EDD SDI denied after Workers' Comp case closed - how to prove eligibility?

You need to file an appeal immediately! There's a form called DE 1000M 'Appeal Form' you need to complete. You only have 30 days from the date of the denial notice to submit it. Include copies (not originals) of your Workers' Comp case closure documents and a letter from your doctor stating your current disability status. The appeal process can take 30-60 days, so the sooner you get it in, the better.

this happnd to my cousin last yr... he said calling was useless, took him 3 weeks to even talk to anyone!!! his case got fixed when he finally went in person to the office tho

Call EDD immediately! I had a similar situation but mine was Workers' Comp to Paid Family Leave. The problem is that their system automatically flags and denies claims when it sees Workers' Comp in your history without human review. You need to get a real person to review your case and update your status. But good luck getting through on the phone - I spent TWO WEEKS calling every day, multiple times a day, and kept getting disconnected or told to call back later. I finally used a service called Claimyr (claimyr.com) that got me connected to an EDD rep within 20 minutes. They have a video showing how it works: https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd Once I got through to someone, they were able to override the automatic denial after I explained my situation and they verified my Workers' Comp case was closed. The agent told me they see this happen all the time and it's a known issue with their system.

You absolutely need to appeal this decision. This is a common misunderstanding that happens when transitioning from Workers' Compensation to SDI. The key is to understand that these are separate benefit systems with different eligibility requirements. Here's what you need to do: 1. File the appeal using form DE 1000M within the 30-day deadline 2. Include documentation showing your Workers' Comp case closure (settlement documents, closure letter, etc.) 3. Get an updated medical certification (form DE 2501) from your doctor clearly stating: - Your current disability prevents you from performing your regular work - The disability is ongoing despite Workers' Comp case closure - The expected duration of your current disability Meanwhile, you might want to apply for SSDI (Social Security Disability Insurance) since you mentioned your disability is permanent. SDI is only temporary (up to 52 weeks), while SSDI is for long-term/permanent disabilities. I've worked with several clients who successfully made this transition, but it does require proper documentation and persistence.

eVERYONE here is givng you BAD ADVICE!! You should have applied for UI not SDI!! If workers comp is done you need unemployment not disability!!! The EDD lady told me this when i had same problem

I went through almost the exact same situation in 2023!!! It's so frustrating how they don't explain this stuff anywhere. Here's what worked for me: 1) I appealed online through my SDI account using the appeals option (yes, you can do it online) 2) I also called over and over until I finally got through (took 2 days of constant redialing) 3) The rep who finally answered told me to upload my Workers' Comp closure documents directly to my SDI account 4) I had my doctor fill out a NEW certification form specifically stating that my disability continued after Workers' Comp ended It took about 3 weeks, but they eventually approved my claim AND gave me retroactive payments from when the Workers' Comp ended. Don't give up! The system is confusing but if you're truly eligible they will approve you eventually.

Quick question - when did your Workers' Comp case close exactly? There's a rule about applying for SDI within a certain timeframe after Workers' Comp ends. I think it's 30 or 60 days, but I can't remember exactly.

my friend had the same issue and she just kept calling and eventually got someone who fixed it for her. its prob just a simple computer error in their system. good luck!!!

I agree with the others - you definitely need to appeal this decision right away. I was in a similar situation except my workers comp case was denied entirely and then I had to apply for SDI after the fact. The whole system is so confusing and nobody tells you what to do next. It's like they want you to give up! I also faced some challenges getting through on the phone. The EDD phone system is completely overwhelmed and it's virtually impossible to speak with someone. After trying for days, I finally discovered Claimyr (claimyr.com) which connected me to an EDD representative in about 15 minutes. They have a demo video that shows how it works: https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd Best money I've spent in a long time considering I was about to lose my mind hitting redial for hours every day.

One more important thing - make sure you continue certifying your disability with your doctor even while your appeal is pending. Get your doctor to keep submitting the ongoing certification forms every 1-3 months (depending on what they initially indicated for your disability duration). This creates a continuous record of your disability that will help your case.

I'm so sorry you're dealing with this - the transition from Workers' Comp to SDI is unnecessarily complicated and EDD's system doesn't handle it well. Based on everyone's advice here, I'd recommend a multi-pronged approach: 1. File that appeal ASAP (you still have time!) - include all your Workers' Comp closure documents 2. Try calling EDD early Monday morning (7:30-8:00 AM seems to be the best time) 3. If calling doesn't work, definitely consider going to your local office in person The most important thing is getting a human to actually look at your case instead of relying on their automated system. Your situation is completely legitimate - you had a work injury, received Workers' Comp, that ended, and now you need SDI for ongoing disability. This is exactly what the system is supposed to handle. Don't let them discourage you! Keep all your documentation organized and be persistent. The fact that you applied within two weeks of your Workers' Comp ending shows you followed the rules correctly.

