Disability Insurance (DI)

Anticipating Disability Insurance Benefits (DIB)

DI benefits are sometimes paid as retroactive benefits and sometimes as a regular weekly or biweekly amount depending on the statement of the doctor in the medical verification and the date the statement is received. This dependence on the doctor's statement makes anticipation of DI very difficult. It sometimes takes a number of weeks for the first payment to be processed. EWs must take this into account when anticipating DI.

DI Benefit Schedule

Refer to Chart Book, “DIB Weekly Benefit Amount,” page 7-15.

Verifying DI

IEVS Applicant - DI Data Report

CalSAWS IEVS Applicant DI Data report can be used to verify the status of an existing DIB claim for CalWORKs, RCA, CalFresh, and Medi-Cal. Refer to IEVS as a Verification.

Reminder: A “potential” claim cannot be determined for DIB, as a medical report is necessary to establish disability.

The IEVS Applicant DI Data report provides the following information:

Reported by EDD date
Claim Begin Date
Field Office
Maximum Benefits
Weekly Benefits
Remaining Benefits
Issuance Information including:
- Issued Date
- Payment Amount
- Reduction Amount
- Reduction Details

Refer to “Search for IEVS Applicant Reports” in the “Interface” subsystem in Help for instructions on how to access EDD Data reports.

EDD Real-Time Match

The real time EDD match is accessed through MEDS. Refer to “EDD Real-Time Match,” page 4-16 for access information. IEVS includes an on-line EDD real-time match screen which can be used to determine if an applicant/recipient has an existing DIB claim. A “potential” claim cannot be determined for DIB, as a medical report is necessary to establish disability.

The CalSAWS IEVS-PVS reports are to be used to verify the applicant’s current DIB status, whenever possible. The Real-Time Match may be used when the EW is authorizing benefits prior to the receipt of the IEVS-PVS report.

Note: The on-line data is only retained for 61 days.When using the EDD real-time match information for verification purposes, print the screen and have it scanned into Imaging.

IEVS PVS-DI Data Report

The CalSAWS IEVS PVS-DI Data report verifies DI payments monthly for all recipients of CalWORKs, RCA, CalFresh, and Medi-Cal. Refer to IEVS as a Verification.

The IEVS PVS-DI Data report provides the following information:

Weekly Benefit Amount
Maximum Benefit Amount
Remaining Benefit Amount
Claim Begin Date
Field Office
Issuance Information including:
- Issued Date
- Payment Amount
- Reduction Amount
- Reduction Details

Response Document

Regulations require that the state be notified when information received from IEVS-PVS abstract/report causes a:

Discontinuance
Change in benefits
Change in share of cost

There is a [Response Document] button on the View IEVS - PVS Report window which when clicked brings up the Create IEVS Response Document window. The worker must enter the necessary information on this window and save which causes the data to be sent through an interface to the state. Refer to “Search for IEVS Recipient Reports” in the “Interface” subsystem in Help for instructions on how to access PVS reports.