Fillable Dp0030 Skylight Pay Options Program (Paychex)

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Dp0030 Skylight Pay Options Program (Paychex)

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Enjoy the Benefits of the
Skylight PayOptions Program
Enjoy the Benefits of the
Skylight
®
PayOptions
™
Program
Instead of waiting in line to cash your paycheck,
have your pay automatically deposited to a Skylight
PayOptions account. No matter where you are on
pay day, you’ll have easy access to your funds —
even if you don’t have a bank account.
Enjoy Many Convenient Features
at No Additional Cost
1
•
No enrollment fee.
•
No monthly maintenance fees.
•
Secondary card for family member
or trusted friend at no extra cost.
2
•
No-Cost Card Highlights:
-
ATM withdrawals within the Allpoint network.
-
Over-the-counter cash withdrawals at any
MasterCard
®
member bank.
-
Skylight Checks with free check cashing.
3
-
Cash back from PIN debit transactions at
participating locations.
-
Bill pay at no additional cost from Skylight.
-
24/7 access to account info via automated
phone system, Web, mobile app, email, and
text messages.
4
With a Skylight ONE
®
Prepaid MasterCard, you can
make purchases everywhere Debit MasterCard is
accepted. You eliminate the hassle and costs of
cashing a traditional paper paycheck, and don’t
have to worry about lost or stolen paychecks.
Experience the Many Cardholder Benefits
•
Portability. The account is yours to take
with you even if you switch employers.
•
Secure. When you lose cash, your money
is gone. If you lose your card, Skylight makes
it easy to get a replacement card. Your first
replacement card per year is free.
1
Plus, the
funds on your card are held on deposit at
an FDIC-insured bank.
•
Monthly Statements. You can review your
monthly statement online or request to have
a free monthly statement mailed to you.
•
Flexibility. Use your Skylight ONE Card for
purchases at retailers or to pay bills online or
over the phone. You can also use Skylight
Checks to access 100 percent of your wages.
•
Convenient Account Access. Check
balances, see recent transactions, transfer
funds and more online or on your mobile device
with the free Skylight app.
4
•
Budgeting Tools. Take control of your
finances by using Skylight’s free budgeting tools
to track and manage your money, your way.
You can even sign up to get alerts when
spending approaches budget goals.
4
•
Rewards Programs. Enjoy a free cash back
rewards program and get paid for making
purchases.
5
1
While these features are available for free, certain other fees are associated with use of this Card.
Consult your Fee Schedule for additional details.
2
There is no credit approval process for the Skylight PayOptions Program. IMPORTANT
INFORMATION FOR OPENING A CARD ACCOUNT: To help the federal government fight the
funding of terrorism and money laundering activities, the USA PATRIOT Act requires all financial
institutions and their third-party service providers to obtain, verify, and record information that
identifies each person who opens a card account. What this means for you: When you open
a card account, we will ask for your name, address, date of birth, and other information that
will allow us to identify you. We may also ask to see your driver’s license or other identifying
documents. In accordance with federal regulations, until it is activated and registered, a prepaid
debit card is subject to initial load limitations, may not be used for international transactions or
account-to-account transfers, or be reloaded. The same identification verification requirements
apply to each secondary cardholder, if any are designated by you.
3
Skylight Checks can be cashed free of charge at any U.S. Bank branch, at participating Walmart
locations, and at participating ACE Cash Express locations. Other check cashers set their own
policies regarding check acceptance and may charge you a fee to cash Skylight Checks. See
the Skylight Checks for step-by-step instructions.
4
User must register for Account Center access and activate subscription to receive Anytime
Alerts
TM
. Skylight does not charge for this service, but your wireless carrier may charge for
messages or data.
5
By activating and using a Skylight ONE Card, your participation in the rewards program is
automatically activated. You may opt-out at any time by visiting your Rewards Summary Page at
your Account Center. The reward offers we choose and send to you are based on your shopping
habits. We will not share any personal information about you with the merchants who sponsor
offers. When you activate an offer and make a purchase with the card, the merchant will not
know you are a rewards program customer, but you will become their customer. For more details
about how and when you get rewarded, see the program FAQs, terms and conditions in your
Account Center. Cash back rewards are credited to your Card Account and are not available in
the form of a check or other direct payment method. Program sponsor: Skylight Financial. BofI
Federal Bank is not affiliated with the program and neither endorses nor sponsors it.
