EDD wrongly denying my PFL claim because they think I'm eligible for regular disability - help!

OMG this EXACT same thing happened to me!! The EDD is such a mess with these claims. They kept saying I needed to be on disability instead of PFL, but I was taking care of my sick mother not recovering from childbirth! I had FOUR appeals before they finally got it right. The system is completely broken and they're just trying to deny valid claims to save money. Makes me so ANGRY!!

I think I can explain what's happening here. There's often confusion between SDI and PFL because they're administered by the same department but are distinct benefits. SDI is for your own medical condition (including recovery from childbirth), while PFL is for bonding with a new child or caring for a family member. What's likely happening is that the EDD computer system is flagging your claim because they think you should be on SDI for postpartum recovery first, then transition to PFL for baby bonding. Typically, birth mothers file for SDI for 6-8 weeks after delivery (depending on delivery type), then transition to PFL for the 8 weeks of bonding time. For your appeal, you need to clearly explain whether you've already received SDI for postpartum recovery. If you did, bring documentation showing when that ended and when your PFL claim started. If you didn't receive SDI (perhaps you're not the birth mother or you're beyond the postpartum period), you need to clearly explain that in your appeal.

My cousin works for EDD (not in claims tho) and she says they're systems are super outdated and sometimes claims get flagged for random reasons. She said best thing to do is CALL THEM directly but good luck getting thru lol i spent 3 days trying to reach someone about my claim last year

I had a similar issue last year with EDD mistakenly denying my PFL claim. For your appeal hearing, bring these specific documents: 1. Your original SDI approval letter with dates clearly shown 2. Your SDI final payment notice 3. Your PFL application with timestamp/date 4. Birth certificate 5. Any communications from EDD representatives confirming your eligibility The key issue to address is the proper transition from SDI to PFL. Make sure to explain that you followed the correct procedure by filing for PFL after your SDI pregnancy disability period ended. The judge will want to see that there was no overlap or improper gap. Also, on the DE2508 form (PFL claim form), there's a section that asks if you received SDI benefits. Make sure this was filled out correctly, as an error there could trigger these automatic denials.

when i had my baby i got disability first then bonding after so maybe thats the issue? my hr person helped me fill out all the paperwork correctly thank goodness because EDD is so confusing!!!!

After dealing with EDD for both my kids' births, I discovered Claimyr (claimyr.com) which actually gets you through to a real EDD representative instead of waiting on hold for hours. Their video demo (https://youtu.be/DOLxZQb92wM?si=6N1iCQ3a8Cdb2Ay5) shows how it works. I was skeptical but it actually connected me with an EDD agent in about 10 minutes when I needed to fix my PFL claim that was delayed. In my experience, getting a knowledgeable representative on the phone who can look at your specific claim details is way more effective than just waiting for the appeal. They might be able to fix the issue right away once they see the timeline of your SDI ending and PFL starting.

The same thing happned to me!!! I was almost out of money by the time they fixed it. I think they do this on purpose to avoid paying us. When you have your hearing make sure you print out the EDD website page that clearly shows the difference between SDI and PFL. Also bring a timeline of your pregnancy, delivery, SDI period and when your PFL started. The judge at my hearing was actually nice and overturned the denial after seeing my documentation.

One more thing to check - make sure there's no confusion about your "effective date" of your PFL claim. The claim date should be the first day after your SDI benefits ended. If there's even a small gap or overlap in the dates, it can trigger these automatic reviews. You mentioned there was a weekend between your SDI ending and PFL starting - this shouldn't be an issue if documented correctly, but sometimes the EDD system gets confused by calendar days versus benefit days. For your appeal, create a day-by-day calendar showing: - Last day of SDI benefits - Weekend days (or other non-claimed days) - First day of PFL benefits This visual timeline helped one of my clients win their appeal in a similar situation.

Just remeber to bring EXTRA copies of EVERYTHING to your hearing cuz they always say they "didnt receive" something even when you sent it like 5 times already!

I'm going through something similar right now with EDD! They approved my PFL claim initially, then sent me a notice saying I owe them money back because they think I should have been on disability instead. But like you, I already used my disability benefits right after giving birth and then properly transitioned to PFL for bonding time. What's really frustrating is that when I called to ask for clarification, the first rep told me my claim was correct, but then a supervisor said it wasn't. It's like they don't even know their own rules! I'm also preparing for an appeal hearing next month. One thing that might help both of us - I found out that EDD has specific timelines for when you can transition from SDI to PFL, and if there's any confusion in their system about overlapping dates, it triggers these automatic reviews. Make sure you have documentation showing the exact end date of your SDI and start date of your PFL with no overlap. Good luck with your hearing! This whole process is exhausting but we shouldn't give up on benefits we're entitled to.

I'm dealing with almost the exact same situation right now! EDD approved my PFL claim for bonding after my son was born in February, but now they're saying I should have extended my disability benefits instead of switching to PFL. It makes no sense because I already completed my 6-week recovery period on disability and was properly transitioning to bonding time. What's really helped me so far is keeping detailed records of every conversation with EDD reps - dates, times, and names when possible. I've noticed they give completely different answers depending on who you talk to, so having that documentation has been crucial for my appeal. Also, I discovered that printing out the official EDD pamphlet that explains the difference between SDI and PFL benefits can be really helpful. It clearly states that mothers can use SDI for recovery and then PFL for bonding, which is exactly what we did. The pamphlet is available on their website under "Publications." Your situation with them overturning the decision once and then denying again sounds like their computer system is flagging your claim incorrectly. Stay strong - you followed the rules correctly and deserve those benefits!

I'm so sorry you're going through this nightmare with EDD! Reading your story and all these comments makes me realize how common this issue is. I'm currently pregnant and planning to take both disability for recovery and then PFL for bonding, but now I'm terrified I'm going to face the same problems. Based on what everyone is sharing here, it sounds like the key is having crystal clear documentation of the transition between benefits. I'm going to start preparing now by: - Getting everything in writing from my HR department about the proper sequence - Keeping copies of all forms and submission dates - Taking notes on every conversation with EDD reps Has anyone found it helpful to involve their employer's HR department in these disputes? I'm wondering if having my employer confirm that I followed their recommended process might add weight to an appeal. Thank you all for sharing your experiences - it's helping me prepare better, even though it's scary to know how difficult this process can be!