Get free retirement planning tools
Call us at
1-866-315-7687
(TRS 711).
Getting ready for
retirement and Medicare?
Answer 3 questions to get free
planning tools.
Complete the survey below, and you’ll get Fallon’s free Retirement Checklist and Understanding Medicare guide to help you prepare for the changes that come with this next phase of your life.
Indicates a required field.
1. Which statement best describes you?
I am already retired.
I am retiring soon.
I am continuing to work.
If you plan to continue working, when do you anticipate retiring?
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2. Do you already have Medicare?
Yes
No
If no, which statement best describes when you plan to enroll in Medicare?
In the next 3-6 months
In the next 6-12 months
In the next 12-18 months
Later than 18 months
3. Are you eligible to receive health coverage from a pension plan or your employer when you retire?
Yes
No
I’m not sure.
Please complete the information below so that we can send you the free Retirement Checklist and Understanding Medicare guide.
First name:
Middle initial:
Last name:
Address 1:
Address 2:
City:
State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
ZIP:
Email address:
Date of birth:
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
How would you like to receive your free planning tools?
By mail
As a downloadable online document (pdf)