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Employment Development Department
Employment Development Department


Eligibility for Disability Insurance

DI benefits can be paid only after you meet all of the following requirements:

If a spouse, registered domestic partner, parent, or child is providing care for the claimant, he/she may be eligible for Paid Family Leave benefits.

An independent medical examination to determine your initial or continuing eligibility may be required.

Ineligibility - Disability Insurance

You may apply for benefits even if you are not sure you are eligible. If you are found to be ineligible for all or part of a period claimed, you will be notified of the ineligible period and the reason. You may not be eligible for SDI benefits if:

Eligibility for Paid Family Leave

Employees covered by State Disability Insurance (SDI) are also covered for Paid Family Leave insurance. If a Voluntary Plan Insurer provides your company's disability insurance coverage, then it must also provide Paid Family Leave insurance coverage.

An employee may submit a claim for Paid Family Leave insurance benefits for the following reasons:

A serious health condition means an illness, injury, impairment, or physical or mental condition of a patient that involves inpatient care in a hospital, hospice, or residential medical care facility. This includes any period of incapacity (e.g., inability to work, attend school, or perform other regular daily activities) or any subsequent treatment in connection with such inpatient care; or continuing treatment by a physician or practitioner. Unless complications arise, cosmetic treatments, the common cold, influenza, earaches, upset stomach, minor ulcers, and headaches other than migraine, are examples of conditions that do not meet the definition of a serious health condition for purposes of Paid Family Leave insurance benefits.

Ineligibility - Paid Family Leave

You may not be eligible for PFL insurance benefits if:

Eligibility for Disability Insurance Elective Coverage

Any self-employed individual or general partner(s) who meets the requirements, such as receives the major part of his or her income from the trade, business, or occupation in which he or she is self-employed or a general partner may apply for coverage. It is not required that all active general partners be included in the election. A general partnership also includes a husband and wife co-ownership in which both spouses are active in the operation and management of the business.

Major Requirements

Additional information on: