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Ethan Wilson

Can you get unemployment while on workers comp? California EDD question

So I got hurt on the job back in September and my workers comp claim got approved. I'm getting weekly workers comp payments right now but honestly it's not covering everything and I'm drowning a little financially. My injury means I can't do my old job (warehouse work, lifting etc) but my doctor cleared me for light duty and my employer said they have nothing available for me right now. So technically I'm available and able to work, just not for heavy lifting. I filed for unemployment through myEDD last week thinking maybe I could collect both since my employer basically has no work for me. UI Online is showing my weeks as Pending and I haven't gotten any paperwork yet except the initial confirmation. Has anyone actually been in this situation? Can you get unemployment while on workers comp in California? I genuinely don't know if EDD is going to deny me outright or if there's even a path here. Really worried because rent is due soon and workers comp alone isn't cutting it.

Wait, are you actually cleared to work light duty right now? That matters a lot here. If your doctor has you cleared for some kind of work and you're genuinely available and looking, that changes things compared to being totally off work.

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Yeah the doctor gave me a release for light duty about three weeks ago. My employer confirmed in writing they don't have anything for me at that level. So I'm out here actively looking at office jobs, delivery driving, things that don't involve heavy lifting.

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The light duty release is key. If you can show you're available for some type of work, EDD looks at that differently than someone who's completely unable to work at all.

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Knee surgery took me out earlier this year and workers comp was paying me while I couldn't work at all. Used Claimyr (claimyr.com) to get through to an EDD agent because my UI Online just sat on Pending for weeks with nothing changing. The agent told me my weeks were flagged because EDD needed to figure out how the workers comp payments I was getting affected my benefit amount, and that I needed to report those payments when I certified. There's a demo video on reaching a live person at EDD by phone at https://youtu.be/JmuwXR7HA10 if you want to see how it goes. The agent also said EDD and workers comp are two different programs and filing for one doesn't automatically disqualify you from the other, but your situation and what your doctor says matters.

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This is really helpful, thank you. Did they end up paying you for those pending weeks after the agent looked into it?

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Okay so the agent said you can get both? I've been told you can't collect both at the same time and now I'm confused about what the actual rule is.

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What the agent told me was about my own claim, not a blanket rule. EDD decides based on each person's situation. The main thing was that I had to report the workers comp payments every time I certified.

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Here's the thing people miss about these two programs: unemployment requires you to be able to work, available for work, and actively looking for work every single week you certify. Workers comp, depending on the type of payments you're getting, can mean something different about your work status. If your doctor has you on total disability through workers comp, you technically can't tell EDD you're able and available. But if you've got a partial or light duty release like you mentioned, there might be an argument you're genuinely able for some work.

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Right, I was worried about exactly this. My release is for light duty only, not full duty. Does that count as being 'available for work' in EDD's eyes?

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Honestly EDD has to decide that for your specific situation. What the rules say is that you have to be able to work, available for work, and looking for work. Whether a light duty restriction meets that is something EDD evaluates. The pending status you're seeing is probably exactly this question being worked out.

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I think being cleared for SOME work is better than nothing. At least you're not saying you can't work at all.

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Something I learned going through this: when you certify, there's a question about whether you were able to work and available for work during those weeks. If you say yes, you're certifying that you genuinely were. If your workers comp status means you weren't, that creates a problem down the line. So be careful about what you're certifying to.

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Yeah I've been really careful. For the weeks I've been on light duty release with no work available, I'm saying yes to able and available because that's genuinely true. I'm looking for jobs I can physically do.

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That sounds right then. Keep records of everywhere you're applying too, just as a habit.

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The reporting workers comp payments part is important also. I think you list it when certifying under wages or other income? Not 100% sure exactly where on the certification.

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Can I ask what type of workers comp payments you're getting? Like is it temporary disability? Because I went through something similar when I had a back injury and EDD actually told me the two programs weren't designed to pay you for the same days. I ended up only getting one of them for the period I was totally off work.

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Mine is temporary partial disability I think, since I have the light duty release. The workers comp payments are based on me being partially limited, not fully off.

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Okay partial is different than what I had. Mine was full temporary disability and I was completely off work, so EDD said I couldn't certify as able and available for those weeks. Your situation sounds different from mine.

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Yeah EDD's own language is that you can't get unemployment and disability benefits for the same days. But workers comp partial disability with a work release is a different situation than full SDI or DI payments.

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Workers comp payments are on EDD's list of things to report when you certify. So whatever happens with your eligibility question, those payments go on your certification for the weeks you received them. EDD figures out from there how it affects your weekly amount.

