State Disability Insurance (SDI): Short-term Disability

STATE DISABILITY INSURANCE (SDI): SHORT-TERM DISABILITY 

California State Disability Insurance (SDI) provides up to 12 months of benefits for eligible workers. SDI is a state insurance plan that provides partial wage (salary) replacement for California workers.

Eligibility requirements and application process for benefits on this guide are mirrored from the California Employment Development Department’s (EDD) latest publications.
City of Hope is not responsible for and does not participate in EDD’s claims decision making. City of Hope’s role is specific to Physician/Practitioners Certification. All forms go to Medical Records or the health care team for completion.
For questions about specific claims or SDI processes, call EDD at
English: (800) 480-3287
or visit edd.ca.gov/Disability/Disability_Insurance.htm

SDI PROVIDES SHORT-TERM BENEFITS TO ELIGIBLE WORKERS WHO:
• have had a loss of wages
• are unable to work due to a non work-related illness or injury
• have a medically disabling condition such as cancer.

WHO QUALIFIES FOR SDI?
Were you working or actively looking for work at the time you became disabled?
If yes, you may qualify for State Disability Insurance (SDI) if you are:
• A part-time or full-time employee who contributes to the SDI program through the state
payroll deductions

-OR-
• A self-employed Californian who has contributed to the Disability Insurance Elective Coverage program
If you have been disabled for longer than six months, you may be referred to Social Security Disability Insurance.

You must also meet these requirements to qualify for SDI:
• You are not able to do your regular or customary work for at least eight consecutive (back-to-back) days.
• You must be employed or actively looking for work at the time you become disabled.
• You must have lost wages because of your disability or, if unemployed, have been actively looking for work.
• You must have earned at least $300 in wages during the 12-month base period which SDI deductions were withheld.
• You must file a claim online or by mail, within 49 days from the date you became disabled or you may lose benefits.
• You must be under the care and treatment of a licensed doctor during the first eight days of your disability.
– (The beginning date of a claim can be adjusted to meet this requirement). You must remain under care and treatment to continue receiving benefits.
• Your doctor must complete the medical certification of disability. A nurse practitioner may certify to a disability within his/her scope of practice with collaboration with a physician or surgeon. Ask your health care team.

YOU CAN APPLY TWO WAYS (ONLINE AND IN PAPER FORM):
Watch video instructions on how to apply for SDI and complete the online application at edd.ca.gov/Disability/SDI_Online_Tutorials.htm.

Click on:

View the following videos for information on how to file your claim:

Apply Online
1. Create an SDI online account at edd.ca.gov/Benefit_Programs_Online.htm
You may have to “Register” as a first time user. If you have applied for benefits before (including Unemployment, State Disability Insurance or Paid Family Leave) you may already have an existing account.

2. Log in to your SDI account and select ‘File a New Claim.’
3. Select ‘Disability Insurance’ and follow the instructions.
4. After the claim is submitted, print the confirmation page with the ‘Form Receipt Number.’ (Selecting the form receipt number link will automatically open a PDF printer-friendly version)

5. Submit the confirmation page to City of Hope Medical Records.
Include these with your confirmation page:
• Your full name
• SDI Form Receipt number: __________________________________
(Write SDI Form Receipt number here)
• Name that you filed disability claim under
• Medical record number (MRN)
• Date of birth
• Last four digits of your Social Security number
• Physician name that paperwork should be sent to

DUARTE CAMPUS PATIENTS:

Request can be submitted in person to Medical Records office (near registration desk
in Main Medical building), by email to DL-HIMSMedicalForms@coh.org, or via
FAX at 626-218-0677.

COMMUNITY PRACTICES SITES

Community practice site patients: submit to your doctor/nurse

Please allow up to 10 business days for the request to be processed. You will receive a confirmation email from SDI when the physician certification is completed.

-OR-

Apply in Paper Form
1. Find the application (DE 2501) Claim for Disability Insurance (DI) Benefits (DE 2501) or visit your local EDD office.
2. Complete the application. Leave any non-applicable sections blank.
Do not complete the Physician/Practitioners certification.
3. Submit the completed application to the City of Hope Medical Records if you are a Duarte campus patient, or to your health care team if you get most of your treatment at City of Hope’s community practice sites.

Please allow up to 10 business days for the request to be processed. Completed applications will be mailed to the EDD and a copy will be mailed to your home.

Questions about the status of the Physician/Practitioners Certification (physician/provider
form) portion can be directed to City of Hope Medical Records (Duarte campus) or your health care team if you are a patient at a City of Hope community practice site.
City of Hope cannot answer questions about your claim with EDD. If you have any questions about eligibility, your specific claim or the SDI claims process, please contact EDD.

For legal questions and resources for advocating for Social Security Disability Insurance and other insurance and employment concerns, please contact Cancer Legal Resource Center at CancerLegalResourceCenter.org or call at 866-THE-CLRC or 866-843-2572.

City of Hope cannot provide legal advice.

Walk-in Office Locations Employment Development Department (EDD)

If you have problems completing your disability or paid family leave application online or on paper, you may want to call or visit the EDD walk-in offices listed below.

LA Works One-Stop Career Center
5200 Irwindale Ave.
Irwindale, CA 91706
Monday, Thursday, Friday 8 am-5 pm
Tuesday and Wednesday 8 am-7 pm
1st & 3rd Saturday 9 am-12 Noon
(626) 960-3964

Inglewood South Bay One-Stop Business and Career Center 110 South La Brea Avenue, 5th Floor
Inglewood, CA 90301
Monday – Thursday 8 am-6 pm
Friday 8am-5pm closed alternate Fridays
(310) 680-3700

Hub Cities One-Stop Career Center
2677 Zoe Avenue, 1st Floor
Huntington Park, CA 90255
Monday – Friday 8:30 am-5 pm
(323) 586-4700

Verdugo Jobs Center
1255 South Central Avenue
Glendale, CA 91204
Monday – Friday 8:30 am-5 pm
(818) 409-0476

LA South/Compton Workforce Service Office 2909 East Pacific Commerce Drive
Compton, CA 90221
Monday – Friday 7 am-6 pm
(310) 223-2901

Cerritos Career Center
10900 E 183rd Street, Suite 350
Cerritos, CA 90703
Monday – Friday 8 am-5 pm
(562) 402-9336

Chino Hills
15315 Fairfield Ranch Road, Suite 100
Chino Hills, CA 91709
Monday – Friday 8 am-5pm
(800) 480-3287

Long Beach
4300 Long Beach, Suite 600
Long Beach, CA 90807-2011
Monday – Friday 8 am-5pm
(800) 480-3287

Los Angeles
888 South Figueroa Street, Suite 200
Los Angeles, CA 90017-5449
Monday – Friday 8 am-5pm
(800) 480-3287

San Bernardino
371 West 3rd Street
San Bernardino, CA 92401
Monday – Friday 8 am-5pm
(800) 480-3287

Santa Ana
2 MacArthur Place, Suite 400
Santa Ana, CA 92707
Monday – Friday 8 am-5pm
(800) 480-3287

Van Nuys
15400 Sherman Way, Room 500
Van Nuys, CA 91406
Monday – Friday 8 am-5pm
(800) 480-3287