black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CHARENE WAGNER

PRODUCER NON-RESIDENT

License Number:
PRN455931
Status:
First Licensure:
07/01/2023
Cancel Date:
None

Mailing:
RICHARDSON, TX 75081
Phone:
+1 (801) 415-0579
Email:
imlicensingandappointment@wtwco.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/01/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
EXTEND INSURANCE SERVICES LLC
07/01/2023 AGN120215
TRUBRIDGE INC
01/02/2024 AGN163192 04/07/2024

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMH HEALTH PLANS OF MAINE, INC.
07/01/2023 LHD353013
AMH HEALTH, LLC
07/01/2023 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
07/01/2023 LHD70566
ANTHEM INSURANCE COMPANIES INC
07/01/2023 LHF125537
CHESAPEAKE LIFE INSURANCE COMPANY
08/11/2023 LHF699 02/03/2025
CIGNA HEALTH AND LIFE INSURANCE COMPANY
07/31/2023 LHF860
EMPIRE HEALTHCHOICE HMO, INC.
07/01/2023 HMF285382 07/01/2025
GOLDEN RULE INSURANCE COMPANY
10/10/2023 LHF918
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
07/14/2023 LHF644
LOYAL AMERICAN LIFE INSURANCE COMPANY
07/28/2023 LHF207
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
06/21/2025 LHF183
UNITEDHEALTHCARE INSURANCE COMPANY
10/12/2024 LHF700
WELLCARE PRESCRIPTION INSURANCE INC
09/17/2025 LHF121869

Authority

Description Issue Date Termination Date Status
HEALTH 07/01/2023 Active
LIFE 07/01/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20316593

Other Addresses

Address Type
RICHARDSON, TX 75081
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 10/12/2025 02:29:57 PM