InsuranceGroup || Medicare Archive

Client's first name

Client's last name

Submitted

Completed

Seller

Processor

Status

Company

State

Enrollment Year

AEP Year

	Name	Contact	Company	State	No. Membership	Submitted	Seller	Processor	Completion Date	Status	Actions
	${a.firstName} ${a.lastName}	${a.name}	${a.phone}	${a.company}	${a.state}	${a.membership}	${moment(a.created).format('MM/DD/YYYY h:mm a')}	${a.seller}	${adminsObject[a.whoCanceled]}${adminsObject[a.processor] \|\| 'NA'}	${moment(a.completionDate).format('MM/DD/YYYY')}NA	${a.status} ${a.status} ${a.status} ${a.status} ${a.status}

Page: ${page} of ${pages}

Enrollment Year

AEP Year

First Name

Middle Name

Last Name

DOB

MBI

Phone

State

County

Zip Code

Company

Cover

PCP

PCP ID

No. Membership Confirmation

Medical Center

Address Medical Center

Effective Date

Medicaid

Notes

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

${application.notes}

File

${f.fileName}