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Do you know roughly how they calculate it? Like does every dollar of workers comp reduce my UI payment dollar for dollar?

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EDD decides how much it affects the payment and I honestly don't know the exact formula for workers comp specifically. The agent I talked to on my own claim just said to report it and EDD handles the calculation. Best to call them and ask about your specific numbers.

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I tried to find this calculation on EDD's site and couldn't get a clear answer either. It seems like they just figure it out per case.

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Waiting for that DE 429Z letter! Once that comes in the mail you'll at least see your weekly benefit amount based on what you earned before the injury. It doesn't mean you're approved for payments yet, just what your claim could pay if you're found eligible.

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I keep seeing people mention that letter, haven't gotten it yet. How long did yours take to arrive after you filed?

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Mine came about two and a half weeks after I filed. And just so you know, the number on it is what they calculated from your wages, not a yes or no on eligibility.

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The fact that your employer confirmed in writing they have no light duty available could actually be useful. That document shows you're not voluntarily out of the workforce and that work isn't available to you even within your restrictions.

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Oh good point, I saved that email from them. Would I need to send that to EDD or just have it ready?

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Keep it. If EDD schedules a phone interview to ask about your situation, that document could help explain why you're out of work despite having a work release.

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This is a smart point. The employer saying nothing available matters for showing you're not just refusing work.

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Does anyone know if EDD reaches out to the workers comp insurance company directly? Like does filing for unemployment flag your workers comp case somehow? I'm asking for my own situation too, I'm kind of in the same boat as the person who posted this.

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EDD doesn't work with workers comp insurance directly in the way you're thinking. They're separate systems. EDD notifies your last employer when you file a claim, but that's about employment, not workers comp status.

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Okay that's a relief, I was worried about some kind of cross-reporting situation messing up my workers comp case.

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My employer pulled the whole 'we don't have light duty work' thing with me too and I ended up filing for unemployment and getting it. The key thing was I had to show I was genuinely looking for work elsewhere, not just sitting at home waiting for my workers comp settlement. EDD doesn't care that you're in a workers comp situation as long as you meet their eligibility requirements week to week.

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How long did your pending status last before it resolved? Mine has been pending since I filed and I'm getting anxious.

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Mine was pending almost four weeks before anything moved. It was maddening but it did eventually process.

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Four weeks is brutal. EDD takes forever when there's any kind of question about your status.

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Had a rotator cuff injury and my workers comp was running alongside a UI claim for a while. The EDD phone interview was what sorted mine out, they asked very specific questions about my work restrictions, what my doctor said, what work I was actually capable of, and whether I was applying for jobs. After that call my claim moved forward.

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Did EDD schedule that interview automatically or did you have to request it?

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It was automatic. Got a notice in the mail, the DE 4800, with the date and time the interviewer would call. It listed the topics they were going to cover which was actually helpful so I could prepare.

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The DE 4800 is important, keep an eye on your mail. The time is also on your UI Online homepage when it's scheduled.

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BOTH programs at the same time sounds great on paper until you realize EDD might subtract those workers comp payments from whatever UI they owe you. I went through the math on my own situation and it wasn't the windfall I thought it would be. Still worth filing though because even a partial UI payment helped.

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Yeah I'm not expecting full UI on top of everything, just trying to close the gap between workers comp and my actual bills. Any amount would help honestly.

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Exactly, that's the right way to think about it. Even a reduced UI payment is better than nothing.

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Does the type of injury matter to EDD? Like does it matter that it happened at work vs a personal injury? I slipped at home and I'm now wondering if that changes my UI eligibility vs a work injury situation.

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For EDD unemployment eligibility, the focus is on whether you're able to work, available to work, and looking for work. The fact that your injury happened at work versus home doesn't change the unemployment rules, it changes which insurance programs are involved. Work injuries bring workers comp into the picture. Personal injuries don't. But EDD's ability and availability test is the same either way.

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Oh okay, so the UI side doesn't care about the cause of the injury, just whether I can work. That makes sense.

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CalJOBS registration might come up for you too. EDD sends a notice about registering in CalJOBS and posting a resume if you haven't gotten an exemption, usually within 21 days of a certain notice they send. Not doing it can hold up your payments.

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I haven't gotten anything about CalJOBS yet, should I just go ahead and register at caljobs.ca.gov to be safe?

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Registering early doesn't hurt. The notice is called the DE 8405 and when it comes it'll say when you need to have everything done by.

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Agreed, getting your CalJOBS profile and resume up early just means one less thing to worry about while you're waiting for the claim to process.