I'm sorry you're going through this stressful situation! I went through something very similar last year and it was incredibly frustrating. The EDD system automatically flags cases with Workers' Comp history without any human review, which is exactly what happened to you. Based on my experience, here's what I'd recommend: 1. **File the appeal immediately** - You have 30 days from the denial date, so don't wait. Use form DE 1000M and include copies of your Workers' Comp closure documents. 2. **Get updated medical documentation** - Have your doctor fill out a new DE 2501 form specifically stating that your disability continues after Workers' Comp ended and prevents you from working. 3. **Try multiple contact methods** - Call EDD first thing Monday morning (around 7:30 AM), but also consider going to your local office with all your paperwork if phone calls don't work. The good news is that once you get a real person to review your case, they can usually fix this quickly. The agent I spoke with said they see this exact situation all the time and it's a known system issue. Your timing is actually perfect - applying within two weeks of Workers' Comp ending shows you followed the rules correctly. Don't give up! This is exactly the type of transition SDI is designed to handle. Keep all your documentation organized and be persistent. You've got this!

I went through this exact same situation in 2022 and it was incredibly stressful! The key thing to understand is that EDD's computer system automatically denies claims when it sees any Workers' Comp history, even if those benefits have ended. It's frustrating because there's no way to explain the nuances in the initial application. Here's what worked for me: **Immediate steps:** - File your appeal using form DE 1000M within your 30-day window (sounds like you have about 3 weeks left) - Include copies of ALL your Workers' Comp closure documents - settlement papers, final medical reports, closure letters, etc. - Get your doctor to complete a fresh DE 2501 form that specifically states your ongoing disability status **Getting through to EDD:** I had success calling right at 8:00 AM on weekdays. The hold times are still terrible, but you're more likely to get through early in the morning. When you do reach someone, explain that your Workers' Comp case is CLOSED and you need a manual review of your SDI application. **Timeline:** Once I got a human to actually look at my case, it was resolved within a week. They even backdated my payments to when my Workers' Comp ended. The hardest part is just getting someone to review it manually instead of relying on their automated system. Don't let this discourage you - your situation is completely legitimate and this transition happens all the time. The system just isn't set up to handle it smoothly. Stay persistent and document everything!

I'm new to this community but dealing with a similar situation right now! My Workers' Comp case ended about 6 weeks ago and I'm still waiting to hear back on my SDI application. Reading through everyone's experiences here has been incredibly helpful - I had no idea this was such a common issue with their automated system. I'm curious - for those of you who successfully got through this process, did you have to provide any specific documentation beyond the Workers' Comp closure papers? My doctor mentioned something about needing a "gap analysis" to show the continuous disability from when Workers' Comp ended to when SDI should begin, but I'm not sure if that's a real requirement or just something he made up. Also, has anyone tried submitting additional documentation through the SDI online portal after the initial application, or is it better to wait until you can speak with someone directly? I'm trying to be proactive but don't want to accidentally complicate my case by uploading too much stuff. Thanks for all the detailed advice in this thread - it's given me hope that this will eventually get sorted out!

I'm dealing with a very similar situation right now! My Workers' Comp case closed about 3 weeks ago and I just got the same denial message from EDD yesterday. It's so frustrating because their system doesn't seem to understand the difference between "receiving Workers' Comp" and "Workers' Comp case is closed." From reading all the responses here, it sounds like filing the appeal is definitely the first step. I'm planning to do that this weekend and include all my closure documentation. The timing advice about calling at 7:30-8:00 AM is super helpful too - I've been trying to call in the afternoons and never getting through. One question for those who've been through this - when you got your doctor to fill out the new DE 2501 form, did they need to use specific language about the transition from Workers' Comp to SDI? Or is it enough for them to just state that the disability is ongoing? My doctor is familiar with Workers' Comp paperwork but has never dealt with SDI before, so I want to make sure I give him the right guidance. Thanks to everyone for sharing their experiences - it's really reassuring to know this is a common issue that does get resolved with persistence!

