Are You Applying for State Disability Insurance (SDI)?

Are You Applying for State Disability Insurance (SDI)?

Register and submit your initial claim for disability online at:

edd.Disability/

Filing an initial disability claim is a two-step process:

Step 1: Complete the one-time online registration. Step 2: File an online disability insurance (DI)

claim.

Once your claim has been submitted online please provide us the following:

1. Name and Kaiser Permanente Medical Record Number

2. Your Patient Receipt Number (provided online by California Employment Development Dept.{EDD}

Sample: #R10000000123456

3. For EDD extensions provide Kaiser Permanente with your claim ID number

Sample; DI-1000-123-456

4. Include timeframe, start and end date, and condition of your disability.

5. Contact Phone Number.

Live Well. Be This information may be provided via one of the methods below :

PLEASE NOTE: Claims submitted on paper will incur significant delay in processing.

Email:

Well. Thrive. NVLY-MEDSEC-ROI-MISC@

Online claims will be processed in a timelier manner by EDD.

Fax:

1 (877) 821-5111

Allow 5 days for processing and then check the status of your claim

at

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