AFIA CANCELS FORM REPORT
Total Records
2425
Showing 301–350 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 06/15/2026 12:27 pm | Stephen Williams | CHE2010556 | 500 | PA | - | 09/23/2024 | 10/01/2024 | Sittin" Sidewayz | 06/15/2026 | PA | Client purchased a Major Medical plan | - | - | - |
| 06/14/2026 07:53 am | Alexander Allen | 1007708989 | 210 | AZ | Same day | 06/14/2026 | 07/01/2026 | Kiwi T-2 | 06/14/2026 | AZ | Client doesn't want to move forward after reviewing plan | 388 | - | 99.95 |
| 06/12/2026 11:42 am | Samantha McDonald | 1007700252 | 220 | IL | - | 03/06/2026 | 03/07/2026 | PICKLED PETE | 06/06/2026 | IL | Client can't afford plan | - | - | - |
| 06/11/2026 06:32 pm | David Scharlacken | 1008201033 | 20 | ME | 30 day | 05/26/2026 | 05/27/2026 | Keystone Plat | 06/11/2026 | ME | Plan does not fit needs | 195.61 | - | - |
| 06/11/2026 06:29 pm | Tammy Miller | 1007708422 | 10 | MN | 30 day | 06/08/2026 | 07/06/2026 | Cheeba Cohiba | 06/11/2026 | MN | Client doesn't want to move forward after reviewing plan | 515 | - | 99.95 |
| 06/11/2026 06:14 pm | Ae Somboun | 1007707968 | 20 | MA | 30 day | 06/02/2026 | 06/03/2026 | KING BENNY | 06/11/2026 | MA | Client purchased a Major Medical plan | 244 | - | - |
| 06/11/2026 05:25 pm | Denise Williams | 1008201272 | 260 | WA | 30 day | 06/05/2026 | 06/06/2026 | PICKLED PETE | 06/11/2026 | WA | Client doesn't want to move forward after reviewing plan | 235.59 | - | 49.95 |
| 06/11/2026 05:22 pm | Abeba Gebru | 1008201372 | 20 | WA | Same week | 06/10/2026 | 06/11/2026 | PICKLED PETE | 06/11/2026 | WA | Client doesn't want to move forward after reviewing plan | 222.74 | - | 49.95 |
| 06/11/2026 05:14 pm | Edwin Lovvorn | 1007705442 | 80 | TN | - | 05/04/2026 | 05/05/2026 | Cheeba Cohiba | 06/11/2026 | TN | Client purchased a Major Medical plan | - | - | - |
| 06/11/2026 03:29 pm | Albert Smith Jr | BAC9088413 | 220 | AR | - | 01/22/2026 | 02/01/2026 | PICKLED PETE | 06/11/2026 | AR | Client is going through employer | - | - | - |
| 06/11/2026 03:24 pm | Colette Gilbers | BAC9018549 | 20 | MO | - | 01/22/2023 | 02/01/2023 | KIWI T-1 | 06/11/2026 | MO | Client is going on state coverage | - | - | - |
| 06/11/2026 03:20 pm | Arianna Flores Avalos | BAC9074083 | 110 | TX | - | 09/22/2025 | 09/23/2025 | Purple Elephant 7 | 06/11/2026 | TX | Client is unsatisfied with claims payout | - | - | - |
| 06/11/2026 03:16 pm | Andrea Wright | BAC9085680 | 20 | VA | - | 12/30/2025 | 01/01/2026 | HOT POTATO 1 | 06/11/2026 | VA | Client wants Wellness benefits included | - | - | - |
| 06/11/2026 03:13 pm | Miranda Johnson | BAC9081162 | 20 | MI | - | 11/18/2026 | 11/19/2025 | Keystone Inbound | 06/11/2026 | MI | Client's doctor in not in network/ accepting plan | - | - | - |
| 06/11/2026 03:09 pm | Melisa Price | CHE2020173 | 30 | PA | - | 01/07/2026 | 01/12/2026 | KOMPLIANT KEVIN | 06/11/2026 | PA | Client is going through employer | - | - | - |
| 06/11/2026 03:05 pm | Luke Whitehead | 1207900691 | 20 | TX | - | 04/01/2026 | 04/02/2026 | Keystone Plat | 06/11/2026 | TX | Client is unsatisfied with claims payout | - | - | - |
