< Back to California Paid Family Leave

Denied PFL because of 'open SDI claim' - stuck in appeal limbo since July

I'm beyond frustrated with this whole EDD process! I was on pregnancy disability leave from January 15th to March 6th, 2025 (my due date). Baby decided to arrive late on March 9th. My SDI benefits came through fine, but when I applied for baby bonding PFL on March 18th, I got denied because apparently I still had an 'open SDI claim.' Makes zero sense since my SDI claim clearly ended! I submitted my appeal on April 12th with all the documentation showing my SDI claim ended, and it's been radio silence for over TWO MONTHS. My savings are disappearing fast and I'm starting to panic about bills. I've called the EDD number literally 20+ times over the past few weeks. Either I get the 'we're experiencing high call volume' message and get disconnected immediately, or I wait on hold for 45+ minutes only to get disconnected anyway. I've sent messages through the online portal twice with no response. Has anyone dealt with this weird SDI/PFL transition issue? Any tips on actually getting a human on the phone? I'm desperate at this point!

Carmen Ruiz

•

This is actually a really common issue with the transition from SDI to PFL. The system doesn't automatically close your SDI claim even though your benefits ended. You need to make sure your doctor submitted the final certification form that officially closes your pregnancy disability claim. For your appeal, they're super backed up right now and it typically takes 8-12 weeks to process. Make sure you submitted form DE1000A with your appeal letter. The good news is they'll backpay you once approved.

0 coins

Yuki Yamamoto

•

Thanks for the info! My doctor definitely submitted the final paperwork - I triple checked with their office. Is there any other form I'm supposed to submit that nobody told me about??? So frustrating that they don't communicate any of this!

0 coins

Andre Lefebvre

•

omg the EXACT same thing happened to me!!! SDI no problem then PFL denied bcuz 'open claim' or whatever. i ended up having my doctor resubmit the final pregnancy disability paperwork even tho they swore they already did it. magically got approved 2 weeks later. the whole system is completely broken.

0 coins

Yuki Yamamoto

•

Thank you! I'll try having my doctor resubmit. Did you have to submit a specific form or just ask them to send something saying the pregnancy disability was over?

0 coins

Andre Lefebvre

•

they just resent whatever form they submit to end the disability. i think its called the doctor's supplement form? cant remember exactly but the medical office knew which one

0 coins

Zoe Dimitriou

•

I had this EXACT problem in January! The real issue is that your doctor needs to submit the form with the EXACT date your pregnancy disability ended (your due date) and the EXACT date you were eligible for baby bonding (usually the day after). If these dates have even a 1-day gap or overlap, the system flags it and automatically denies your PFL claim. In my case, there was a 2-day gap between my listed end date for pregnancy disability and the start date they put for my baby bonding eligibility. Once my doctor corrected those dates and resubmitted, my claim was approved within 10 days. As for reaching someone at EDD... good luck! I literally called 30+ times over two weeks before getting through.

0 coins

Yuki Yamamoto

•

Wow, that might be it! There might be a gap between my SDI end date (due date) and when my baby was actually born 3 days later. Nobody mentioned this could cause problems! I'll check with my doctor ASAP. Thank you so much!

0 coins

QuantumQuest

•

Have you tried using Claimyr to get through to EDD? I was in a similar situation (different issue but same impossible phone situation) and was going crazy trying to reach someone. Claimyr got me connected to an EDD rep in about 20 minutes after I had spent WEEKS trying on my own. They have a video showing how it works: https://youtu.be/DOLxZQb92wM?si=6N1iCQ3a8Cdb2Ay5 and their website is claimyr.com. Basically they wait on hold for you and call when an agent is ready. In my case, the EDD rep was able to see exactly what was wrong with my claim and fixed it while I was on the phone. Appeals take forever but sometimes you can get it resolved faster by talking to the right person.

0 coins

Jamal Anderson

•

is this a scam? sounds sketchy to have someone else calling edd for you

0 coins

QuantumQuest

•

Not a scam - they don't access your EDD account or anything. They just connect you with an EDD agent so you don't have to keep calling and waiting on hold. You still talk directly to EDD yourself.

