1. California State Disability Insurance
2016

2. EDD Disability Insurance Workforce Branch Services Public Policy Tax
Administration
Policy
Accountability
& Compliance
Public
Affairs
Tax
Unemployment
Workforce
Services
Information
Technology

3. State
Disability
Insurance
Paid Family
Leave

4. State Disability Insurance
Vision
The State Disability Insurance program is a model of excellence, innovation, and integrity.

5. State Disability Insurance
Mission
We provide California’s eligible workers with timely benefits and deliver quality service to all our customers.

6. What is SDI?
State Disability Insurance (SDI) is a partial, short-term, wage-replacement insurance plan for California workers.

7. Workers Covered by Two Benefits
Disability Insurance (DI) provides partial wage replacement benefits for up to 52 weeks per claim.
Paid Family Leave (PFL) provides partial wage replacement benefits for up to six weeks within a 12-month period.

8. Disability Insurance Which States Have It?
California is one of six U.S. locations with State Disability Insurance.
Hawaii - DI
New Jersey – DI, PFL
New York - DI
Rhode Island – DI, PFL
The Commonwealth of Puerto Rico -DI

9. Key Points of SDI
Covers approximately 17.9 million California workers.
Replacement of approximately 55% of an employee’s income.
Requires qualifying wages in the base period and attachment to the labor market when the DI or PFL claim begins.

10. More Key Points of SDI
Requires a seven day, non-payable waiting period.
Provides benefits starting on the 8th day.
Must file a timely claim (no later than 49 days).
Can apply without regard to length of employment.
Does not provide entitlement to leave or job protection.

11. Can a Claimant work Part- Time?
Must be working less than their normal, regular and customary hours.
The reduction of work hours must be a direct result of the disability or family leave claim.
Must have a loss of wages.

12. How is SDI Funded?
Employees pay into SDI through state-mandated payroll deductions.
2016 withholding rate of 0.9%
2016 taxable wage limit = $106,742
2016 maximum yearly employee
contribution = $960.68

13. Weekly Benefit Amounts (WBA)
1946
2016
Minimum Weekly Benefit Amount
$10
$50
Maximum Weekly Benefit Amount
$20
$1,129
A base period of 12 months is used for calculating the maximum and weekly benefit amounts.

14. Base Period for WBA CED 6/1/15 Base Period Quarters
$15,657
$12,249
$12,249
$11,180
$11,180
CED
6/1/15
1/15-3/ /15-6/ /15-9/ /15-12/ /16-3/ /16-6/16
(QTR 1) (QTR 2) (QTR 3) (QTR 4) (QTR 5) (QTR 6)
Base Period Quarters
WBA = Weekly Benefit Amounts CED = Claim Effective Date

15. State Disability Insurance Data
State Fiscal Year DI
PFL
Total claims filed
697,485
237,246
Average weekly benefit amount
$487
$543
Total benefits authorized
$4,991,992,497
$653,869,391

16. SDI - Employer Responsibilities
Post EDD Notice to Employees (DE 1857A).

17. SDI - Employer Responsibilities
Provide SDI brochures to new hires or employees who may need to file a claim:
DE 2515 for DI
DE 2511 for PFL

18. SDI - Employer Responsibilities
Complete and return the Notice to Employer
(DE 2503/2503F)
within two working days.

19. Key Points of Disability Insurance
Provides benefits for employees who cannot work due to a non-work-related illness or injury.
Includes: Elective surgery, alcoholism, drug addiction treatment and recovery, pregnancy, childbirth or other related conditions.

20. More Key Points of Disability Insurance
Employees must be unable to perform their regular or customary work.
Employees must be under the care of a physician/practitioner.
Certification must be from the treating physician/practitioner of the illness, injury, or disability.

21. Key Points Paid Family Leave
Paid Family Leave (PFL) is a component of State Disability Insurance (SDI) and applies to all employees covered by SDI.
PFL benefits are payable at the same rate as DI.
Payments are limited to six weeks over a consecutive 12-month period for bonding or caregiving needs.
Mothers transitioning from DI maternity leave to PFL for bonding benefits do not serve a second seven day waiting period.
Employers may require employees to use up to two week of vacation before receiving PFL benefits.

22. Two Basic PFL Claim Types
Bonding
Requires written proof of the new child such as birth certificate, adoption papers, or foster care placement document.
Must be claimed within 12 months of the child entering into family.
Child must be under 18 years of age.

