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Katherine Hunter

Can I get SDI benefits as 1099 contractor after transitioning from W2? Need to enroll in Elective Coverage

I just discovered I need to figure out disability insurance ASAP as my employment situation has completely changed. I've been on state disability for about 8 months following a back surgery, and I'm finally cleared to return to work next month. But here's my problem - my previous employer (where I was W2) eliminated my position while I was out. I'm now planning to work exclusively as a 1099 contractor for a healthcare analytics company. My big concern is that I have some ongoing health issues that might require another medical leave within the next year. I've heard something about 'Elective Coverage' for independent contractors, but I'm totally lost on how to enroll, what it costs, or if there's a waiting period before I can claim benefits after signing up. Has anyone here successfully navigated switching from W2 to 1099 while maintaining SDI coverage? Do I need to hit certain income thresholds? Are there specific forms I need to file with my taxes? Any personal experiences would be incredibly helpful because the EDD website is just confusing me more. Thanks everyone!

Lucas Parker

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my friend did this last year. you need to apply for something called elective coverage with edd. pretty sure you have to make at least $4,600 or something every 3 months to qualify. not sure about waiting period tho

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Thanks for the info! Do you know if your friend had to wait a certain time after enrolling before they could file a claim? That's my biggest worry since I might need another medical leave sooner rather than later.

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Donna Cline

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Yes, you can absolutely maintain SDI coverage as a 1099 contractor through the EDD Elective Coverage Program. I've been doing this for 3 years as a self-employed consultant. Here's what you need to know: 1. You need to file a DE 1378N application form with EDD 2. You must have a net profit of at least $4,830 per quarter (as of 2025) 3. There IS a waiting period - you must be enrolled for 6 months before you can claim disability benefits 4. The contribution rate is currently 1.1% of your net profit (up to the annual wage limit) 5. You'll need to commit to 2 years minimum in the program The process isn't too complicated, but the waiting period is crucial to understand given your health situation. The coverage applies to both SDI and Paid Family Leave.

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This is EXACTLY what I needed to know - thank you! The 6-month waiting period is going to be challenging with my health issues, but at least now I can plan accordingly. Do you file quarterly estimated tax payments as a 1099, and if so, is the SDI contribution handled through that process?

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Im in kinda the same boat!! They fired me after my pregnancy leave ended even tho that's illegal! Anyways I just started doing doordash and instacart as my main income and I have NO IDEA how to get disability coverage either. Following this thread for answers!!

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Actually its not automatically illegal to terminate after leave... depends on company size, how long you worked there, and if they eliminated your position or just replaced you. But you might have a case - should talk to employment lawyer asap!

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Dylan Fisher

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I want to add some important information about Elective Coverage that hasn't been mentioned yet. I work with several independent contractors who navigate this system: - Your coverage costs are based on an "assumed" income amount that YOU choose when you sign up (within limits based on your past earnings) - You must pay contributions for at least 2 quarters before filing a disability claim - Benefits are calculated based on that assumed income amount, not your actual earnings during any quarter - If you have a corporation, the process is different (Elective Coverage for Employers DE 1378) - You can't backdate coverage, so apply ASAP Also, be aware that the income requirements can be met through multiple self-employment ventures combined. The application review process typically takes 2-3 weeks. The trickiest part most people face is understanding that your contribution amount AND your potential benefit amount are based on your "assumed" income declaration, not your actual fluctuating 1099 income.

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Thank you for these details! The "assumed income" part is new information to me. If I understand correctly, I need to estimate what I expect to earn, and that determines both what I pay in and what I could receive in benefits? Are there limits to how high or low I can set this amount?

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Edwards Hugo

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just be aware EDD is a NIGHTMARE to deal with!!! Took me 5 MONTHS to get my first disability payment after surgery last year. And I was W2 with everything perfect!!! Can't imagine how complicated 1099 stuff must be.

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Gianna Scott

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I had the EXACT same issue - calling EDD was impossible and emails went unanswered for weeks. I finally used a service called Claimyr (claimyr.com) that got me connected to an actual SDI agent within 20 minutes instead of spending days redialing. They have a video showing how it works: https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd It was so worth it when I was desperately trying to figure out why my claim was stuck in processing. Turns out there was a simple form issue that was resolved in that one call.

