AFIA CANCELS FORM REPORT
Total Records
2425
Showing 351–400 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 06/05/2026 03:28 pm | Cris Langevin | 1008200567 | 10 | VT | - | 04/27/2026 | 04/28/2026 | Keystone Plat | 06/05/2026 | VT | Client is unsatisfied with claims payout | - | - | - |
| 06/04/2026 08:00 pm | Debra Bailey | CHH9003047 | 500 | PA | - | 10/04/2022 | 10/05/2022 | Silver Data | 06/04/2026 | PA | Client can't afford plan | - | - | - |
| 06/04/2026 07:54 pm | Ronnie Sprouse | 1007701950 | 20 | MO | - | 03/30/2026 | 04/01/2026 | Keystone Inbound | 06/04/2026 | MO | Client can't afford plan | - | - | - |
| 06/04/2026 07:51 pm | Lomialani Tuia | 1008200538 | 500 | UT | - | 04/23/2026 | 04/24/2026 | Keystone Platinum | 06/04/2026 | UT | Client purchased another Limited Medical Plan | - | - | - |
| 06/04/2026 07:45 pm | Ryan Dukes | 1007703139 | 20 | KY | - | 04/10/2026 | 04/11/2026 | Keystone Plat | 06/04/2026 | KY | Client is going through employer | - | - | - |
| 06/04/2026 06:17 pm | Treven Hays | 1008200986 | 260 | WA | 30 day | 05/21/2026 | 05/22/2026 | PICKLED PETE | 06/04/2026 | WA | Client's doctor in not in network/ accepting plan | 212.25 | - | 49.95 |
| 06/04/2026 06:11 pm | David Weeden | BAC2003698 | 20 | NH | - | 12/30/2025 | 01/01/2026 | PURPLE ELEPHANT X | 06/04/2026 | NH | Client is unsatisfied with claims payout | - | - | - |
| 06/04/2026 06:07 pm | Chenille Patterson | BAC9054949 | 210 | VA | - | 02/26/2025 | 04/01/2026 | Keystone Plat | 06/04/2026 | VA | Client purchased a Major Medical plan | - | - | - |
| 06/04/2026 06:05 pm | Griffin Bezanson | BAC9089775 | 220 | MA | - | 02/05/2026 | 02/06/2026 | Keystone Plat | 06/04/2026 | MA | Client purchased another Limited Medical Plan | - | - | - |
| 06/04/2026 06:01 pm | Craig Zeiss | 1507800195 | 20 | PA | - | 03/25/2026 | 03/26/2026 | Keystone Inbound | 06/04/2026 | PA | Client is unsatisfied with claims payout | - | - | - |
| 06/04/2026 09:55 am | Dawn Wilmoth | BAC9085111 | 10 | OH | - | 12/22/2025 | 01/01/2026 | Traffic Tree D | 06/04/2026 | OH | Client is going on state coverage | - | - | - |
| 06/03/2026 03:27 pm | Cianna Lowry | 1007704520 | 260 | AZ | 30 day | 04/26/2026 | 06/01/2026 | Traffic Tree D | 06/03/2026 | AZ | Client purchased a Major Medical plan | 307 | - | - |
| 06/03/2026 03:23 pm | Frantz Pierre | 1207901618 | 110 | CT | - | 05/03/2026 | 05/04/2026 | Kiwi T-2 | 06/03/2026 | CT | Client is unsatisfied with claims payout | - | - | - |
| 06/03/2026 03:19 pm | Monica Karl | BAC9085941 | 20 | FL | - | 01/04/2026 | 01/05/2026 | Cheeba Cohiba | 06/03/2026 | FL | Plan does not fit needs | - | - | - |
| 06/02/2026 07:12 pm | Grant Ige | 1008201192 | 10 | OR | Same day | 06/02/2026 | 07/01/2026 | PICKLED PETE | 06/03/2026 | OR | Client doesn't want to move forward after reviewing plan | 192.31 | - | 49.95 |
| 06/02/2026 07:09 pm | Cynthia Lane | 1008200560 | 220 | CO | - | 04/26/2026 | 05/01/2026 | Kiwi (ON) | 06/02/2026 | CO | Client is going on state coverage | - | - | - |
