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Aaron Lee

Is it too late to appeal EDD SDI denial from 2022 due to application error?

My husband had a serious back injury in 2022 and applied for SDI, but his claim was denied. We were so overwhelmed with his medical issues at the time that we just gave up on the disability claim. Looking through his paperwork yesterday, I noticed he accidentally marked 'yes' on the question about whether he was receiving wages during his disability period, which wasn't true! His employer had completely stopped his pay while he was out. Could this be why he was denied? More importantly, is it possible to file an appeal now even though it's been nearly 3 years? The claim denial letter mentioned something about a 20-day appeal deadline, but I'm wondering if there are any exceptions since this was clearly just a mistake on the application. Has anyone successfully appealed an SDI denial this long after the fact?

Unfortunately, EDD is very strict about those appeal deadlines. The standard timeframe to appeal an SDI denial is 20 days from the date on the notice of determination. After that, you'd need to show "good cause" for filing late. Three years is a very long time, and it would be extremely difficult to get them to consider it. Your best option might be to file a new claim if he's still having medical issues, but you can't retroactively get benefits from 2022 at this point.

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Aaron Lee

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That's what I was afraid of. He's back at work now, so filing a new claim isn't an option. It's just frustrating because we really needed those benefits back then and it was just a simple checkbox error. Do you know if there's any sort of hardship exception we could try to pursue?

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Michael Adams

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My brother had something similar happen but it was only 2 months after deadline not 3 years... he wrote a letter explaining his situation and they still denied his appeal for being late :

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Aaron Lee

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Oh no, that's discouraging. I guess if they denied someone who was only 2 months late, our chances after 3 years are basically zero. Thanks for sharing your brother's experience though.

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Natalie Wang

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THE WHOLE SYSTEM IS DESIGNED TO DENY PEOPLE BENEFITS!! They make these forms confusing ON PURPOSE so people make mistakes and get denied! I bet if you checked with a lawyer they'd tell you that the EDD does this ALL THE TIME and denies thousands of legitimate claims over tiny errors like this!! Your husband deserved those benefits and got SCREWED by bureaucracy!!!

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Noah Torres

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I get your frustration, but honestly those checkbox questions are pretty straightforward. I think most denials happen because people don't understand the eligibility requirements, not because EDD is trying to trick anyone.

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Samantha Hall

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While the 20-day appeal deadline is standard, EDD does have a process for late appeals called "good cause" determination. However, be aware that "good cause" typically means situations like: - You were physically or mentally unable to file on time - You misunderstood the requirements due to language barriers - You received incorrect information from EDD staff - There was a postal service delay Simply not noticing an error for three years probably won't qualify as good cause. That said, you could try submitting a late appeal with a detailed explanation, but be prepared for it to be rejected. Another option might be to contact your state representative's office. They sometimes can help with EDD issues, though a case this old would be challenging.

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Aaron Lee

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Thank you for the detailed explanation. I appreciate knowing what the "good cause" criteria are. Contacting our state representative is a good suggestion I hadn't thought of - maybe they could at least advise us on whether it's worth pursuing further.

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Ryan Young

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When I had trouble reaching EDD about my late appeal (only 40 days late though, not years), I tried calling for WEEKS and always got disconnected. A friend told me about this service called Claimyr that got me through to an EDD representative in less than 30 minutes. They have a video showing how it works: https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd and their website is claimyr.com. Worth checking out if you decide to pursue this - at least you could talk to a real person and get a definitive answer rather than just guessing about your options.

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Aaron Lee

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Thanks for the tip! If we decide to pursue this, I'll definitely check out that service. Being able to actually speak with someone at EDD would be really helpful instead of just getting automated responses or disconnections.

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Sophia Clark

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just wondering did ur husband get any payment at all from edd even partial benefits? sometimes they approve part of a claim but deny another part. might change ur options maybe

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Aaron Lee

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No, he didn't receive any benefits at all. The claim was completely denied from the start. We received one letter with the denial and information about appealing within 20 days, but at that time he was in a lot of pain and we were focused on his medical treatment.