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Something that burned me when I was dealing with an injury and UI: I stopped certifying because I assumed EDD was going to deny me anyway. Big mistake. Even during an adjudication period you should keep certifying because if EDD eventually decides you're eligible, they can only pay weeks you actually certified for. Don't stop certifying just because everything says pending.

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Oh wow, I would not have thought of that. So I keep certifying even if everything is pending with no movement?

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Yes, absolutely. Keep certifying every two weeks no matter what. The worst thing that happens is EDD decides you weren't eligible and you don't get paid. But if you stop certifying and they later say you were eligible, those uncertified weeks are just gone.

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This is such an important point that nobody tells you upfront.

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Have you tried the live chat option in UI Online? The Help button when you're logged in opens a chat with an agent Monday through Friday 9 to 2. Sometimes faster than trying to call, depending on the day.

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I haven't tried that yet. Is it actually helpful or do they just give you the runaround?

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Hit or miss honestly. Some agents on chat are really helpful and can actually see your claim. Others just tell you to wait. Worth trying though before sitting on hold on the phone.

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Ankle fracture from a job site fall last year, workers comp was paying me while I appealed their decision on a separate issue. Filed for UI because my doctor had me cleared for sedentary work and my employer wouldn't accommodate that. Used Claimyr after two weeks of not being able to reach anyone at 1-800-300-5616 and ended up talking to an agent who confirmed my identity verification was still holding things up, which had nothing to do with the workers comp question at all. Got the ID.me stuff sorted the same day.

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Identity verification held things up for you too? I did ID.me when I filed but maybe it didn't go through. How did you know that was the issue?

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The agent could actually see what was flagging my claim. I didn't know ID.me was the problem until the agent told me. The UI Online screen just showed Pending with nothing specific.

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What's on your UI Online Claim History right now? Mine showed Pending for weeks and then one day it just showed something different without me doing anything. EDD was apparently processing in the background the whole time.

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Just says Pending across all my weeks since I filed. No notes, no explanation, nothing else.

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Yeah that's the standard EDD experience unfortunately. The pending status doesn't tell you much about where things actually are in the process.

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The lack of information from UI Online is genuinely frustrating. It tells you something is pending but not what or why.

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Can someone clarify something for me? I keep seeing people say EDD can't pay you for the same days as disability. Workers comp is different from State Disability Insurance though right? Like they're not the same program?

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Workers comp and State Disability Insurance are two different programs, correct. Workers comp is handled by employers and their insurance, covers work injuries. SDI and Disability Insurance are EDD programs. The overlap question with UI is about whether you're able and available to work each week, regardless of which program is paying you.

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Okay so the rule about not getting both unemployment and disability at the same time applies to EDD's own disability program, not necessarily workers comp?

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Right, EDD's language about not receiving unemployment and disability benefits for the same days refers to their DI program. Workers comp is a separate system and the interaction with unemployment is worked out based on what you're able to do and what you're reporting.

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Just want to say I'm in almost this exact situation right now and reading this thread has been more useful than anything I found on EDD's website. Still waiting on my DE 429Z and have my UI Online showing Pending. Nice to know others have gotten through it.

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Hang in there, it sounds like the pending status just takes time for a lot of people even when nothing is actually wrong with the claim.

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Yeah that's my hope. My injury was work-related and I have a light duty release too so my situation is similar to yours. Let me know what happens with your phone interview if you have one.

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Forklift accident got me sidelined for about two months last year. The phone interview EDD scheduled covered exactly the questions about my work restrictions and availability. Claimyr got me to an EDD agent the week before the interview because I had a question about which weeks I needed to report the workers comp payments for. The agent walked me through exactly which certification weeks the payments fell into and confirmed my pending weeks were otherwise moving along.

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Did you have to report the workers comp for each week you received it, or just the total amount somewhere?

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Every certification period, for the weeks you received it. The agent was clear that you report it for the week it was earned or received, same as any other income.

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Good to know that it's week by week. I was wondering if workers comp was more of a lump sum reporting situation or if you have to break it down.

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Just an important heads up: if EDD eventually issues a Notice of Determination that denies your claim, you have 30 days from the mailing date on that notice to appeal. File the Appeal Form DE 1000M or write a letter and mail it to the address on the notice. Don't miss that window if you disagree with their decision.

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Good to know. Hopefully it doesn't come to that but I'm going to keep an eye on the mailbox for any letters from EDD.

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Even if you agree with the outcome, it's worth reading anything EDD mails carefully. The notices explain what they decided and why, which helps you understand your situation better.

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