The Skylight ONE Prepaid MasterCard is issued by BofI Federal Bank pursuant to a license by
MasterCard International Incorporated. Funds loaded to Skylight ONE Card accounts are held
at BofI Federal Bank, Member FDIC. Skylight Financial, Inc., a TSYS
®
Company, is a registered
agent of BofI Federal Bank. Certain products and services may be licensed under U.S. Patent
Nos. 6,000,608 and 6,189,787. Use this card everywhere Debit MasterCard is accepted.
MasterCard and the MasterCard Brand Mark are registered trademarks of MasterCard
International Incorporated. All other trademarks and service marks are the property of their
respective owners. ©2014 Total System Services, Inc.
®
All rights reserved.
Already Have a Bank Account?
Use the card to allocate a portion of your paycheck
for specific spending. Great for building your vacation
fund, saving for holiday spending, or even allocating
a monthly allowance for your college student.
Enroll in the Skylight PayOptions
Program Today!
Contact your employer to get started.
Fee schedule continued on next page.
Fee Schedule
CASH ACCESS TRANSACTIONS
1
(PER TRANSACTION)
MasterCard Over-the-Counter (OTC)
Cash Withdrawals (down to the penny)
Available at any MasterCard member bank NO FEE
Skylight Checks Using/cashing and re-ordering NO FEE
2
Domestic Allpoint ATM Withdrawal
See www.skylightpaycard.com for Allpoint
Network ATM locator
NO FEE
Other Domestic ATM Withdrawal Outside the Allpoint Network $1.75
International ATM Withdrawal $3.00
3
ATM Transaction Decline Always check your balance first! $1.00
PURCHASE TRANSACTION FEES
1
(PER TRANSACTION)
Signature Debit Purchase At participating MasterCard merchants $0.00
PIN Debit Purchase At participating MasterCard merchants $0.00
International (Foreign) Transaction –
Conversion Fee/Surcharge
3.5% of the transaction amount 3.5%
3
Purchase Transaction Decline Signature or PIN; always check your balance first! $1.00
BALANCE INQUIRIES (PER INQUIRY)
Balance Inquiry via Automated Phone
Service (IVRU)
1-877-814-7679 NO FEE
Balance Update via Anytime Alerts Opt-In for free Anytime Alerts which are sent via email or text NO FEE
4
Balance Inquiry via ATM $1.00
Balance Inquiry via Live
Customer Agent
$0.50
1
The fees for ATM and POS transactions do not include any fees that may be separately charged
by an owner or operator of an ATM or POS terminal and/or any network used in connection with
the transaction, including any surcharge imposed by out-of-network ATMs. The amount of the
surcharge will be disclosed at the ATM, and your consent to the charge must be obtained. ATM
transactions within the Allpoint network are surcharge free.
2
You can cash Skylight Checks free of charge at all U.S. Bank branch locations, at participating
Walmart locations and at participating ACE Cash Express locations. Other check cashers set
their own policies regarding check acceptance and may charge you a fee to cash Skylight
Checks. See the Skylight Checks for step-by-step instructions.
3
Skylight charges a fee of 3.5% of the converted U.S. dollar amount of any international
transaction, including ATM withdrawals, signature-based purchases and internet, mail or
telephone orders processed in countries outside the United States. Funds are dispensed in
local currency. The amount of any foreign transaction will post to the Cardholder’s account
in U.S. Dollars.
4
Skylight does not charge for this service, but your wireless carrier may charge for messages
or data.
Fee Schedule - Continued from previous page.