| 06/10/2026 05:23 pm | Arshelle Fuerman | CHE2019204 | 20 | PA | - | 10/29/2026 | 11/01/2025 | HOT POTATO 1 | 06/10/2026 | PA | Client purchased another Limited Medical Plan | - | - | - |
| 06/10/2026 05:20 pm | Brian Cloud | HES9003368 | 110 | TX | - | 01/27/2026 | 02/01/2026 | Keystone Plat | 06/10/2026 | TX | Client purchased a Major Medical plan | - | - | - |
| 06/10/2026 04:36 pm | John Burson | 1207902615 | 10 | TX | Same day | 06/10/2026 | 06/11/2026 | Cheeba Cohiba | 06/10/2026 | TX | Client doesn't want to move forward after reviewing plan | 372.00 | - | 99.95 |
| 06/10/2026 01:21 pm | Jay Hickman | BAC2002881 | 10 | UT | - | 10/27/2025 | 12/01/2025 | REF/REWRITE | 06/10/2026 | UT | Client purchased a Major Medical plan | - | - | - |
| 06/10/2026 01:18 pm | Donna Meyering | BAC9082734 | 500 | IL | - | 12/05/2025 | 01/01/2026 | HOT POTATO 1 | 06/10/2026 | IL | Client is going on state coverage | - | - | - |
| 06/10/2026 09:33 am | Karl Kinder | BAC9019258 | 10 | IN | - | 01/31/2024 | 02/01/2024 | REF/REWRITE | 06/10/2026 | IN | Client is going on state coverage | - | - | - |
| 06/10/2026 09:26 am | Macie Thomas | 1007708498 | 260 | SC | 30 day | 06/08/2026 | 06/09/2026 | Kiwi T-2 | 06/10/2026 | SC | Client was given incorrect benefit information | 388.00 | - | 99.95 |
| 06/09/2026 05:29 pm | Aaralyn Handford | 1007702183 | 10 | WY | - | 03/31/2026 | 04/01/2026 | REF/REWRITE | 06/09/2026 | WY | Client is unsatisfied with claims payout | - | - | - |
| 06/09/2026 05:14 pm | Marigold Castro | 1007703193 | 10 | OK | 30 day | 04/12/2026 | 07/01/2026 | Kiwi T-1 | 06/09/2026 | OK | Client doesn't want to move forward after reviewing plan | 504.00 | v | 99.95 |
| 06/09/2026 03:56 pm | Erica Westby | 1008200775 | 80 | WA | - | 05/12/2026 | 05/13/2026 | PICKLED PETE | 06/09/2026 | WA | Plan does not fit needs | - | - | - |
| 06/09/2026 03:52 pm | Roy Hanson | 1007708026 | 10 | WI | 30 day | 06/03/2026 | 06/04/2026 | PICKLED PETE | 06/09/2026 | WI | Client doesn't want to move forward after reviewing plan | 515.00 | 86.95 | 99.95 |
| 06/09/2026 03:47 pm | Joseph Mackey | 1008201030 | 10 | NH | 30 day | 05/26/2026 | 05/27/2026 | PICKLED PETE | 06/09/2026 | NH | Client doesn't want to move forward after reviewing plan | 192.55 | - | 49.95 |
| 06/09/2026 12:12 pm | Johanna Slaymaker | 1007708461 | 220 | WY | 30 day | 06/08/2026 | 06/09/2026 | Keystone Plat | 06/09/2026 | WY | Member under impression BCBS plan-she is pregnant | 244.00 | - | 99.95 |
| 06/09/2026 09:12 am | Jessica Urban | 1008200848 | 260 | WA | 30 day | 05/14/2026 | 05/15/2026 | PICKLED PETE | 06/09/2026 | WA | Client doesn't want to move forward after reviewing plan | 212.39 | - | - |
| 06/09/2026 07:53 am | Christina Reeves | 1007708602 | 20 | IN | Same day | 06/09/2026 | 07/01/2026 | Keystone Inbound | 06/09/2026 | IN | Client doesn't want to move forward after reviewing plan | 305.00 | - | 99.95 |
| 06/08/2026 06:40 pm | Victoria Nukafo | BAC9081562 | 10 | MI | - | 11/21/2025 | 11/22/2025 | Keystone Inbound | 06/08/2026 | MI | Client is going on spouses coverage | - | - | - |
| 06/08/2026 06:36 pm | Kalani Queathem | BAC9082957 | 20 | MO | - | 12/07/2025 | 01/01/2026 | KIWI T-2 | 06/08/2026 | MO | Client purchased another Limited Medical Plan | - | - | - |
