CT | 30 day | 06/16/2026 | 06/17/2026 | Keystone Plat | 06/25/2026 | CT | Client wants a plan that meets ACA requirements | 224.95 | - | 49.95 |
| 06/24/2026 05:17 pm | Mary Knight | 1007707787 | 10 | FL | 30 day | 06/01/2026 | 06/02/2026 | Kiwi T-2 | 06/24/2026 | FL | Client doesn't want to move forward after reviewing plan | 388.00 | 57.95 | 99.95 |
| 06/24/2026 05:04 pm | Tiana Traver | 1007707724 | 10 | AR | 30 day | 05/31/2026 | 06/01/2026 | PICKLED PETE | 06/24/2026 | AR | Client purchased another Limited Medical Plan | 244.00 | - | 99.95 |
| 06/24/2026 04:53 pm | Nathan Palmer | 1008201605 | 30 | OR | 30 day | 06/22/2026 | 06/23/2026 | PICKLED PETE | 06/24/2026 | OR | Client is going on state coverage | 189.57 | - | 49.95 |
| 06/24/2026 03:47 pm | Sonia Penta | 1008201132 | 220 | NH | - | 05/31/2026 | 06/01/2026 | Kiwi (ON) | 06/24/2026 | NH | Client is going through employer | - | - | - |
| 06/24/2026 03:43 pm | Tracey Bone | 1007706200 | 110 | FL | - | 05/13/2026 | 05/14/2026 | Traffic Tree D | 06/24/2026 | FL | Client is unsatisfied with claims payout | - | - | - |
| 06/24/2026 03:40 pm | Maryann Tateosian | 1007702374 | 10 | MA | - | 04/22/2026 | 05/28/2026 | Keystone Plat | 06/24/2026 | MA | Client is going on state coverage | - | - | - |
| 06/24/2026 03:34 pm | Isaiah Gomez | 1207900682 | 260 | TX | - | 04/01/2026 | 04/02/2026 | Traffic Tree D | 06/24/2026 | TX | Client is unsatisfied with claims payout | - | - | - |
| 06/24/2026 03:27 pm | Pamela Larriuz | 1207901422 | 260 | CT | - | 04/27/2026 | 04/28/2026 | Keystone Plat | 06/24/2026 | CT | Client is going through employer | - | - | - |
| 06/24/2026 02:26 pm | Perla Mendoza Garduno | 138900101 | 110 | TX | Same week | 06/23/2026 | 06/24/2026 | Kiwi T-2 | 06/24/2026 | TX | Client can't afford plan | 219 | - | 99.95 |
| 06/24/2026 08:25 am | Stefano Diliberto | BAC9089690 | 20 | MA | - | 02/04/2026 | 02/05/2026 | PICKLED PETE | 06/23/2026 | MA | Client is unsatisfied with claims payout | - | - | - |
| 06/23/2026 05:25 pm | Edna Peterson | 1007708810 | 10 | AZ | 30 day | 06/11/2026 | 06/12/2026 | Cheeba Cohiba | 06/23/2026 | AZ | Client doesn't want to move forward after reviewing plan | 388 | 57.95 | 99.95 |
| 06/23/2026 05:19 pm | Pauline Cressman | 1007705213 | 220 | MN | - | 05/01/2026 | 06/01/2026 | Traffic Tree D | 06/23/2026 | MN | Client wants a plan that meets ACA requirements | - | - | - |