EDD denied baby bonding PFL claiming full wages - appeal filed but need urgent help
My nightmare with EDD continues! My wife recently gave birth to our daughter (3 weeks ago) and applied for baby bonding PFL. Yesterday we got a denial letter saying she received "full wages from employer" during her leave period. This is completely wrong! She only received PARTIAL sick leave pay (about 40% of her normal wages) while on leave. We immediately filed a written appeal with documentation showing the reduced sick pay amounts vs her normal salary, but I'm freaking out about how long this might take. We were counting on this PFL money for our monthly budget. Has anyone dealt with appealing a wrongful denial? Is there ANY way to expedite the appeal or get someone to actually look at our case? I've called the 877-238-4373 number literally 30+ times and either get disconnected or am on hold forever. Are there any other direct numbers to reach an actual human who can help? We're desperate and running out of options. Any advice would be greatly appreciated!
19 comments

QuantumQuasar
I went through almost the exact same situation last fall. EDD commonly misclassifies sick pay as regular wages and issues these incorrect denials. The appeal process typically takes 3-4 weeks IF you've submitted clear documentation. Make sure you included: 1. A letter from your wife's employer specifically stating she received SICK PAY, not regular wages 2. Pay stubs showing the difference between her normal pay and the reduced sick pay 3. Your wife's work schedule showing she was not actually working during this time As for reaching someone by phone, the main number is basically useless. Try calling the Appeals Division directly at 1-800-300-5616. They sometimes answer more reliably, but it's still a challenge.
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Andre Dupont
AuthorThank you so much for this detailed response! We included pay stubs showing the difference but didn't get a specific letter from HR stating it was sick pay. I'll have my wife request that letter today. I'll try that appeals number right now. Did your appeal eventually get approved? How long did your family have to wait for the payment after winning the appeal?
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Zoe Papanikolaou
the same thing happened to my sister!! she had to wait 7 weeks for her appeal and they never even called her!!! the system is completely broken and nobody cares about new parents. good luck getting thru to anyone
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Andre Dupont
Author7 WEEKS?? Oh god, we can't wait that long. Did she get backpay for the entire period once they finally approved it?
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Jamal Wilson
This is unfortunately a common issue with EDD PFL claims involving sick pay. They have an automated system that often flags any employer payments as "wages" even when they're clearly sick leave or PTO. During your appeal, make sure you specifically cite California Code of Regulations, Title 22, Section 3302(s)-1 which clearly states that sick leave pay is NOT considered wages for PFL purposes. Include this exact regulation citation in all your documentation. As for expediting your case - technically appeals are processed in the order received. However, if you can demonstrate financial hardship (risk of eviction, inability to pay for necessities, etc.), you can include a hardship request with your appeal. For getting through to a representative, I'd suggest trying Claimyr (claimyr.com). It's a service that helps you connect with EDD representatives without the endless waiting. They have a demo video showing how it works: https://youtu.be/DOLxZQb92wM?si=6N1iCQ3a8Cdb2Ay5. I used it when I had issues with my transition from SDI to PFL, and they got me connected to an agent in about 25 minutes instead of trying for days.
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Andre Dupont
AuthorThank you for that specific regulation citation! I'm adding that to our appeal documentation right away. We'll definitely include a hardship request as well - we're actually behind on rent this month because we were counting on this money. Never heard of Claimyr before but I'm checking out that video right now. At this point I'd try anything to get through to a real person who can help.
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Mei Lin
Just wanted to point out that you NEED to keep calling persistently. My PFL claim was initially denied for a similar reason, and I spent 3 days straight calling that 877 number. Best times to call are right when they open at 8:00 AM or around 11:30 AM when the lunch shifts change. I eventually got someone who fixed my claim on the spot when I finally got through! Don't give up!!! The system is DESIGNED to be frustrating so people will give up on their RIGHTFUL benefits!!!
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Liam Fitzgerald
this isnt accurate advice actually. i work in HR and we deal with this all the time. the claims reps on the phone CANNOT override a denial once it's issued. only the appeals department can reverse the decision. the phone reps can only document that you called. please don't give people false hope about getting it "fixed on the spot" - that's extremely rare and only happens if there was a simple data entry error.
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Amara Nnamani
Similar thing happened to me back in January. My company paid me 60% disability during my maternity leave and EDD claimed I was getting full pay. I couldn't get through on the phone either, but I did discover you can contact them through SDI Online by using the Contact EDD button. I sent a detailed message explaining the situation with documentation and surprisingly got a response within 3 days. They corrected my claim without requiring a formal appeal. But I'll be honest - the online message probably only worked because my claim was still relatively new and hadn't gone through the full denial process yet. Since you've already received a formal denial, the appeal is probably your only option. Make sure ALL your documentation is crystal clear and easy to understand. My claim specialist told me they're drowning in appeals and claims with clear documentation get processed much faster. Btw, I used Claimyr twice when I absolutely needed to speak to someone. It cost money but worked both times when I was desperate. Way better than calling for days with no response.
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Andre Dupont
AuthorThanks for sharing your experience. We tried the Contact EDD button yesterday but haven't heard back yet. I'll make sure our appeal documentation is super clear and organized. I just purchased Claimyr - hoping I can get through to someone today.
