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Jamal Wilson

How is EDD SDI benefit amount calculated? First-time disability applicant confused

I'm planning to file for disability next month due to upcoming surgery and I'm totally lost on how EDD determines the benefit amount. My doctor said I'll need at least 8 weeks recovery time. I've looked at the EDD website but got confused with all the talk about 'base periods' and 'quarterly wages'. Does anyone know how they actually calculate what you'll get paid? Do they use your most recent paychecks or is it from last year's income? Also, should I be applying before my surgery date or wait until after? This is my first time applying and I'm worried about making a mistake that could delay my benefits when I really need them. Any advice from people who've been through this would be super helpful!

Mei Lin

The benefit amount calculation is based on your highest-paid quarter in your base period, which is approximately 5-18 months before your disability claim begins. For a claim starting in 2025, they'll look at your wages from late 2023 through 2024, depending on when exactly you file. The formula is roughly 60-70% of your average weekly wages during your highest quarter, up to a maximum weekly benefit amount (which is around $1,620 in 2025). You should definitely apply BEFORE your surgery. You can file up to 9 days before your disability begins. This gives EDD time to process your claim so payments start faster. When you apply, you'll need your last day worked and your first day of disability (surgery date). Make sure your doctor submits the medical certification promptly - this is often where delays happen. And double-check all your wage information when you apply.

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Thank you so much for the detailed explanation! So if I made more money in early 2024 than I have recently, they might use those quarters instead of my current salary? That's good to know. I think my surgery is scheduled for March 15th, so should I apply around March 6th then?

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they use ur highest paid quarter from the base period. its not about recent paychecks. i think its a year to 18 months back? but dont quote me on that lol

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You're close. The base period is the 12-month period ending 5-18 months before your disability claim begins. So if someone files in March 2025, their base period would be October 1, 2023 through September 30, 2024. This is why some people get surprised when their benefit is lower than expected - if you recently got a raise or better job, that might not be reflected yet in your base period.

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DONT WAIT to apply!!! I made that mistake last year and lost almost 2 weeks of benefits because I didn't realize there's a 7-day unpaid waiting period AND they only backdate claims 14 days. Apply 9 days before your surgery date but make sure you put the correct "first day of disability" as your actual surgery date. As for the amount, I was getting about 65% of my normal paycheck. You can actually check your potential benefit amount by creating an SDI Online account and using their calculator BEFORE you apply. That way you can budget accordingly.

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Oh wow, I didn't realize there was a 7-day waiting period! That's really important to know for budgeting. I'll definitely apply before my surgery date then. Thanks for the tip about the calculator too - I'll check that out today!

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I had such a nightmare trying to reach someone at EDD when I had questions about my benefit calculation last year. After trying for DAYS and constantly getting disconnected, I finally used Claimyr (claimyr.com) and got through to a representative in about 25 minutes. They have a video showing how it works: https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd The EDD rep explained that my benefit amount was lower than expected because I had taken unpaid time off during my highest quarter, which reduced my average weekly wage. Just something to keep in mind - they use your total wages in that quarter divided by 13 (weeks) to calculate your weekly amount.

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does this claimyr thing actually work? sounds too good to be true considering how impossible it is to get through to edd...

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Yes, it absolutely worked for me. After wasting hours getting disconnected or waiting on hold only to get hung up on, I was skeptical too. But I got through in less than 30 minutes. The peace of mind was worth it because I needed to know why my benefit was calculated so low.

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I just went through this whole process in January! For me, I make different amounts each paycheck (I work in sales with commission), so I was confused about how they'd calculate it. Turns out they took my highest-earning quarter from the base period, added up ALL earnings for those 3 months, divided by 13 weeks, and then took about 60-70% of that amount. My weekly benefit ended up being $1,247 which was actually a bit higher than I expected. Just make sure ALL your wages are reported correctly because they pull this data from your employer's tax filings.

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That's really helpful information, especially about the commission pay. I work partly on bonuses so that's good to know they include all types of income. Did you have any issues with your employer providing the right wage information?

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No issues, but I did log into my SDI Online account before filing and checked that my wage history looked correct. If something had been missing, I would have needed to provide proof of those wages when filing my claim. Definitely worth checking this ahead of time!

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ANOTHER THING - when you're setting up your SDI Online account make SURE the name you use EXACTLY matches your ID and social security card. My coworker had her married name on her driver's license but her maiden name on her social security card and it caused a HUGE delay while they verified her identity. She had to send in copies of her marriage certificate and everything!