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I just remembered something that might help - there's actually a "Safe Harbor" provision for SDI overpayments that might be relevant to your situation. If a claimant makes an honest mistake without intent to defraud, EDD sometimes waives recovery of overpayments. While your case isn't about an overpayment, you could try making a similar argument that the application error was an honest mistake with no fraudulent intent. You could try submitting DE 2545 (Notice of Appeal) explaining the circumstances, citing the Safe Harbor provisions as a parallel, and requesting special consideration. It's still a long shot after 3 years, but it might be worth attempting if the benefits would have been substantial.

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Aaron Lee

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That's really interesting! I hadn't heard of the Safe Harbor provision. Even if it's a long shot, it might be worth trying. The benefits would have been around $10,000 for his 3-month recovery period, which would have made a huge difference for us back then. I'll look into submitting the DE 2545 form. Thank you so much for this suggestion!

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Ryan Young

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Just an update on what I've learned since dealing with my own appeal situation - EDD is currently experiencing a huge backlog of current claims and appeals. Even if you do manage to file a late appeal with good cause, you might be waiting 6+ months for them to even review it. Just wanted to set realistic expectations if you decide to pursue this route.

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Natalie Wang

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YEP!!! And that backlog is EXACTLY how they wear people down so they give up!!! The whole system is BROKEN by design!!!

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Noah Torres

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When I worked in HR we had an employee who marked the wrong box too and got denied. Our HR department wrote a letter confirming his wage situation and he got it fixed but that was within the appeal window. Just one thing tho - are you sure that was the actual reason for denial? The letter should have stated specifically why he was denied. Sometimes the issue is with the medical certification, not the application.

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Aaron Lee

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That's a really good point... I just went back and found the denial letter. You're right - it doesn't specifically mention the wages question. It says something about "insufficient medical documentation" as the reason. I guess I just assumed it was the wages question because that's the error I noticed. Maybe we need to look into what happened with his doctor's certification instead.

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Samantha Hall

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Based on your latest comment about the denial being for "insufficient medical documentation," that's a completely different issue than what you originally thought. This actually changes things significantly. If the doctor didn't properly complete the medical certification (form DE 2501) or didn't provide enough supporting information about the disability, that would be the reason for denial - not the wages checkbox. For future reference for anyone reading this thread: Always make sure your doctor fully completes the medical certification form with detailed information about your condition, limitations, and expected recovery time. Vague or incomplete medical documentation is one of the most common reasons for SDI denials.

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Aaron Lee

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Thank you for the clarification. I feel a bit embarrassed for jumping to conclusions about the wages checkbox. This is good information for anyone else applying for SDI - make sure your doctor provides thorough documentation! We'll still look into our options, but at least now we understand what really happened.

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Amun-Ra Azra

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Don't feel embarrassed about the confusion - it's actually really common for people to focus on the wrong part of their denial when they're stressed and dealing with medical issues. The fact that you're looking into this now shows you care about getting answers. Since the denial was for insufficient medical documentation, you might want to contact your husband's doctor from 2022 to see if they have any records of what was submitted. Sometimes doctors don't realize how detailed EDD needs the medical certification to be. Even though it's been 3 years, understanding what went wrong could help if you ever need to file for SDI again in the future. The medical documentation requirements are really strict - they need specific details about functional limitations, treatment plans, and expected recovery timelines. A simple note saying "patient is disabled" usually isn't enough for EDD approval.

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Mikayla Brown

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That's really helpful advice about contacting his doctor from 2022. I never thought about checking what was actually submitted versus what should have been submitted. His orthopedic surgeon was great with his treatment but may not have understood EDD's specific documentation requirements. Even if we can't do anything about this old claim, it would be good to know for future reference. Thanks for taking the time to explain the medical documentation requirements in detail - this whole thread has been really educational for me!

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