logo

${title} ${window.year}

Name Contact Company State Plan Appli cants Submitted Seller Processor Enrollment Year Status Actions
${a.firstName} ${a.lastName} ${a.name} ${a.email}
${a.phone}		 ${a.company} ${a.state} ${a.plan} ${a.applicants} ${moment(a.created).format('MM/DD/YYYY h:mm a')} ${a.seller} ${adminsObject[a.whoCanceled]}${adminsObject[a.processor]} ${a.enrollmentYear} ${a.status} ${a.status} ${a.status} ${a.status} Processed ${a.status} ${a.status} ${a.status}

No applications

Page: ${page} of ${pages}
Page: ${page} of ${pages}

Overall Information

Plan Information

Employment

Family

Person ${i+1}

Payment

Additional Information

${moment(note.date).format('MM/DD/YYYY h:mm a')} - ${note.text}

${application.notes}

Attachment ${j+1} (${f} ${moment(new Date(f.substring(5, 18)*1)).format('MM/DD/YYYY')})

${f}

Agents Support

Documents
Observation

${moment(note.date).format('MM/DD/YYYY h:mm a')} - ${note.text}

Agents Support

Member Id: ${application.asMemberId}

Separate Dependents: YesNo

Completed: YesNo

No Documents: YesNo

Documents: ${application.asDocuments.join(', ')}

Date Documents: ${application.asDateDocuments}

Observations:

  • ${moment(note.date).format('MM/DD/YYYY h:mm a')} - ${note.text}

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