OTHER SERVICE FEES
Maintenance Fee – Primary Card NONE
Maintenance Fee – Secondary Card Per month $0.00
Inactivity Fee Per month. For former employees/ported cards only
5
$5.00
Live Customer Support Other than balance inquiries (see above) NO FEE
Monthly Paper Statement Must opt-in for paper statements NO FEE
Paper Statement Reprints Per request $5.00
Monthly Electronic Statements www.skylightpaycard.com NO FEE
60-day Transaction History
Written/printed history available upon request; also available
electronically at www.skylightpaycard.com
NO FEE
Card Replacement Per card (one (1) free/year), delivered regular mail $7.00
Card Replacement Each expedited delivery $20.00
Stop Payment Fee
For each stop payment on an ACH debit from your account
that you previously authorized, or each stop payment of a
Disbursement Check or Skylight Check
$0.00
Overdraft Fee
(see your Cardholder
Agreement for information)
For any overdraft transaction we choose to pay; fee is per
transaction, up to five (5) fees per month; you must opt-in for
this service
$25.00
ACH Return Fee
Each time a scheduled or recurring ACH debit transaction
(e.g., merchant bill payment) is returned for insufficient funds
$5.00
Cash Reload Fee
Fee to add cash or check proceeds at a NetSpend Reload
Network location. Fee may be assessed by reload location
for each reload and may vary from location to location.
VARIES
5
Applied no earlier than after 90 days of inactivity or other evidence of termination of employment,
including notice from your employer. Any transaction that creates a credit or debit to your
account (e.g., direct deposit, ATM withdrawal, purchase) is deemed activity.
6
For security and regulatory reasons, we may further limit the number, type or dollar amount of
transactions you may make to your Account or suspend the use of your Account and/or Card. We
will determine any maximum values by aggregating the activity and value of all Skylight Accounts
you may have with us (managed or serviced by Skylight Financial, Inc. or NetSpend Corporation),
whether you are a Primary Paycard holder or a Secondary Paycard holder. The owner or operator
of the POS terminal or ATM where you complete a transaction may impose minimums and/or
different limits from those set forth above. In the event of a conflict or discrepancy between the
limitations set forth in your Cardholder Agreement and those set forth in the Transaction Limit
Schedule above, the limitations in the Transaction Limit Schedule will control.
The Skylight ONE Prepaid MasterCard is issued by BofI Federal Bank pursuant to a license by
MasterCard International Incorporated. Funds loaded to Skylight ONE Card accounts are held at
BofI Federal Bank, Member FDIC. Skylight Financial, Inc., a TSYS
®
Company, is a registered agent
of BofI Federal Bank. Certain products and services may be licensed under U.S. Patent Nos.
6,000,608 and 6,189,787. Use this card everywhere Debit MasterCard is accepted. MasterCard
and the MasterCard Brand Mark are registered trademarks of MasterCard International
Incorporated. All other trademarks and service marks are the property of their respective owners.
©2014 Total System Services, Inc.
®
All rights reserved.
TRANSACTION LIMITS
6
ATM Withdrawal Limits $700.00 per transaction; not to exceed 6 transactions or $940.00 in any 24-hour period
Purchase (PIN or Signature)
Transaction Limit
$5,000.00 per transaction
Over-the-Counter (OTC)
Cash Withdrawal Limit
$5,000.00 per transaction
Account-to-Account Transfer Limit
Not to exceed 4 transfers or $1,500.00 in any 24-hour period; and
Not to exceed 10 transfers or $2,500.00 over any 7-day period; and
Not to exceed 40 transfers or $3,500.00 over any 30-day period
Maximum Account Balance
$15,000.00 at any point in time (across all card accounts with us, as a Primary or Secondary Paycardholder);
individual ACH deposits that take balance above maximum will be reviewed on a case-by-case basis
160638-i 6/6/14
DP0030 06/14
I. EMPLOYEE INFORMATION
__________________________________________________________
LEGAL FIRST NAME MI LAST NAME
_________________________________________________________
PERMANENT ADDRESS (NO P.O. BOXES) LINE 1
__________________________________________________________
PERMANENT ADDRESS (NO P.O. BOXES) LINE 2
__________________________________________________________
CITY STATE ZIP CODE
__________________________________________________________
CARD MAILING ADDRESS (IF DIFFERENT FROM PERMANENT) LINE 1
____________________________________________________________
CARD MAILING ADDRESS (IF DIFFERENT FROM PERMANENT) LINE 2
__________________________________________________________
CITY STATE ZIP CODE
_______________________________________________
PRIMARY PHONE NUMBER
_______________________________________________
ALTERNATE PHONE NUMBER (OPTIONAL)
_______________________________________________
EMAIL ADDRESS (OPTIONAL)
_______________________________________________
DATE OF BIRTH (MM/DD/YYYY)
_______________________________________________
SOCIAL SECURITY NUMBER OR TAXPAYER ID NUMBER
________________________________________________
MOTHER’S MAIDEN NAME (OPTIONAL)
*You may request secondary cards may after the primary card
is activated.