| 06/08/2026 06:32 pm | Joshua Keen | CHE2020938 | 260 | PA | - | 02/23/2026 | 02/24/2026 | Kiwi (ON) | 06/08/2026 | PA | Client purchased another Limited Medical Plan | - | - | - |
| 06/08/2026 06:25 pm | Arturo Castelletti | 1207902537 | 20 | CT | Same day | 06/08/2026 | 06/20/2026 | PICKLED PETE | 06/08/2026 | CT | Client doesn't want to move forward after reviewing plan | 335.95 | CORE 500 PLUS | 99.95 |
| 06/08/2026 06:21 pm | Troy Richmond | 1007708044 | 220 | FL | Same week | 06/03/2026 | 06/04/2026 | Kiwi T-2 | 06/08/2026 | FL | Client doesn't want to move forward after reviewing plan | 244.00 | - | 99.95 |
| 06/08/2026 06:12 pm | Donna Shaw | 1007708378 | 10 | AL | Same week | 06/07/2026 | 06/08/2026 | Keystone Plat | 06/08/2026 | AL | Client's doctor in not in network/ accepting plan | 244.00 | - | 99.95 |
| 06/08/2026 06:07 pm | Justin Spencer | 1007708227 | 10 | MA | Same week | 06/05/2026 | 06/06/2026 | Keystone Inbound | 06/08/2026 | MA | Client doesn't want to move forward after reviewing plan | 209.00 | - | 99.95 |
| 06/08/2026 06:02 pm | Andrew Shelton | 1008200870 | 10 | WA | 30 day | 05/17/2026 | 07/01/2026 | Kiwi T-1 | 06/08/2026 | WA | Client purchased a Major Medical plan | 321.11 | - | 49.95 |
| 06/08/2026 05:58 pm | Sara Cayer | BAC2004330 | 10 | NH | - | 02/26/2026 | 02/27/2026 | PICKLED PETE | 06/08/2026 | NH | Client is unsatisfied with claims payout | - | - | - |
| 06/08/2026 10:06 am | Rita Watkins | BAC9043915 | 20 | LA | - | 11/05/2024 | 12/01/2024 | Cheeba Cohiba | 06/08/2026 | LA | Member Deceased | - | - | - |
| 06/07/2026 11:19 am | Robert Walker | CHE2018614 | 80 | PA | - | 09/12/2026 | 09/13/2025 | REF/REWRITE | 06/07/2026 | PA | Client can't afford plan | - | - | - |
| 06/07/2026 09:10 am | Dayana Sorenson | 1007701280 | 20 | MN | - | 03/22/2026 | 03/23/2026 | Kiwi T-2 | 06/07/2026 | MN | Client is unsatisfied with claims payout | - | - | - |
| 06/05/2026 05:38 pm | Vasyl Ivancho | BAC9089277 | 10 | MA | - | 01/30/2026 | 02/01/2026 | Keystone Plat | 06/05/2026 | MA | Client has relocated where plan is not available | - | - | - |
| 06/05/2026 04:54 pm | Karen Wilber | 1008201020 | 220 | VT | 30 day | 05/26/2026 | 07/01/2026 | Keystone Inbound | 06/05/2026 | VT | Client purchased another Limited Medical Plan | 194.11 | - | 49.95 |
| 06/05/2026 04:06 pm | Bernardo Mayorga | BAC9085955 | 10 | WI | - | 01/04/2026 | 01/05/2026 | MOMMY FINGER | 06/05/2026 | WI | Client is unsatisfied with claims payout | - | - | - |
| 06/05/2026 04:01 pm | Scott Lee | BAC2002955 | 110 | CO | - | 11/03/2026 | 11/04/2025 | Kiwi T-1 | 06/05/2026 | CO | Client is unsatisfied with claims payout | - | - | - |
| 06/05/2026 03:56 pm | Makayla Jantzen | 1207902217 | 260 | TX | 30 day | 05/27/2026 | 05/28/2026 | Kiwi T-2 | 06/05/2026 | TX | Client's doctor in not in network/ accepting plan | 244 | - | - |
| 06/05/2026 03:50 pm | Mark Espinola | EV4006638 | 500 | MA | - | 05/05/2026 | 05/06/2021 | Silver Data | 06/05/2026 | MA | Client is unsatisfied with claims payout | - | - | - |
| 06/05/2026 03:41 pm | Kuljyoti Rana | 1008200903 | 220 | WA | 30 day | 05/19/2026 | 05/20/2026 | KING BENNY | 06/05/2026 | WA | Client purchased a Major Medical plan | 194.89 | - | - |