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Alfredo Lugo

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My situation was slightly different but might help you. I had both W2 and 1099 income simultaneously for years. I paid into SDI through my W2 job, then when I needed disability leave, they calculated my benefit using BOTH income sources even though I only paid SDI tax on the W2 portion. The key difference in your case is that you'd need the Elective Coverage program since you won't have any W2 income contributing to SDI automatically. Be very careful about that waiting period others mentioned. It's strictly enforced - I know someone who tried to claim after only 5 months enrollment and was denied despite having an emergency situation.

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That's good to know about the strict enforcement of the waiting period. I'll definitely plan accordingly. Did your friend who was denied after 5 months lose their contributions, or did they just have to wait until the full 6 months had passed before reapplying?

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Has anyone looked into private disability insurance instead of EDD? I switched to that when I became self-employed because the waiting periods were shorter and the coverage was better. Costs more but worth it in my case.

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Donna Cline

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Private disability insurance is definitely an option worth considering, but there are important differences: 1. Private policies often have stricter medical underwriting - pre-existing conditions can be excluded or lead to denial 2. The cost is substantially higher than SDI Elective Coverage 3. Private policies don't include the equivalent of Paid Family Leave 4. Many private policies have longer elimination periods (time before benefits start) than SDI's 7-day waiting period However, private insurance typically offers higher benefit amounts and longer benefit periods. For someone with existing health concerns who needs coverage immediately, finding affordable private coverage might be challenging.

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wait so does this elective coverage thing cover pregnancy too??? might want another baby next year and wondering if i can get paid leave if im doing gig work

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Dylan Fisher

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Yes, Elective Coverage does include pregnancy-related disability (typically 4 weeks before delivery and 6-8 weeks after, depending on delivery type). It also covers Paid Family Leave for bonding with a new child. But remember the important timing restrictions: - Must be enrolled for at least 6 months before a disability claim - For PFL bonding claims, you need to have paid contributions into the system for at least 6 months So if you're planning for a pregnancy next year, you should enroll in Elective Coverage as soon as possible to ensure you'll be eligible when the time comes.

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Dominic Green

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Just wanted to share my recent experience with the DE 1378N application process since you're looking to get this sorted ASAP. I submitted my application in January and it took exactly 18 days to get approved, so the 2-3 week timeframe mentioned earlier is pretty accurate. A few practical tips that helped me: - Make sure you have your Social Security earnings record handy when filling out the form (you can get this from ssa.gov) - The "assumed income" amount has a minimum based on your previous earnings history, so you can't just pick any low number to reduce contributions - I set up automatic quarterly payments through EDD's online portal to avoid missing deadlines - Keep detailed records of all your 1099 income since you'll need to report it annually One thing that surprised me was that once you're enrolled, you can't easily change your assumed income amount mid-year - you're basically locked in until the next annual enrollment period. So think carefully about what amount you choose initially. Given your timeline and health concerns, I'd strongly recommend applying this week if possible. The 6-month waiting period is non-negotiable, but at least you'll have coverage in place for future issues.

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This is incredibly helpful timing-wise! I really appreciate you sharing the actual timeline - 18 days gives me a realistic expectation. The tip about not being able to change the assumed income mid-year is crucial information I hadn't seen anywhere else. I'm definitely going to apply this week since every day counts toward that 6-month waiting period. Quick question - when you mention the minimum assumed income based on previous earnings history, does that pull from my W2 earnings from last year, or do they look at a longer period? I want to make sure I set realistic expectations before I fill out the DE 1378N form.

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Lauren Wood

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I went through this exact transition about 2 years ago after a workers comp injury. Here's what I wish someone had told me upfront: The DE 1378N form asks for your highest annual earnings in the last 5 years - they use this to set both your minimum and maximum assumed income options. You can't go below about 60% of that highest year, and you can't exceed certain caps (I think it's around $145,000 for 2025). One critical thing nobody mentioned yet: if you're still receiving SDI benefits from your W2 job when you apply for Elective Coverage, there can be some coordination issues. Make sure to mention this on your application because they need to handle the transition properly. Also, the quarterly payment deadlines are STRICT - if you're even a day late, they can cancel your coverage entirely and you'd have to restart the whole 6-month waiting period. I set up calendar reminders for the 15th of January, April, July, and October. The good news is that once you're past the waiting period, the claims process for 1099 folks is actually simpler than W2 employees in some ways because your assumed income amount is already established - no complex wage calculations needed. Given your back surgery history, definitely get this application in ASAP. Even if you need private disability insurance to bridge the gap, having the Elective Coverage as a backup is worth it for the cost.