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Giovanni Mancini
the same exact thing happened to me!! my company gave me partial pay (they call it supplemental pay) during maternity leave and EDD rejected my claim for "receiving wages". i had to file an appeal and wait almost two months before they fixed it. its absolutely ridiculous that new parents have to deal with this stress on top of having a newborn!! btw did your wife file for SDI for the pregnancy recovery period before applying for PFL? if she was approved for SDI with the same payment situation that might help your case since the same wage rules apply to both
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Andre Dupont
AuthorYes! She was approved for SDI with no issues even though she had the same partial sick pay during that time. That's a great point - I'll make sure to mention that in our appeal documentation. It makes no sense they'd approve SDI but deny PFL with the same exact pay situation.
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NebulaNinja
Just call early! My husban call at 8am got EDD rep in 20 minits. They helping fixing claim no need appeal. Try calling early morning!!
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Liam Fitzgerald
While this occasionally works, the PFL phone lines have been overwhelmed lately. Even calling at 8am, most people are experiencing 2+ hour wait times or getting disconnected. It's worth trying, but don't be discouraged if it doesn't work - it's not just you, the system is overwhelmed.
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QuantumQuasar
Coming back to update - to directly address your expediting question: Yes, you CAN request that an appeal be expedited, but you need to demonstrate genuine financial hardship. Include documentation showing: 1. Your current bills that are due/overdue 2. Bank statements showing low funds 3. Any notices regarding rent/mortgage/utilities 4. A clear explanation of why this situation constitutes an emergency Submit this as an "Expedited Appeal Request" along with your regular appeal. In my experience, this can potentially cut the wait time in half. While a regular appeal might take 6-8 weeks currently (2025 timeframes are much longer than they were in 2023), an expedited appeal might be resolved in 3-4 weeks. Also, don't just rely on the appeal - continue trying multiple contact methods simultaneously. The squeaky wheel often gets the grease in these situations.
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Andre Dupont
AuthorThis is incredibly helpful! I'll gather all that documentation today and submit an expedited request. We're definitely in a financial emergency situation - our rent is already late and we have daycare payments coming up that we can't miss. Thank you so much for this advice.
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Angelica Smith
I'm so sorry you're going through this stress with a newborn! I just went through a similar situation last month. EDD wrongly denied my PFL claim saying I received "full wages" when I was only getting 50% pay through my company's short-term disability. Here's what worked for me: I contacted my state assembly member's office and explained the situation. They have caseworkers who specifically handle EDD issues and can sometimes get faster responses. My assembly member's office submitted an inquiry on my behalf and I heard back from EDD within 10 days instead of waiting months for the appeal. You can find your assembly member here: https://findyourrep.legislature.ca.gov/ Also, when you resubmit documentation, make sure to include a cover letter that explicitly states "This is NOT regular wages - this is sick leave/disability pay which is exempt from PFL wage calculations per CCR Title 22 Section 3302(s)-1." Sometimes being very direct helps cut through their automated systems. Don't give up - you're entitled to these benefits and EDD's initial determination is clearly wrong. The stress is awful but most of these cases do get resolved in the parent's favor once a human actually reviews the documentation.
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Astrid Bergström
I'm so sorry you're going through this nightmare with a newborn! Unfortunately, this is an incredibly common issue with EDD's automated system flagging any employer payments as "wages" even when they're clearly sick leave or disability benefits. A few things that might help speed up your case: 1. **Contact your Assembly member's office** - They have EDD liaisons who can sometimes get responses in 1-2 weeks instead of months. Find yours at findyourrep.legislature.ca.gov 2. **Check your wife's employer reporting** - Ask HR how they coded her sick leave payments on their DE-9 quarterly forms to EDD. Sometimes the issue starts with incorrect employer reporting codes. 3. **Submit an expedited hardship request** with your appeal - Include documentation of overdue bills, low bank balances, and rent/utility notices to potentially cut wait time in half. 4. **Try the 1-800-300-5616 appeals line** - Sometimes has better connection rates than the main number. The good news is that these wrongful denials almost always get overturned once a human reviews the documentation. Make sure your appeal includes pay stubs, employer letter stating it was SICK PAY (not wages), and cite California Code of Regulations Title 22 Section 3302(s)-1. You've got this - don't let EDD's broken system defeat you!
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Natasha Orlova
Thank you so much for this comprehensive advice! I'm feeling more hopeful after reading all these helpful responses from everyone. I'm definitely going to contact my assembly member's office first thing tomorrow - I had no idea that was even an option. The point about checking the employer reporting codes is brilliant too. My wife is going to call HR tomorrow to find out exactly how they coded her sick leave payments on the DE-9 forms. If that's where the error originated, hopefully we can get it corrected at the source. I've already started gathering documentation for the hardship request since we're definitely in that category right now. Between the late rent and upcoming daycare payments, this couldn't have come at a worse time financially. It's been so reassuring to hear from so many people who've been through similar situations and eventually got them resolved. This whole process feels overwhelming when you're already exhausted from caring for a newborn, but knowing there are specific steps we can take gives me hope. Thank you again for taking the time to share such detailed guidance!
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