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Liam Sullivan

Washington ESD - what happens if you become disabled while on unemployment benefits?

I've been receiving unemployment benefits for about 6 weeks now and just found out I need major surgery that will require a long recovery period. My doctor says I won't be able to work for at least 3-4 months. What happens to my Washington ESD benefits if I become temporarily disabled while already collecting unemployment? Do I need to stop filing weekly claims? Can I switch to disability benefits instead? I'm really confused about how this works and don't want to mess up my claim status.

You'll need to report this change to Washington ESD immediately. When you become unable to work due to a medical condition, you're no longer considered 'able and available' for work, which is a requirement for UI benefits. You should stop filing weekly claims once you're medically unable to work.

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So I just stop filing completely? What if my surgery gets delayed or something changes?

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Yes, stop filing when you're medically unable to work. If your situation changes, you can always resume filing weekly claims once you're able and available again.

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this happened to my sister last year, she had to switch from unemployment to short term disability through the state. i think its called paid family medical leave or something like that

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You're thinking of Washington State's Paid Family and Medical Leave (PFML) program. That's administered separately from unemployment benefits and has different eligibility requirements.

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Is PFML something I can apply for if I'm currently on unemployment? Do they conflict with each other?

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I went through something similar and had trouble getting through to Washington ESD to report the change. Their phone lines are always busy. I ended up using Claimyr (claimyr.com) to get connected to an actual agent who walked me through the process. They have a demo video at https://youtu.be/7DieNd3C7zQ that shows how it works. Really helped me avoid making mistakes with my claim status.

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How much does that service cost? I'm already tight on money with just unemployment benefits.

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It was worth it for me to get accurate information quickly rather than risk messing up my benefits. The peace of mind was valuable when dealing with a medical situation.

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WAIT - don't just stop filing! I made this mistake and it created a huge mess. You need to officially notify Washington ESD about your change in circumstances first, then they'll tell you when to stop filing. If you just stop without notifying them, it can look like you abandoned your claim.

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Oh no, really? How do I officially notify them? Is there a specific form or do I just call?

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You can report changes through your eServices account or by calling. I'd recommend doing both - report online and then call to confirm they received it.

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Good point about official notification. The key is documenting that you properly reported the change in your work availability status.

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The whole system is so confusing!! Why can't they make it easier to understand what happens when your situation changes? I've been on unemployment for 2 months and still don't understand half the rules.

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The rules exist to prevent fraud and ensure benefits go to those who meet eligibility requirements. Being 'able and available' for work is a fundamental requirement for unemployment insurance.

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I get that but the way they explain things is so technical and scary

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Here's what you need to know about PFML vs UI benefits: You generally cannot receive both at the same time. PFML provides partial wage replacement when you're unable to work due to your own serious health condition. You'd need to apply separately through the PFML program, and eligibility depends on your work history and premium payments.

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Do I need to choose between them right away? Can I see if I qualify for PFML before stopping my unemployment?

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You should research PFML eligibility first, but you still need to stop UI claims once you're medically unable to work. The timing matters for both programs.

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my sister said the PFML pays better than unemployment too but the application process takes forever

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How long did it take for her to get approved and start receiving benefits?

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i think it was like 6-8 weeks? she had to get a bunch of medical documentation from her doctor

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Just a heads up - make sure you have all your medical documentation ready before you apply for anything. Doctors are slow to fill out paperwork and both programs will want detailed info about your condition and recovery timeline.

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Good tip! I'll ask my surgeon's office what paperwork they typically need to complete for disability benefits.

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Yes, and get multiple copies of everything. Government agencies love to lose paperwork.

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Been there done that with the medical leave stuff. The key thing is DON'T let there be a gap where you're not covered by anything. Plan the transition carefully.

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What do you mean by gap? Like a period where I'm not getting any benefits at all?

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Exactly. If you stop UI too early and PFML hasn't kicked in yet, you could be without income for weeks.