Please indicate how much of your Net Pay you would like deposited to the Skylight PayOptions Program:
_______ % of Net Pay or Specific Dollar Amount $________.00 or Remainder of Net Pay
II.
EMPLOYEE AGREEMENT - Return the completed, signed and dated application to your employer.
The Skylight PayOptions Program and your Skylight ONE
®
Prepaid MasterCard
®
are governed by your Cardholder Agreement, including the
enclosed Fee Schedule. Read the Cardholder Agreement, Fee Schedule, and Privacy Notice before you activate your Skylight Account and
Skylight ONE Card. Retain the Cardholder Agreement, Fee Schedule and Privacy Notice for future reference.
By signing below, activating your Skylight Account, using your Skylight ONE Card for any purchase or ATM transaction, or using a Skylight
Check, you: (1) acknowledge and agree that you have chosen the Skylight PayOptions Program and that you were given an opportunity to
review the Cardholder Agreement, Privacy Policy, and Fee Schedule in advance; (2) authorize BofI Federal Bank to establish your Skylight
Account; (3) authorize your employer to: (a) transmit the information that you have provided to Skylight and BofI Federal Bank, and (b)
deposit your wages into your Skylight Account, all subject to the Cardholder Agreement and Fee Schedule; and (4) agree to be bound by the
Cardholder Agreement and Fee Schedule. Direct deposit capability is subject to payor’s support of this feature. Check with your payor to find
out when the direct deposit of funds will start. Funds availability is subject to timing of payor’s funding.
I authorize you (my employer or payor) to initiate electronic entries and, if necessary, debit entries and adjustments for any credit entries
made in error to my account each pay period. This authority will remain in effect until I notify my employer or other payor in writing or as
otherwise specified by my employer or payor.
________________________________________________________________________________________________
EMPLOYEE SIGNATURE DATE
III. CLIENT USE ONLY
________________________________________________________________________________________________
COMPANY NAME CLIENT ACCOUNT NUMBER
The Skylight ONE Prepaid MasterCard is issued by BofI Federal Bank pursuant to a license by MasterCard International Incorporated. Funds
loaded to Skylight ONE Card accounts are held at BofI Federal Bank, Member FDIC. Skylight Financial, Inc., a TSYS
®
Company, is a
registered agent of Bofl Federal Bank. Certain products and services may be licensed under U.S. Patent Nos. 6,000,608 and 6,189,787. Use
this card everywhere Debit MasterCard is accepted. MasterCard and the MasterCard Brand Mark are registered trademarks of MasterCard
International Incorporated. All other trademarks and service marks are the property of their respective owners.
© 2014 Total System Services, Inc.
®
All rights reserved worldwide.
Skylight PayOptions Program Enrollment Form
Unless otherwise noted, all fields are required and must be filled in to
process the enrollment. You must be a U.S. resident to enroll in the
Skylight PayOptions Program.
IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A
NEW CARD ACCOUNT: To help the government fight the funding of
terrorism and money laundering activities, Federal law requires all financial
institutions to obtain, verify, and record information that identifies each
person who opens a Card Account. What this means for you: When you
open a Card Account, we will ask for your name, address, date of birth, and
other information that will allow us to identify you. We may also ask to see
your driver’s license or other identifying documents. In accordance with
federal regulations, until it is activated and registered, a prepaid debit card
is subject to initial load limitations, may not be used for international
transactions or account-to-account transfers, or be reloaded.
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Dp0030 Skylight Pay Options Program (Paychex)

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Completed 16 July 2020

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