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Thank you for mentioning this! I got married last year and have been slowly updating all my documents. My Social Security card has been updated but I'm not sure if my employer has submitted everything with my new name. I'll double check all of this before applying.

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i think disability pays more than unemployment but less than your regular paycheck. my brother got like 65% of his normal pay when he was out for back surgery

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To give you the exact formula: EDD takes your highest quarter of wages in the base period and divides by 13 to get your average weekly wage. Then they multiply that by the replacement rate (approximately 60-70% depending on your income level). For 2025, if your quarterly wages were at least $10,764, you'd qualify for the maximum weekly benefit amount of $1,620. The minimum weekly benefit is $50. An important tip: if you know your surgery date well in advance, you could potentially maximize your benefits by planning when you file. Since the base period shifts each quarter, filing in early April versus late March could potentially include or exclude a high-earning quarter.

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That's really interesting about the timing potentially affecting benefits! My surgery is scheduled for mid-March, but I suppose it's too late to try to reschedule it now just for benefit purposes. But it's good information to keep in mind.

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Yes, it's probably not worth rescheduling surgery just for benefit purposes! But it's something to be aware of. Also, if you expect to be out for the full 8 weeks, budget for about 7 weeks of actual payment since the first 7 days is the unpaid waiting period. Many people forget about this and end up with budget issues.

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When I was on disability last year after my car accident, they calculated my benefit totally wrong at first because they didn't have my most recent wage information. I had to submit additional wage verification with pay stubs. Just be prepared to submit additional documentation if you think the calculated amount is wrong. Don't just accept whatever they say if it seems off!

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As someone who just went through the SDI application process last month, I want to echo what others have said about applying early! I applied 8 days before my disability start date and still had to wait almost 3 weeks for my first payment due to processing delays. One thing I wish I had known: if you work multiple jobs, make sure ALL of your employers are listed correctly in your wage history. I had a part-time weekend job that wasn't showing up initially, and those wages would have bumped me into a higher benefit bracket. Also, keep copies of EVERYTHING you submit. When they asked for additional medical documentation, I was so glad I had saved all my forms. The whole process felt overwhelming at first, but once you get through the initial application, it's pretty straightforward. Good luck with your surgery and recovery!

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This is such valuable advice, especially about the multiple jobs! I actually do have a part-time consulting gig on weekends that I completely forgot about when thinking about my wage history. I should definitely check that all my income sources are properly reported. Three weeks for the first payment sounds rough - I'm glad I'm learning about applying early. Thanks for sharing your experience!

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I went through SDI application for knee surgery recovery last fall and wanted to share a few things that really helped me. First, create your SDI Online account ASAP and check your wage history - mine was missing wages from a job change mid-year and I had to submit W-2s to correct it before filing. Second, when you apply 9 days before surgery, make sure your doctor knows the exact timeline. My orthopedic surgeon's office was great about submitting the medical certification quickly, but some offices are slower. You might want to give them a heads up about the paperwork they'll need to complete. One thing that surprised me was that they send payments via debit card (Bank of America EDD Debit Card) unless you specifically request direct deposit. The debit card took about 7-10 days to arrive after my claim was approved, so factor that into your timeline too. For budgeting, remember it's not just the 7-day waiting period - there's also usually a processing delay before your first payment. I ended up being out of work for 6 weeks total but only received 4 weeks of actual payments by the time I returned to work. Plan accordingly!

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This is incredibly helpful, thank you! I had no idea about the debit card delay - that's definitely something I need to plan for financially. I'll make sure to request direct deposit when I apply. The tip about giving my doctor's office a heads up is great too. Did you find the Bank of America debit card easy to use, or would you definitely recommend going with direct deposit instead?

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I definitely recommend direct deposit over the debit card! The Bank of America EDD card worked fine for basic transactions, but there were fees for things like ATM withdrawals at non-BoA locations, and some online merchants had issues processing it. Plus you have to wait for the physical card to arrive. With direct deposit, the money goes straight into your regular bank account as soon as it's processed - no delays, no fees, and you can access it however you normally do. Just make sure you have your bank routing and account numbers ready when you apply.