I'm new to this community but unfortunately dealing with a very similar situation! My Workers' Comp case closed about 2 months ago and I'm currently in the appeals process for my SDI denial. Reading through everyone's experiences here has been incredibly valuable and gives me hope that this will eventually get resolved. One thing I wanted to add that might help others - when I finally got through to an EDD representative (took about a week of calling at 7:30 AM), they mentioned that it's really important to emphasize that your disability is "continuous" from Workers' Comp through to SDI. The rep said their system flags cases where it looks like you're filing a separate new disability claim rather than continuing coverage for the same condition. For anyone still working on their appeals, I'd suggest including a timeline in your documentation that clearly shows: 1. When your work injury occurred 2. When Workers' Comp benefits started and ended 3. When your SDI application was submitted 4. Confirmation from your doctor that the disability has been ongoing throughout The rep told me that having this clear timeline helps the reviewing agent understand that you're not trying to double-dip benefits, but rather transitioning from one system to another for the same ongoing medical condition. Still waiting on my final decision, but the phone conversation was encouraging. The agent said cases like ours are "routine" once they get manual review - it's just getting past that initial automated denial that's the challenge. Hang in there everyone!

I'm new to this community but going through almost the exact same situation right now! My Workers' Comp case closed about 5 weeks ago and I just received my SDI denial yesterday with that same frustrating message about "receiving temporary disability payments from Workers' Compensation." Reading through everyone's experiences here has been such a relief - I was starting to think I was the only one dealing with this bureaucratic nightmare! It's clear that EDD's automated system just can't handle these transition cases properly. Based on all the great advice in this thread, I'm planning to: 1. File my appeal this weekend using form DE 1000M with all my closure documents 2. Get my doctor to fill out a fresh DE 2501 emphasizing the continuous nature of my disability 3. Try calling EDD first thing Monday at 7:30 AM The timeline suggestion from @6b25431c3512 about creating a chronological summary is brilliant - I'm definitely going to include that to show the continuity from Workers' Comp to SDI for the same condition. Thank you to everyone who shared their experiences and advice. It's incredibly reassuring to know that this does get resolved once you get a human to actually review the case. Fingers crossed we all get through this process successfully!

I'm new to this community but unfortunately dealing with this exact same situation! My Workers' Comp case closed about 6 weeks ago and I just got hit with the same automatic denial from EDD yesterday. It's incredibly frustrating how their system can't differentiate between active Workers' Comp payments and a closed case. After reading through all the excellent advice here, I'm feeling much more optimistic about getting this resolved. It sounds like this is a widespread issue that EDD sees regularly - they just need a human to actually look at the case instead of relying on their flawed automated system. I'm planning to follow the game plan that seems to work for most people: 1. File the appeal immediately with form DE 1000M and include all Workers' Comp closure documentation 2. Get my doctor to complete a new DE 2501 form emphasizing the continuous nature of my disability post-Workers' Comp 3. Try the early morning calling strategy (7:30-8:00 AM) that several people mentioned 4. Create that chronological timeline document showing the transition from Workers' Comp to SDI for the same ongoing condition Thank you to everyone who shared their experiences and specific tips - especially the timeline idea and the emphasis on "continuous disability" language. This community has been incredibly helpful for understanding that persistence pays off with these cases. Hoping to have a success story to share soon!

I'm new to this community but dealing with this exact same frustrating situation! My Workers' Comp case closed about 4 weeks ago and I just received my SDI denial letter yesterday with that identical automated message about "receiving temporary disability payments from Workers' Compensation." Reading through everyone's detailed experiences here has been incredibly reassuring - it's clear this is a widespread systemic issue with EDD's automated review process rather than individual case problems. The fact that so many people have successfully resolved this gives me hope! Based on all the excellent advice shared here, I'm planning to: 1. File my appeal this weekend using form DE 1000M with copies of all my Workers' Comp closure documents 2. Schedule an appointment with my doctor to complete a fresh DE 2501 form specifically emphasizing the continuous nature of my disability after Workers' Comp ended 3. Use the early morning calling strategy (7:30-8:00 AM) that multiple people recommended 4. Create a detailed timeline document showing the seamless transition from Workers' Comp to SDI for the same ongoing medical condition The insight from @6b25431c3512 about emphasizing "continuous" disability rather than making it appear like separate claims is particularly valuable. And hearing that EDD reps consider these "routine" cases once they get manual review is very encouraging! Thank you to everyone who took the time to share their experiences and specific strategies. This community has been a lifeline for understanding how to navigate this bureaucratic maze. Fingers crossed I'll have a success story to add to this thread soon!