Advocating for successful retirement plan outcomes

Join The Retirement Advisor Council

The Council is now accepting applications from Professional Retirement Plan Advisor teams for terms starting January 1, 2018.  To apply, please complete and submit the application form below by November 30, 2017.  Alternatively, you may submit your application in writing to:

Eric Henon    
Executive Director        
Retirement Advisor Council    
61 Rainbow Road
East Granby, CT 06026

Email: ehenon@retirementadvisor.us
Fax: (860)838-2830
Phone: (860) 653-1705


Upon receiving your application, the Executive Director will schedule an interview with you, interview your reference client, and summarize the information for good-order applications to the Nomination Committee.   The Nomination Committee reviews good-order applications and submits a list of nominees to the Board for their review and approval.

The Board will finalize the list of new members at its ordinary fourth quarter meeting in December 2017.

Advisor Membership Application

  1. About you and your team

  2. 1. First, middle and last name:(*)
    Please type your full name.
  3. 2. Professional designations(*)
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  4. 3. Title(*)
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  5. 4. Name of your practice:(*)
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  6. Your email address:
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  7. Your phone number:(*)
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  8. 5. Are you a FINRA Registered Representative?(*)

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  9. 5a. Broker / Dealer firm through which securities are offered:
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  10. 5b. Broker / Dealer firm compliance:

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  11. 6. Have you ever been subject to disciplinary action by a Self-Regulatory Organization?

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  12. 6a. If "Yes" to 6, list date of action:
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  13. 6b. If "Yes" to 6, please describe:
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  14. 7. Are you a Registered Investment Advisor?(*)


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  15. 8. Number of years you have been in the retirement plans business: (*)
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  16. 9. Website of your practice(*)
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  17. 10. Number of retirement plan advisors in your practice: (*)
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  18. About your business

  19. 11. Are you responding for:(*)

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  20. 12. Types of retirement plans served:
    (Check all that apply)(*)
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  21. 13. Number of plans served: (*)
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  22. 14. Number of participants in client plans (approximately): (*)
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  23. 15. Assets of retirement plans served
    (as of 12/31/2016): $ (*)
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  24. 16. Scope of retirement plan services provided(*)
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  25. 17. Business activities other than retirement plans (*)
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  26. 18. Total revenue from Qualified Retirement Plans (INCLUDING corporate, not-for-profit, higher-education, private K-12, church Plans, government Plans but EXCLUDING IRA and public K-12) $(*)
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  27. 19. Percent of revenue from Qualified Retirement Plans (INCLUDING corporate, not-for-profit, higher-education, private K-12, church plans, government plans but EXCLUDING IRA and public K-12)(*)
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  28. 20. Revenue from business activities other than retirement plans $ (*)
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  29. Client Reference

  30. 21. Organization name: (*)
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  31. Name:(*)
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  32. Title:(*)
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  33. Phone number:(*)
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  34. Email address:
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  35. Plan type(s): (*)
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  36. Plan assets: $ (*)
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  37. Plan participants (approximately):(*)
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  38. Recommendation

  39. 22. Name of the current Council Member recommending you for membership:
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  40. Comments

  41. 23. Additional factors you would like the Council to take into consideration in the review of your application
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  42. Council Involvement

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  44. By submitting this form, I agree to participate actively in the workings of the Council and to attend at least one in-person meeting and at least one conference call every calendar year during my term. I understand that my membership may be revoked at any time.

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