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This is exactly the detailed breakdown I needed! Thank you for explaining how they determine the assumed income range - knowing it's based on my highest annual earnings from the last 5 years helps me understand what to expect when I fill out the DE 1378N. The coordination issue with my current SDI benefits is something I hadn't even thought about, so I'll definitely mention that on the application. Those quarterly payment deadlines being so strict is a bit scary - I'll set up those calendar reminders you mentioned right away. It sounds like despite the waiting period challenge, getting this process started immediately is my best bet for long-term coverage. Really appreciate you sharing your experience with the transition!

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GalaxyGlider

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I've been through this exact transition and want to add a few important points that might help with your timeline concerns: Since you mentioned you might need medical leave within the next year, consider this strategic approach: Apply for Elective Coverage immediately (like this week), but also look into short-term private disability insurance as a bridge until your 6-month waiting period is up. Some private policies can start coverage in 30-60 days with less strict underwriting if you're currently healthy enough to return to work. Also, regarding your current SDI claim - make sure it's completely closed out before your Elective Coverage starts. I learned the hard way that having any overlap can create administrative headaches that delay everything. One more tip: when you're filling out the assumed income amount, consider your potential healthcare analytics income realistically but don't lowball it. Your benefit amount is based on this number, so if you do need to claim later, you'll want adequate coverage. The contribution rate is only 1.1%, so the difference between choosing $50K vs $60K assumed income is pretty minimal monthly but makes a bigger difference in benefits. Document everything and keep copies of all submissions. EDD processes can be slow, and having your paperwork organized will save you time if there are any issues. Good luck with the transition!

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Maya Jackson

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This strategic approach makes so much sense - thank you! The idea of using private disability as a bridge while waiting for the Elective Coverage to kick in is brilliant. I hadn't thought about making sure my current SDI claim is completely closed before starting the new coverage, so I'll definitely coordinate that timing carefully. Your point about not lowballing the assumed income is really valuable too - you're right that the 1.1% difference is minimal compared to potentially needing adequate benefits later. I'm feeling much more confident about navigating this transition now with all the detailed advice from everyone here. Going to start the DE 1378N application this week and look into short-term private options as backup. Really appreciate the community support on this!

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I just want to echo what everyone else has said about applying ASAP - that 6-month waiting period is really the key factor here. I made the W2 to 1099 transition last year (different industry but similar situation) and the Elective Coverage has been a lifesaver. One thing I'll add that I don't think anyone mentioned: make sure you understand the difference between "disability" and "unable to perform your regular work" when it comes to claims. As a 1099 contractor, your "regular work" definition can be trickier than it is for W2 employees, especially if you're doing varied types of healthcare analytics work. The EDD will look at whether you can perform the substantial duties of your work, so keep good records of exactly what your contractor role entails. This becomes important if you ever need to file a claim - they'll want to know specifically what tasks you can't perform due to your disability. Also, since you mentioned back surgery with potential future issues, consider asking your doctor for documentation about any work restrictions or accommodations you might need. Having that medical paper trail established before you need it can speed up the claims process significantly. The application really isn't too bad once you gather all the required info. Just take your time with the assumed income calculation and err on the side of realistic rather than conservative. Good luck!

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Philip Cowan

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This is such an important point about the "regular work" definition for 1099 contractors! I hadn't considered how much more complex that could be compared to a traditional W2 role. Since I'll be doing healthcare analytics work, which can involve everything from data analysis to client presentations to report writing, I should definitely document all the different aspects of what my contractor role includes. Your advice about getting medical documentation of work restrictions ahead of time is really smart too - being proactive about that paper trail makes total sense. Thanks for thinking through these practical details that could make a huge difference if I actually need to file a claim down the road!

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