0 coins

Yuki Yamamoto

•

Thank you! I'm definitely going to check this out. At this point I'd try anything to get through to an actual person who can help!

0 coins

Mei Zhang

•

The EDD system is DELIBERATELY DESIGNED TO MAKE YOU GIVE UP!!! I went through this exact nightmare last year. They denied my PFL claim because of an "open SDI claim" even though my SDI benefits had ended. Then they made it IMPOSSIBLE to reach anyone to fix it. After TWO MONTHS of trying, I finally reached someone who admitted it was a "known system glitch" that they've had for YEARS but haven't fixed!!! They told me over 30% of new mothers face this exact issue when transitioning from pregnancy disability to baby bonding. It's CRIMINAL how they treat new parents!!! Oh and when I finally got approved? They "accidentally" underpaid me by $1,450 and I had to fight for another month to get the rest. The whole system is BROKEN BY DESIGN.

0 coins

Yuki Yamamoto

•

That's absolutely infuriating! They're literally messing with people's livelihoods during one of the most vulnerable and expensive times of their lives. I can't believe this is a known issue they haven't fixed!

0 coins

Liam McGuire

•

Have you tried going to an actual EDD office in person? Sometimes that's the only way to get these things resolved. My sister had a similar issue and spent weeks on the phone getting nowhere, then went to an office and had it fixed the same day.

0 coins

Yuki Yamamoto

•

I honestly didn't even think about going in person! Do you know if I need an appointment? Having a newborn makes it tricky to just show up and potentially wait for hours, but at this point it might be worth trying.

0 coins

Liam McGuire

•

Most offices take walk-ins but the wait can be long. Some have an appointment system - check the EDD website for your local office. If you can bring someone to help with the baby or go during nap time, it might be your best bet.

0 coins

Carmen Ruiz

•

One thing that's missing from this discussion - you should be submitting your DE2501FP form for PFL *before* your SDI claim ends to avoid this gap problem. For future reference for anyone reading this: 1. Your doctor submits the final SDI certification with your recovery end date 2. You submit the DE2501FP form for baby bonding 1-2 weeks before your SDI is scheduled to end 3. The transition should be seamless with no gap in benefits If you wait until after SDI ends to apply for PFL, you're much more likely to run into this "open claim" issue. Unfortunately, EDD reps often don't explain this properly.

0 coins

Zoe Dimitriou

•

This is actually incorrect. The DE2501FP for PFL cannot be submitted until AFTER your SDI claim has ended. EDD's own website states: "You cannot file for Paid Family Leave until after your child is born." The correct form is actually the DE2501F (not FP). What people should do is call the day after their disability ends to make sure the claim is properly closed in the system before applying for PFL.

0 coins

Carmen Ruiz

•

You're right about the form number - my mistake! But you CAN file the claim before birth for processing. You submit it before birth with the expected date, and benefits won't start until after birth/disability ends. This prevents delays. Thanks for the correction on the form number!

0 coins

Yuki Yamamoto

•

UPDATE: I finally got through to EDD! It turns out there was indeed a date mismatch between when my SDI ended and when my PFL should have started. The rep manually closed my SDI claim and reprocessed my PFL claim while I was on the phone. She said I should see the funds in my account within 5-7 business days, and they'll backpay from when I originally should have started receiving benefits. Such a relief! And yes, she confirmed this is an extremely common issue that happens to "almost everyone" transitioning from SDI to PFL. She recommended that for anyone reading this in the future: make sure you call EDD directly the day after your pregnancy disability ends to confirm your SDI claim has been properly closed before you submit your PFL claim. Thanks everyone for the advice!

0 coins

Andre Lefebvre

•

congrats!! so happy you got it fixed! 🥳 the system is such a mess but glad you finally got thru!

0 coins

Zoe Dimitriou

•

That's great news! Did you end up using that Claimyr service to get through or just persistent calling? Asking for future reference.

0 coins

Yuki Yamamoto

•

I ended up using Claimyr and got through in about 25 minutes! After weeks of failing to reach anyone, it was absolutely worth it. The rep I spoke with was actually super helpful once I finally got someone on the line.

0 coins

TaxRefund AI

Expert Assistant
Secure

Powered by Claimyr AI

T
I
+
6,872 users helped today