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Just wanted to add my experience from going through SDI last year for shoulder surgery - the whole process was way less scary than I expected once I got started! A few practical tips that helped me: Download the SDI mobile app if you have a smartphone. It makes checking your claim status and uploading documents so much easier than trying to do everything on the website. Also, when you're calculating how much you'll need financially, remember that your SDI benefits are subject to federal taxes (but not state taxes in California). So if you normally have taxes withheld, you might want to set aside about 10-15% of your benefit payments for tax time, or you can request voluntary withholding when you set up your claim. One last thing - if your doctor extends your disability period beyond what you initially applied for, you can submit additional medical certifications online. I ended up needing an extra 2 weeks beyond my original 6-week estimate, and it was really straightforward to extend the claim. The hardest part honestly was just taking that first step to apply. Once you're in the system, EDD actually does a decent job of guiding you through everything. You've got this!

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Thank you so much for all these practical tips! The mobile app suggestion is really helpful - I hadn't even thought about that. And wow, I definitely didn't realize SDI benefits are taxable at the federal level. That's something I really need to factor into my budget planning. It's reassuring to hear that the process gets easier once you start and that extending the claim is straightforward if needed. I'm feeling much more confident about applying now after reading everyone's experiences. Really appreciate you taking the time to share all these details!

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I went through the SDI process for my appendectomy last summer and wanted to share something that might help with your timing question. Since you mentioned your surgery is March 15th, I'd actually recommend applying around March 5th-6th to be safe. One thing that caught me off guard was that even though you can apply 9 days before, the system sometimes has technical issues or maintenance windows that can delay your application. I tried to apply on a Sunday night and the system was down for maintenance until Monday afternoon - nearly gave me a heart attack thinking I'd miss the window! Also, make sure you have all your employer information handy when you apply, including exact dates of employment and your employer's State Disability Insurance (SDI) account number if you can get it. This speeds up the wage verification process significantly. You can usually find the SDI number on your paystub or ask your HR/payroll department. For the benefit calculation, I was pleasantly surprised - I ended up getting about 68% of my regular weekly pay. Just remember that 8 weeks of recovery time means about 7 weeks of actual payments due to the waiting period. Start budgeting now so you're not stressed about finances while you're trying to heal. Good luck with your surgery!

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This is exactly the kind of detailed timeline advice I was looking for! Applying March 5th-6th sounds like the perfect window - gives me some buffer in case of technical issues like you experienced. I definitely don't want to be scrambling with system maintenance problems when I'm already stressed about the surgery. The tip about having my employer's SDI account number ready is really smart too. I'll check my next paystub or reach out to HR this week to get that information. It's reassuring to hear you got 68% of your regular pay - that's higher than I was expecting based on some of the other estimates I've seen. Thanks for sharing your experience and the encouragement!

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Hey Jamal! I just went through this process for my gallbladder surgery in December, so this is all fresh in my mind. Everyone's given you great advice already, but I wanted to add a couple things that really saved me stress: First, when you create your SDI Online account to check your wage history, also look at the "Benefit Calculator" tool - it'll give you a pretty accurate estimate of your weekly benefit amount before you even apply. This helped me budget way better than just guessing. Second, I'd suggest calling your surgeon's office THIS WEEK to let them know you'll be filing for disability and ask about their process for completing medical certifications. Some offices have dedicated staff who handle disability paperwork and can turn it around in 1-2 days, while others might take a week or more. Knowing their timeline will help you plan when to apply. One more thing - if you're worried about making mistakes on the application, you can actually save a partial application and come back to finish it later. Don't feel like you have to rush through it all in one sitting. March 5th-6th sounds like perfect timing for a March 15th surgery date. You've got this! The anticipation is honestly worse than the actual process. Focus on getting ready for your surgery and recovery - the SDI stuff is just paperwork that'll work itself out.

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This is such comprehensive advice, Vanessa! I really appreciate you taking the time to share all these practical details. The benefit calculator tool sounds like exactly what I need - I've been trying to estimate my benefits but having an actual calculator will give me so much more confidence in my budgeting. And you're absolutely right about contacting my surgeon's office early. I hadn't thought about how different offices might have vastly different turnaround times for disability paperwork. I'll definitely call them this week to get that sorted out. The tip about being able to save a partial application is really reassuring too - I was worried about having to get everything perfect in one go. Thank you for the encouragement! It's so helpful hearing from people who've actually been through this recently.