23. Two Basic PFL Claim Types
Care
To care for seriously ill child, parent, parent-in-law, grandparent, grandchild, sibling, spouse, or registered domestic partner.
Requires physician/practitioner certification of a serious illness and a need for care.
Requires the signature of the person receiving care or their authorized representative.

24. Differences Between DI and PFL
Disability Insurance
Paid Family Leave
Up to 52 weeks per claim
Up to six weeks per 12-months
Employee’s personal illness, injury, or disability
Caring for a seriously ill family member or to bond with a new child
Not required to use vacation benefits
Employers may require employees to use up to two weeks of vacation
Vacation pay is not in conflict with DI
Vacation pay conflicts with PFL when employer requires employee to use
Benefits are not reportable to IRS (unless in lieu of UI)
Benefits are reportable to IRS

25. SDI – Fraud Prevention
To deter fraud, please respond immediately to the Notice to Employer if you are not the employer shown or if the claimant:
Is not your employee.
Has quit their job.
Is receiving wages.
Has not stopped or has started back to work.
Is known to be working for another employer.
Has filed for workers’ compensation or is believed to be planning to do so.
Is using a Social Security number incorrectly.
Is working under another name.

26. To Report Fraud
To report Disability Insurance, Paid Family Leave or Unemployment Insurance fraud:
Call the EDD Fraud Tip Hotline at
To report Payroll fraud:
Submit an online Fraud Reporting Form at
Call
Fax

27. What is SDI Online? SDI Online: Is an online claim filing system.
Allows online submission of SDI claims and other claim documents by claimants, physicians/practitioners, employers, and voluntary plan administrators.
Provides the best method to file a DI or PFL claim and for employers and physician/practitioners to submit their paperwork.
Is the faster and easier alternative to filing by mail.

28. SDI Online - Security Claimants can securely submit:
Disability Insurance (DI) claims.
Paid Family Leave (PFL) claims.
Required documentation related to their claim.
Physicians/Practitioners and physician/practitioner representatives can:
View a patient’s initial claim for benefits
Submit DI and PFL claim certifications.
View claim certification history.

29. SDI Online - Convenience
Employers, designated representatives, and Voluntary Plan Administrators can
use an SDI Online account to:
File the Notice to Employer of Disability Insurance Claim Filed (DE 2503)
File the Disability Insurance Eligibility – Workers’ Compensation (DE 2578A)
File the Employer’s Statement of Job Duties (DE 2546PE)
Update contact information.

30. SDI Online - Benefits Benefits of SDI Online:
Improved access to services, claim status, and payment history.
Reduced claim processing time.
Improved detection and management of fraud and abuse.
Reduced paperwork and postage costs.
Health Insurance Portability and Accountability Act compliant.

31. Visit www.edd.ca.gov/disability to register or login.
SDI Online Access
Visit to register or login.

32. SDI Online Access
Select Register for SDI Online to register for an SDI Online account. Existing users may go directly to the
Log in to SDI Online.

33. Select Employers to view tips, FAQs, videos, and tutorials.
SDI Online Access
Select Employers to view tips, FAQs, videos, and tutorials.

34. SDI Online page showing available Employer tips, FAQs and tutorials.
SDI Online Access
SDI Online page showing available Employer tips, FAQs and tutorials.

35. Paper Claim Form - DI
DE 2501, Optical Character Recognition (OCR) form for Disability Insurance which can be scanned and interfaces with the SDI Online system.
Part A (pages 1-4):
Claimant’s Statement
Part B (pages 5-7): Physician/Practitioner’s Certification

36. Paper Claim Form - PFL DE 2501F, Optical Character Recognition (OCR)
form for Paid Family Leave
Part A (page 1): Claimant’s Statement

37. Paper Claim Form - PFL
Page 2: Care Recipient’s Authorization

38. Paper Claim Form - PFL Parts B and C
(page 3): Bonding Certification (B) and Statement of Care Recipient (C)

39. Paper Claim Form - PFL
Part D (page 4):
Doctor’s Certification

40. Paid Family Leave English
SDI Contact Information
Disability Insurance
English
Español
Paid Family Leave English
Paid Family Leave

41. SDI Online Services Help Desk
SDI Contact Information
For Employers Only:
SDI Online Services Help Desk

42. Visit www.edd.ca.gov/disability for more information about
State Disability Insurance and SDI Online.

43. Questions?