Nonindustrial Disability Insurance Claim Process
1. Review Your Eligibility
You must be eligible to receive Nonindustrial Disability Insurance (NDI) benefits. For a list of eligibility requirements, visit Nonindustrial Disability Insurance.
2. File Your ClaimAsk your employer’s personnel specialist or payroll officer for the First Claim for Nonindustrial Insurance (NDI) (DE 8501). Contact the EDD at 1-866-758-9768 to get medical extension forms.
Mail the completed form to:
PO Box 2168
Stockton, CA 95201-2168.
Your employer will complete and sign Part A - Employer Information.
You will complete and sign Part B - Claim Statement of Employee.
Important information about the start of your claim
- The day you became unable to work due to your disability is the day or date your disability begins. Include that date when you submit your claim.
- You cannot change the beginning date of your claim after establishing a valid claim. If you have any questions about your claim start date, contact NDI at 1-866-758-9768 before filing your claim.
- Your claim cannot be submitted any earlier than nine days after the first day your disability begins.
3. Physician/Practitioner Completes a Medical Certification
Your physician/practitioner must certify to your disability by completing and submitting the medical certification portion Part C - Physician/Practitioner Certificate of the claim form. It is your responsibility to have your physician/practitioner complete and sign the form and submit it to the EDD. Your claim is not complete until a physician/practitioner completes the medical certification.
4. The EDD Reviews Your Claim
When a properly completed claim form is received, the EDD usually determines whether or not you are eligible to receive NDI benefits within 14 days.
The EDD will send you the Notice of Eligibility for Nonindustrial Disability Insurance or Family Leave (DE 8500) with your authorized time period. The EDD will also send an Authorization to pay Nonindustrial Disability Insurance (DE 8500A) to your employer with your authorized time period.
5. Eligibility Determination
Eligible for Benefits
Before you receive benefits, you must serve an unpaid 7 or 10 day waiting period (calendar days) based on your employment status and bargaining unit. All or part of the waiting period may be waived under certain circumstances. These could include being confined in a hospital or nursing home or any circumstance specified by an applicable bargaining agreement.
Ineligible for Benefits
If you are found ineligible, the EDD will send you a Notice of Determination (DE 8517) and an Appeal Form (DE 1000A). You have the right to appeal any decision in writing within 30 days of the issue date of the disqualification notice.
For more information, visit Appeals.
6. Extend or Discontinue Your Benefits
If You Have Not Recovered
You are potentially eligible to receive benefits until the date your physician/practitioner provides to the EDD. When your claim is qualified, the EDD will send you a Physician/Practitioner’s Supplementary Certificate (DE 8500B) by mail. If you did not receive this form, or to get medical extension forms, contact the EDD at 1-866-758-9768.
If you have not fully recovered and want to extend your disability period to continue benefits, you must have your physician/practitioner complete the DE 8500B and return the form to the EDD.
If You Have Recovered or Returned to Work
If you recover or return to work on the date your physician/practitioner provided to the EDD, no further action is required to discontinue your claim.
If you have been approved to go back to work before the physician/practitioner’s estimated date of recovery, complete the DE 8500 and return it to the EDD. If you previously recovered or returned to work and became ill or injured again, immediately file a new claim form (DE 8501) and report the dates you worked.
No employee contributions, enrollment fees, or medical examinations are required to be covered.
NDI benefits are available to permanent or probationary full-time or intermittent employees in “compensated employment” (in pay status and not separated by a formal leave of absence) who are members of the Public Employees’ Retirement System (CalPERS) or the State Teachers’ Retirement System (CalSTRS).
Permanent part-time and intermittent employees must have the equivalent of six monthly compensated pay periods of service in the 18 months immediately preceding the pay period in which the disability begins. Such employees are eligible on a prorated basis.
California State University employees appointed half-time or more for either one year of service or one academic year or more, are also covered.
NDI coverage is also provided to employees who are excluded from collective bargaining and are full-time, permanent part-time, or intermittent officers or employees of the State Legislature, who are not civil service members.