Apply for Disability Insurance Elective Coverage
Be sure you are familiar with the Disability Insurance Elective Coverage (DIEC) program and eligibility requirements in our Information Sheet: Elective Coverage for Employers and Self-Employed Individuals (DE 231EC) (PDF) before you fill out the application.
You can apply for the DIEC program by completing the application and mailing it to the address on the form.
- Application for Disability Insurance Elective Coverage (DE 1378DI) (PDF)
- Application for Unemployment Insurance, Disability Insurance, and Paid Family Leave Elective Coverage Under Section 708(A) of the Unemployment Insurance Code (DE 1378A) (PDF)
Filing a Claim
If you are covered by DIEC and need more information, you can view your options to file for:
To speak with a representative, call:
- DIEC Unit at 1-916-654-6288.
- EDD Taxpayer Assistance Center at 1-888-745-3886.
- TTY users dial the California Relay Service at 711.
Representatives are available Monday through Friday from 8 a.m. until 5 p.m. Offices are closed weekends and holidays.
Last Revised: 2/16/2021
Disability Insurance and Paid Family Leave Benefits
Find DI Information for You
The California Employer Advisory Council (CEAC) is your connection to employment and workforce development information.