| 06/02/2026 07:06 pm | Rosa Newman | 1007707510 | 20 | SC | 30 day | 05/28/2026 | 06/01/2026 | Keystone Inbound | 06/02/2026 | SC | Client is going on state coverage | 244 | - | 99.95 |
| 06/02/2026 07:03 pm | Mark Yerkes | 1007702075 | 500 | WY | - | 03/31/2026 | 04/01/2026 | Keystone Plat | 06/02/2026 | WY | Client has relocated where plan is not available | - | - | - |
| 06/02/2026 06:59 pm | Robert Apjohn | 1007707870 | 220 | MA | 30 day | 06/01/2026 | 06/02/2026 | PICKLED PETE | 06/02/2026 | MA | Client doesn't want to move forward after reviewing plan | 388 | - | 99.95 |
| 06/02/2026 06:28 pm | Rebecca Wilson | BAC9087937 | 30 | TX | - | 01/16/2026 | 02/01/2026 | KOMPLIANT KEVIN | 06/02/2026 | TX | Client is going through employer | - | - | - |
| 06/02/2026 05:41 pm | Sira Frongillo | BAC9089930 | 110 | MA | - | 02/08/2026 | 02/10/2026 | PICKLED PETE | 06/02/2026 | MA | Client is going through employer | - | - | - |
| 06/02/2026 05:39 pm | Freddie Clark | BAC9077950 | 10 | TN | - | 10/26/2026 | 01/01/2026 | KIWI T-3 | 06/02/2026 | TN | Client is going on state coverage | - | - | - |
| 06/02/2026 05:28 pm | Sherrie Chaulk | 1207902328 | 110 | TX | 30 day | 05/31/2026 | 06/01/2026 | Kiwi T-1 | 06/02/2026 | TX | Client's doctor in not in network/ accepting plan | 439 | - | 99.95 |
| 06/02/2026 05:25 pm | Becky Erhardt | 1207901420 | 80 | ND | - | 04/27/2026 | 05/01/2026 | Keystone Plat | 06/02/2026 | ND | Client is going through employer | - | - | - |
| 06/02/2026 05:18 pm | Margaret Thran | HES9003718 | 20 | GA | - | 02/10/2026 | 03/01/2026 | Keystone Plat | 06/02/2026 | GA | Client purchased another Limited Medical Plan | - | - | - |
| 06/02/2026 05:11 pm | Douglas Lutz | CHE2015359 | 10 | PA | - | 04/13/2026 | 04/14/2025 | Kiwi (ON) | 06/02/2026 | PA | Client purchased a Major Medical plan | - | - | - |
| 06/02/2026 05:08 pm | Ian Novak | 1507800756 | 80 | PA | 30 day | 05/26/2026 | 05/27/2026 | Cheeba Cohiba | 06/02/2026 | PA | Client is unsatisfied with RX savings | 388 | - | 99.95 |
| 06/02/2026 07:53 am | Edward Miller | CHE2020129 | 20 | PA | - | 01/04/2026 | 01/05/2026 | KOMPLIANT KEVIN | 06/03/2026 | PA | Client can't afford plan | - | - | - |
| 06/01/2026 06:31 pm | Fernando Tellez Romero | 1007700421 | 260 | IA | - | 03/10/2026 | 03/11/2026 | Keystone Plat | 06/01/2026 | IA | Client purchased another Limited Medical Plan | - | - | - |
| 06/01/2026 04:10 pm | Antonio Dejesus | 1007703629 | 80 | FL | - | 04/16/2026 | 04/17/2026 | Keystone Plat | 06/01/2026 | FL | Client is unsatisfied with claims payout | - | - | - |
| 06/01/2026 04:05 pm | Rachel Felosak | 1007705170 | 10 | MI | - | 05/01/2026 | 05/02/2026 | KING BENNY | 06/01/2026 | MI | Plan does not fit needs | - | - | - |
| 06/01/2026 04:00 pm | Jacob Osborne | 1007705118 | 20 | OK | - | 04/03/2026 | 05/01/2026 | Traffic Tree D | 06/01/2026 | OK | Client is unsatisfied with claims payout | - | - | - |
| 06/01/2026 03:56 pm | Marko Erickson Rombines | 1007707712 | 20 | IL | Same week | 05/31/2026 | 06/01/2026 | Kiwi (ON) | 06/01/2026 | IL | Client can't afford plan | 439.00 | - | 99.95 |
