1. California State Disability Insurance
2016

2. EDD Administrative Branch Disability Insurance Branch
Information Technology Branch
Policy, Accountability and Compliance Branch
Public Affairs Branch
Unemployment Insurance Branch
Workforce Services Branch

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. Key Points of SDI 2 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)
A base period of 12 months is used for calculating the maximum and weekly benefit amounts.
Minimum Weekly Benefit Amount in 1946=$10
Minimum Weekly Benefit Amount in 2016=$50
Maximum Weekly Benefit Amount in 1946=$20
Maximum Weekly Benefit Amount in 2016=$1,129

14. Base Period for WBA CED 6/1/15 Base Period Quarters
WBA = Weekly Benefit Amounts
CED = Claim Effective Date
$11,180
$15,657
$12,249
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

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

16. SDI - Employer Responsibilities 1
Post EDD Notice to Employees (DE 1857A).

17. Employer Responsibilities 2
Provide SDI brochures to new hires or employees who may need to file a claim:
DE 2515 for DI

18. Employer Responsibilities 3
Provide SDI brochures to new hires or employees who may need to file a claim:
DE 2511 for PFL

19. Employer Responsibilities 4
Complete and return the Notice to Employer
(DE 2503/2503F) within two working days.

20. 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.

21. Key Points of Disability Insurance 2
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.

22. Key Points of Disability Insurance 3
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.

23. Key Points of Disability Insurance 4
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.

24. 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.

25. Two Basic PFL Claim Types 2
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.

26. Differences Between DI and PFL
Disability Insurance
Up to 52 weeks per claim
Employee’s personal illness, injury, or disability
Not required to use vacation benefits
Vacation pay is not in conflict with DI
Benefits are not reportable to IRS (unless in lieu of UI)

27. Differences Between DI and PFL 2
Paid Family Leave
Up to six weeks per 12-months
Caring for a seriously ill family member or to bond with a new child
Employers may require employees to use up to two weeks of vacation
Vacation pay conflicts with PFL when employer requires employee to use
Benefits are reportable to IRS

28. 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.

29. SDI Fraud Prevention 2
To deter fraud, please respond immediately to the Notice to Employer if you are not the employer shown or if the claimant:
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.

30. To Report Fraud
To report Disability Insurance, Paid Family Leave or Unemployment Insurance fraud:
Call the EDD Fraud Tip Hotline at

31. To Report Payroll Fraud
Submit an online Fraud Reporting Form at
Call
Fax

32. 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.

33. What is SDI Online? 2
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.

34. SDI Online - Security Claimants can securely submit:
Disability Insurance (DI) claims.
Paid Family Leave (PFL) claims.
Required documentation related to their claim.

35. SDI Online – Security 2
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.

36. 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.

37. 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.

38. SDI Online Access
Visit to register or login to SDI Online.

39. SDI Online Access 2
Select Register for SDI Online to register for an SDI Online account. Existing users may go directly to the Log in to SDI Online.

40. SDI Online Access 3
Select Employers to view tips, FAQs, videos, and tutorials.

41. SDI Online Access 4
SDI Online page showing available Employer tips, FAQs and tutorials.

42. 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

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

44. Paper Claim Form – PFL 2
Page 2: Care Recipient’s Authorization

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

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

47. SDI Contact Information
Disability Insurance English:
Disability Insurance Español:
Paid Family Leave English:
Paid Family Leave Español:

48. SDI Contact Information 2
For Employers Only:
SDI Online Services
Help Desk

49. In Conclusion
Visit for more information about State Disability Insurance and SDI Online.

50. Questions?

51. The EDD is an equal opportunity employer/program
The EDD is an equal opportunity employer/program. Auxiliary aids and services are available upon requests to individuals with disabilities.