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I'm so sorry you're dealing with this - Kaiser's mental health system is incredibly frustrating and they definitely have issues with properly supporting disability claims. Reading through all the excellent advice here, it sounds like you have a much clearer understanding now of the FMLA vs SDI distinction and some solid strategies moving forward. One thing I wanted to add that might help with your upcoming psychiatrist appointment: consider bringing a copy of your actual job description and any workplace incident reports or performance issues from before your leave. Sometimes providers don't fully grasp the complexity and high-stakes nature of healthcare roles, so having documentation of exactly what cognitive and emotional demands your ICU position requires can help them write more specific functional limitation statements. Also, if you have any documentation of accommodations your workplace tried before you went on leave (like schedule changes, reduced patient load, etc.) that didn't work, that can be powerful evidence that your condition significantly impairs your ability to perform essential job functions even with modifications. The fact that you're prioritizing patient safety by not returning before you're truly ready shows incredible professional integrity. Mental health recovery isn't linear, and the added stress of fighting for benefits often makes symptoms worse - which is actually medically significant documentation, not a sign of failure. You're being such a strong advocate for yourself through this broken system. Keep documenting everything and don't give up - you deserve proper support and your future patients deserve you at your best!

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I'm so sorry you're going through this exhausting battle with Kaiser's system - your experience unfortunately reflects what many healthcare workers face when trying to get proper mental health disability support. Reading through all the excellent advice here, I'm struck by how much clearer your path forward has become. The distinction between FMLA (job protection) and SDI (wage replacement) that others explained is crucial - Kaiser's FMLA board decision doesn't control your eligibility for continued SDI benefits at all. Since you're making progress with HR on CFRA protection and have that new psychiatrist appointment lined up, I wanted to add one suggestion: consider asking specifically for a "return to work assessment" rather than just disability certification. This type of evaluation focuses on your functional capacity to perform essential job duties safely, which is exactly what you need documented for both EDD and your own protection. For ICU nursing, this would include your ability to maintain sustained attention during 12-hour shifts, make rapid clinical decisions under pressure, manage multiple critical patients simultaneously, and respond appropriately to emergency situations. When providers understand these specific cognitive and emotional demands, they can write much more compelling functional limitation statements. The fact that your symptoms have actually worsened over 14 weeks of fighting this system is medically significant evidence that you're not ready to return to patient care. Don't let anyone make you feel guilty for prioritizing both your recovery and patient safety - that's exactly what a responsible healthcare professional should do. You're showing incredible strength advocating for yourself through this broken system. Keep documenting everything and don't give up - you deserve proper support!

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I just went through this exact same process after my herniated disc injury! Reading through all the great advice here, I want to add one more tip that really helped me: when you call your doctor's office Monday morning, ask if they have a specific "EDD forms coordinator" or someone who handles all disability paperwork. Many larger practices have one person who specializes in these forms and knows exactly how to submit them quickly. That person became my lifeline - they knew EDD's fax numbers, submission requirements, and even followed up to make sure my form was received. Also, if your doctor's office uses Epic or another major electronic health record system, they might be able to submit the DE 2525XX directly through the system, which processes way faster than fax. My extension was approved within 48 hours using electronic submission. One last thing - don't feel bad about advocating for yourself with the timing urgency. Medical offices deal with insurance deadlines all the time, but they might not realize how critical EDD disability deadlines are for your actual survival income. Once I explained "I literally won't have money for rent if this isn't submitted by Friday," they treated it completely differently. You've got an amazing action plan from everyone's advice here. Back injuries are no joke - take the time you need to heal properly! 💪

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I went through this exact situation with my lower back injury from a workplace fall! The key is acting fast - don't wait for your scheduled appointment. Call your doctor's office first thing Monday morning and explain that your SDI benefits will literally stop on May 22nd if they don't submit the DE 2525XX (Supplemental Certificate) form before then. Here's what worked for me: - Asked for an "emergency paperwork appointment" - they squeezed me in for 10 minutes when I explained the financial urgency - Downloaded the DE 2525XX form ahead of time and pre-filled all my personal information - Brought a detailed list of my job duties and how my back pain prevents me from performing each task - Asked them to fax or submit it electronically the same day with confirmation If they absolutely can't see you before the 22nd, ask if your doctor can complete the extension based on your recent visits and current medical records - many doctors will do this for ongoing conditions they've been actively treating. Also super important: keep certifying for benefits even if there's a small processing gap. You'll get backpay once the extension is approved, but only if you've been consistently certifying. Don't let anyone pressure you to return before you're fully healed - I rushed back too early and ended up reinjuring myself, which meant needing an even longer extension. Back injuries need proper recovery time! The stress is real but you've got this! 💪

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I'm new to this community but this thread has been incredibly eye-opening! As someone who's healthy right now but works in a high-risk occupation, I had no idea about the strict 52-week SDI limit or how many safety nets might exist that we don't even know about. @Brielle Johnson - what an amazing transformation from panic to having a comprehensive plan! Your experience really demonstrates that even the scariest situations can become manageable when you know what resources to look for and what questions to ask. The discovery of your employer's LTD coverage is such a huge win. I'm definitely going to thoroughly review my own benefits package after reading all these experiences. It's shocking how many people discovered they had long-term disability insurance through their employer that they never knew existed. This thread has basically become a masterclass in disability benefits navigation that you just can't get from official government resources. The detailed advice about SSDI documentation requirements - getting doctors to document specific functional limitations rather than vague statements - is incredibly valuable. And the Claimyr recommendation for actually reaching EDD representatives seems like a game-changer for anyone trying to get real answers from the system. Thank you everyone for sharing your experiences so openly. Having a supportive community that provides real-world guidance makes facing these complex systems so much less overwhelming. This thread should honestly be required reading for anyone receiving SDI benefits!