| 06/01/2026 03:50 pm | Richard Hubbard | 1207900133 | 220 | GA | - | 03/09/2026 | 04/01/2026 | Keystone Plat | 06/01/2026 | GA | Client is unsatisfied with claims payout | - | - | - |
| 06/01/2026 03:43 pm | Michele Dougherty | CHE2019783 | 10 | PA | - | 12/10/2025 | 01/01/2026 | Cheeba Cohiba | 06/01/2026 | PA | Client is unsatisfied with claims payout | - | - | - |
| 05/31/2026 07:29 pm | Debbie Johnson | BAC9065213 | 500 | AR | - | 06/19/2025 | 06/20/2025 | Keystone Plat | 05/31/2026 | AR | Client can't afford plan | - | - | - |
| 05/31/2026 05:41 pm | Derrick Webb | BAC2002836 | 110 | ME | - | 10/21/2025 | 11/01/2025 | Daddy Finger AI | 05/31/2026 | ME | Plan does not fit needs | - | - | - |
| 05/31/2026 04:33 pm | Christopher Morris | 1007707717 | 220 | KY | Same day | 05/31/2026 | 06/01/2026 | PICKLED PETE | 05/31/2026 | KY | Client under the impression this was BCBS | 388.00 | - | 99.95 |
| 05/31/2026 03:58 pm | Sean Stroud | BAC9037857 | 110 | VA | - | 09/08/2024 | 11/13/2024 | Sun. Special | 05/30/2026 | VA | Client is unsatisfied with claims payout | - | - | - |
| 05/29/2026 05:09 pm | Albert Fitzgerald | 1007703886 | 110 | MA | 30 day | 04/20/2026 | 05/05/2026 | Kiwi (ON) | 05/29/2026 | MA | Client purchased a Major Medical plan | 785.00 | - | - |
| 05/29/2026 04:32 pm | Gregory Ellis | 1007703478 | 260 | MN | 30 day | 04/14/2026 | 05/01/2026 | Cheeba Cohiba | 05/29/2026 | MN | Client is unsatisfied with claims payout | 372.00 | - | 99.95 |
| 05/29/2026 04:23 pm | Dolores Biggs | BAC9090741 | 20 | WI | - | 02/17/2026 | 02/18/2026 | Keystone Plat | 05/29/2026 | WI | Plan does not fit needs | - | - | - |
| 05/29/2026 03:44 pm | Ridha Shulaiba | 1007700244 | 30 | MI | - | 03/06/2026 | 03/07/2026 | Keystone Inbound | 05/29/2026 | MI | Client's doctor in not in network/ accepting plan | - | - | - |
| 05/29/2026 03:30 pm | Glenn Byllesby | 1007705313 | 20 | MN | 30 day | 05/03/2026 | 05/04/2026 | Cheeba Cohiba | 05/29/2026 | MN | Client doesn't want to move forward after reviewing plan | 365.00 | - | - |
| 05/29/2026 03:24 pm | Melissa Laliberty | 1008200131 | 30 | ME | - | 03/18/2026 | 04/01/2026 | Keystone Plat | 05/29/2026 | ME | Client is going through employer | - | - | - |
| 05/29/2026 12:09 pm | Robert Leitner | BAC9082864 | 10 | MN | - | 12/05/2025 | 01/01/2026 | KOMPLIANT KEVIN | 05/29/2026 | MN | Plan does not fit needs | - | - | - |
| 05/28/2026 09:11 pm | Allen Sovereign | 1007701667 | 10 | WI | - | 03/26/2026 | 03/27/2026 | Keystone Inbound | 05/28/2026 | WI | Client is unsatisfied with claims payout | - | - | - |
| 05/28/2026 06:31 pm | Audrey Allen | 1008200608 | 110 | ME | - | 04/29/2026 | 05/01/2026 | Keystone Inbound | 05/28/2026 | ME | Plan does not fit needs | - | - | - |
| 05/28/2026 06:21 pm | Vi Camyre | 1007704721 | 80 | MS | 30 day | 04/28/2026 | 05/01/2026 | Keystone Plat | 05/28/2026 | MS | Client's doctor in not in network/ accepting plan | 305.00 | - | 99.95 |
| 05/28/2026 06:17 pm | Preston Bryant Gardner | 1007701440 | 220 | KY | - | 03/24/2026 | 03/25/2026 | Keystone Inbound | 05/28/2026 | KY | Client is going on state coverage | - | - | - |