- Reopening Decisions When You Apply More than Once
- Appeal When A Claim Is Approved, But Benefits Start Later Than Expected
- Effectively Handling ERISA Disability Benefits Claims & Litigation
- Shocked at Receiving Your Long Term Disability Denial?
- Litigating Long Term Disability Insurance - ERISA Claims
Disabled Workers from California
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People often ask whether there is help for short term problems (like broken bones or surgery requiring rehabilitation) and long term problems that are sure to last, or have already lasted
People often ask whether there is help for short term problems (like broken bones or surgery requiring rehabilitation) and long term problems that are sure to last, or have already lastedPeople often ask whether there is help for short term problems (like broken bones or surgery requiring rehabilitation) and long term problems that are sure to last, or have already lasted, a year.California State Disability (SDI) provides about 66% of your wages if you have to be out for up to a year. This can include pregnancy leave. This program is funded by California State payroll taxes. Employees often complain about California taxes. They don't realize the full benefit of what they get. For relatively few dollars, compared to a polilcy you'd pay for yourself (like Aflac or Met Life) you get a year's worth of coverage without doing anything. (More about Long Term Disability insurance below.)Whether you think your problem will be short term or long term, you can (and should) apply for SDI as soon as you know you have a problem - even if you are filing for Workers Compensation (WC). SDI and WC payments may affect the amount of Social Security benefits you get - that subject requires another short article. It will be called "Offsets."SDI benefits are easy to get and you shouldn't pay anyone to do this for you (in my opinion). You can find out more about SDI and apply online at http://www.edd.ca.gov/disability/SDI_Online.htm Social Security is a federal disability program also paid by payroll taxes. Sometimes people think there is an account with their name on it, sitting there waiting for them. (I often hear, "It's my money.") Not true. The payroll taxes pay what amounts to an insurance fund. Just like car insurance. There is no account for you specifially. The risk of loss is spread over all people who pay the premium. (That's why car insurance companies give people with good driving history a break on their premium. Those drivers are less likely to have an accident and their premium dollars are spent on claims of careless (or unlucky) drivers.)Back to long term disability.The federal program pays benefits when you have been out of work for 12 months OR expcect to be out of work for 12 months or longer.In addition to all the other legal requirements, not medical requirements, but legal ones, the 12 month issue is critical. Peole with stage II breast cancer, for example, have a serious medical problem. But it has a very good recovery rate. Social Security examiners will wait to see how those patients respond to treatment. If they are back to work within 12 months (as we all hope and pray for), no benefits will be paid. (Thus State Disability is extremely important.) But, if it takes 18 months to recover, benefits will be paid for what is called a "closed period." Should you file just in case? (That eeds a whole other article called: "When do I file?")If it continues, benefits are paid accordingly.Long Term Disability Policies (LTDB). Some employers pay the premiun for LTDB and the employees don't even know about it. Many of my clients didn't know and didn't think to ask. So ask your HR department. Long Term Disability Policies (LTDB). Some employers pay the premiun for LTDB and the employees don't even know about it. Many of my clients didn't know and didn't think to ask. So ask your HR department. In every single case, the LTDB insurance policy - who no one has ever seen apparently - has some fine print in it that (the clients are told by their LTDB claims manager - but who never shows them the policy) requires the client to pay back every dollar they get from the LTDB from their Social Security benefits. Is it legal for them to do this? Can they force you to? Can they just take you benefits from you if you don't voluntarily give them away? What do I tell my clients? Alas, I won't tell you here- but I will tell you I find it outrageous that you'd pay for a policy, get coverage and then have to pay them back. No wonder people hate insurance companies as much as lawyers (except me, of course). Would you pay for car insurance if the policy required them to pay you back? I wouldn't. But, perhaps it's just me.These articles are my understanding (I wouldn't post it otherwise, dugh) but are not "legal advice." Talk to a qualified attorney or non-attorney representative for advice spcific to your disability case.