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As someone who recently navigated SDI for my own surgery, I want to emphasize how important it is to double-check your wage history before applying. I discovered that one of my previous employers had incorrectly reported my wages, which would have significantly reduced my benefit amount. I had to submit additional documentation (W-2s and pay stubs) to correct this, but it was worth it - my weekly benefit ended up being about $200 higher than it would have been with the incorrect information. Also, here's something nobody mentioned yet: if you have any vacation time or sick leave that you're planning to use during your recovery, coordinate this carefully with your SDI claim. You cannot receive SDI benefits for days when you're receiving full pay from your employer. Some people use their paid time off for the 7-day waiting period, which can help financially, but make sure you're clear about which days you're claiming SDI versus using employer-paid leave. One last tip - when you get your first SDI payment, take a screenshot or save the payment details. If there are ever any issues with future payments, having that reference makes resolving problems much faster. Good luck with everything!

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This is such crucial information about checking wage history - thank you! I never would have thought to verify that my employers reported my wages correctly, but a $200 difference in weekly benefits would be huge over 8 weeks of recovery. I'll definitely pull up my wage history in the SDI system this week and cross-reference it with my W-2s and pay stubs. The tip about coordinating with vacation/sick leave is really smart too. I was actually planning to use some of my accrued sick time, but I hadn't considered how that might affect the SDI timing. I'll need to think through whether it makes more sense to use my paid time off during the waiting period or save it for later. Thanks for the practical advice about saving payment details too - I can see how having that documentation would be helpful if any issues come up!

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I went through the SDI process for my carpal tunnel surgery last year and wanted to share a few things that really helped me prepare financially. Since you're worried about making mistakes, I'd suggest creating a simple checklist of everything you need to gather before applying: 1. Check your SDI Online wage history and compare it to your W-2s/pay stubs 2. Get your employer's SDI account number from your paystub or HR 3. Confirm your surgery date with your doctor and ask about their medical certification timeline 4. Decide if you want direct deposit or the debit card (definitely go with direct deposit) 5. Calculate your budget for 7 weeks of payments (not 8, due to the waiting period) One thing that really helped me was using the benefit calculator tool in the SDI Online system before applying - it gave me a realistic expectation of about 65% of my normal weekly pay, which made budgeting so much easier. Also, don't stress too much about the base period calculation - EDD handles all of that automatically based on your wage history. Your job is just to make sure all your wage information is accurate in their system. You're being smart by planning ahead and asking questions. Apply March 5th-6th for your March 15th surgery, and you'll be in great shape. The process really isn't as complicated as it seems at first!

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This checklist is incredibly helpful, Chloe! I'm definitely going to save this and work through each item this week. Having it all laid out like this makes the whole process feel much more manageable instead of overwhelming. I really appreciate the reminder that EDD handles the base period calculation automatically - I was getting stressed trying to figure out all those quarterly wage details myself. Your point about budgeting for 7 weeks instead of 8 is so important too. I keep forgetting about that waiting period when I'm doing my financial planning. The 65% figure from the benefit calculator sounds very realistic based on what others have shared here. Thank you for breaking this down into such clear, actionable steps!

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I just wanted to say how incredibly helpful this entire thread has been! As someone who's never dealt with disability benefits before, I was honestly pretty anxious about the whole process. But reading through everyone's experiences and practical advice has made me feel so much more prepared and confident. The biggest takeaways for me are: apply March 5th-6th for my March 15th surgery, definitely choose direct deposit over the debit card, check my wage history thoroughly before applying, and budget for 7 weeks of payments rather than 8. I had no idea about things like the 7-day waiting period, the potential for wage reporting errors, or how important the timing of the application could be. I'm going to work through that checklist someone shared, contact my surgeon's office about their medical certification timeline, and use the benefit calculator tool this week. It's such a relief to know that other people have successfully navigated this process and that the anticipation is worse than the actual experience. Thank you all for taking the time to share your knowledge and experiences. This community is amazing, and I feel so much better prepared for both the application process and my recovery period now!

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I'm so glad this thread has been helpful for you! As someone new to this community, I've been reading through all these responses and I'm amazed at how supportive and knowledgeable everyone is here. I'm not going through a disability claim myself right now, but I'm bookmarking this entire conversation for future reference - you never know when you might need this information. The level of detail everyone has shared, from the specific timing advice to the financial planning tips, is just incredible. It really shows how much this community cares about helping each other navigate these complicated systems. Best of luck with your surgery and recovery - sounds like you're going to be well-prepared thanks to all the great advice here!

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