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I'm new to this community and this thread has been absolutely incredible to read through! As someone who just started receiving SDI benefits for a chronic condition, I had no idea about the strict 52-week limit or how many resources are actually available if you know where to look. @Brielle Johnson - your story is so inspiring! Going from panic about benefits running out to discovering you had LTD coverage through your employer and getting a solid plan in place shows exactly why it's so important to be proactive. I'm definitely calling my HR department tomorrow to see what benefits I might have that I don't even know about. The level of detailed, practical advice in this thread is amazing. The tips about getting specific functional documentation from doctors (not just vague statements), using Claimyr to actually reach EDD, starting SSDI applications early, and researching county assistance programs - this is the kind of real-world guidance you just can't find anywhere else. What really strikes me is how supportive this community is. Everyone sharing their actual experiences, both the struggles and the solutions, creates such valuable knowledge for people navigating these complex systems. I'm saving this entire thread as a reference guide because it's basically a comprehensive roadmap for handling SDI benefit transitions. Thank you all for being so open about your journeys. It makes facing these challenges feel so much more manageable knowing there's a community here with real experience and genuine support!

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This thread has been incredibly helpful! I'm currently dealing with a disability claim too and was really confused about the date requirements. Reading everyone's advice about using the surgeon's specific date (May 14th) for both recovery and return-to-work makes so much sense. I especially appreciate all the tips about documentation - adding notes that reference the surgeon's letter, keeping confirmation numbers, and making sure to get verbal confirmation from agents that they can see your documents in the file. These are the kinds of practical details you just don't get from the official websites. Thanks for starting this discussion - it's going to save me a lot of stress and probably some mistakes too! 🙏

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I'm so glad this thread has been helpful for you too! It really shows how many of us are navigating these same confusing waters with disability claims. The community knowledge here is honestly better than anything I could find on the official EDD site. One thing I'd add from my own recent experience - when you do get that verbal confirmation from an agent that they can see your documents, ask them for their name or employee ID and write it down along with the date/time of your call. If any issues come up later, having that reference can be really helpful. Best of luck with your claim - you've got all the right information now! 💪

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I'm dealing with a similar situation and this thread has been a lifesaver! Just wanted to add one more tip that helped me - when you submit your surgeon's letter, try to make sure it's on official letterhead and includes your doctor's license number if possible. Some EDD agents are more receptive to documentation that looks "official." Also, if you end up needing to extend your dates later (hopefully not!), don't wait until the last minute to get an updated letter from your surgeon. The sooner you can submit any changes, the smoother the process goes. Thanks everyone for sharing your experiences - it's so reassuring to know others have successfully navigated this process! 🙌

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Just went through this exact same thing a few months ago! Definitely start with checking your employer's quarterly wage reports like McKenzie mentioned - that was my issue too. If that doesn't pan out, I'd recommend sending a written appeal with copies of your paystubs attached rather than just calling. The written trail helps a lot if you need to escalate later. Also, keep photocopies of everything you send them because stuff has a way of "getting lost" in their system. Hang in there, it's frustrating but totally fixable!

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@Sara Unger How long did the written appeal process take for you? I m'dealing with a similar wage reporting error and trying to figure out if I should go the phone route or written appeal first. Also, did you send it certified mail or just regular mail?

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@Sara Unger @Carlos Mendoza I went through something similar last year and definitely second the written appeal approach. From my experience, it took about 4-6 weeks to get a response, but it was way more thorough than the phone runaround. I sent mine certified mail with return receipt - cost a few extra bucks but gave me proof they received it. Also pro tip: include a timeline of events with dates in your appeal letter. It really helps them understand the full picture. The waiting sucks but it s worth'doing it right the first time!

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Same thing happened to me last month! The zero income issue is more common than you'd think. I'd definitely start with what McKenzie and Sara suggested - check with your HR first to make sure your employer submitted their wage reports correctly. That's the quickest fix if that's the problem. If HR confirms everything was filed properly on their end, then you'll know it's an EDD processing error and you can move forward with the appeal process. Also, make sure you have copies of your W-2s if you have them - those can be really helpful as backup documentation along with your paystubs. The whole process is a pain but don't let them intimidate you - you have the right to accurate records!

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@Ava Rodriguez This is such good advice! I m'new to dealing with EDD issues and honestly feeling pretty overwhelmed by the whole process. It s'reassuring to hear that the zero income thing happens to other people too - I was starting to think I was the only one having this problem. Quick question - when you say check with HR about wage reports, is there a specific form or document name I should ask them about? I want to make sure I m'asking for the right thing when I call them tomorrow.

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