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To clarify the timeline: Report your change in work availability to Washington ESD as soon as you know about the surgery. Continue filing weekly claims until you're actually unable to work. Apply for PFML before your surgery if possible. The programs have different start dates and eligibility periods.

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This is really helpful. So I should start the PFML application now even though my surgery isn't for another 2 weeks?

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Yes, start the PFML process early. You can indicate future start dates for benefits, and it gives you time to gather required documentation.

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Whatever you do, keep detailed records of all your communications with both agencies. Date, time, who you talked to, what they said. Trust me on this one.

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Good advice. I'll start a spreadsheet to track everything.

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Update on my earlier comment about Claimyr - I used them again last week when I had questions about my job search requirements. Really streamlined the process of getting through to someone who could give me definitive answers about my specific situation.

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I've been thinking about trying that service. The regular Washington ESD phone system is such a nightmare.

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It definitely beats spending hours on hold or getting disconnected. Especially when you're dealing with time-sensitive medical situations.

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Can I just say how stressful this all is? Like you're already dealing with health problems and then you have to navigate all this bureaucracy on top of it. The system should be more compassionate.

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I totally agree. I'm already stressed about the surgery and now I'm worried about messing up my benefits.

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I know it's overwhelming but once you get through the initial paperwork, both programs are pretty straightforward to maintain.

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One more important point: If your disability is work-related, you might also need to consider L&I (Labor & Industries) benefits instead of or in addition to PFML. That's a completely different system with different rules.

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My surgery isn't work-related, it's just a pre-existing condition that got worse. So I think L&I doesn't apply to me.

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Correct, L&I is only for work-related injuries and illnesses. Sounds like PFML would be your best option.

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I switched from UI to PFML last year and the transition wasn't too bad once I figured out the process. The hardest part was getting my doctor to understand exactly what forms they needed to fill out.

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Did you have any issues with the timing? Like any gaps in coverage?

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I had about a 2-week gap because I waited too long to apply for PFML. Start the process early!

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just curious - what happens if you recover faster than expected? can you go back to regular unemployment if you're still looking for work?

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Yes, if you recover and become able and available for work again, you can typically resume your UI claim if you still have benefit weeks remaining and haven't found employment.

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That's good to know. At least there's some flexibility if my recovery goes better than expected.

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The Washington State PFML website has a good calculator tool to estimate your benefits. Might be worth checking out to see what you could expect to receive.

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I'll definitely look into that. Thanks for the tip!

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Make sure you understand the waiting periods for both programs. PFML has a one-week waiting period, and UI has its own rules about when you can restart benefits.

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I didn't know about waiting periods. This is getting complicated.

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It seems complicated but once you map out the timeline, it becomes manageable. The key is planning ahead.

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I used Claimyr when I had to navigate a similar situation with medical leave. Their agents really knew the ins and outs of how the different benefit programs interact. Saved me a lot of confusion and potential mistakes.

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It sounds like several people have had good experiences with that service. Maybe I should give it a try.

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For a situation this complex with multiple programs involved, having expert guidance really helps.

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Whatever you decide, act quickly. These programs have strict timelines and deadlines. Missing a deadline could affect your benefits for months.

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You're right. I need to stop procrastinating and start making calls and filling out applications today.

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I've been through a similar situation and here's my advice: Start by calling Washington ESD to report your upcoming surgery immediately - don't wait until you're actually unable to work. Then apply for PFML right away since it takes 6-8 weeks to process. The key is overlapping your applications so there's no gap in benefits. Also, ask your surgeon's office for all the medical documentation you'll need upfront - they're used to these requests. Keep detailed records of every conversation and form you submit. The transition between programs can be smooth if you plan it properly. Good luck with your surgery!

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This is exactly the kind of comprehensive advice I was hoping for! Thank you for breaking down the timeline so clearly. I'm going to call Washington ESD first thing tomorrow morning and then get started on the PFML application. The tip about getting medical documentation upfront is really smart - I'll contact my surgeon's office this week to see what forms they typically need to complete. It's reassuring to hear from someone who's actually been through this process successfully.

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