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!
19 comments
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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Jamal Wilson
•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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Liam Fitzgerald
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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Amara Nnamani
•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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Giovanni Mancini
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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Jamal Wilson
•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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NebulaNinja
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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Fatima Al-Suwaidi
•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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NebulaNinja
•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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Dylan Mitchell
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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Jamal Wilson
•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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Dylan Mitchell
•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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Giovanni Mancini
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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Jamal Wilson
•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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Fatima Al-Suwaidi
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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Amara Nnamani
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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Jamal Wilson
•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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Amara Nnamani
•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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Sofia Morales
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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