Highest employer health coverage, US counties
US counties ranked by the share of people with employer-based health insurance, alone or in combination with other coverage (2024 ACS). Loving County, Texas leads at 90.9%. 3,144 counties qualify in total. The top 25 average 74.6%, against an all-counties median of 49.8%.
UPDATED 2026-08-08 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES
Frequently asked
Which county has the highest employer-based insurance?
Loving County, Texas ranks #1 with 90.9% (2024 American Community Survey).
What are the top 5 counties by employer-based insurance?
Loving County, Texas, Los Alamos County, New Mexico, Falls Church, Virginia, Loudoun County, Virginia, Greenlee County, Arizona.
How many counties are in this ranking?
3,144 counties qualify after filtering for population minimums and data availability. The ranking covers 2024 ACS 5-year data.
How is employer-based insurance measured?
Share of the civilian noninstitutionalized population with employer-based health insurance, alone or in combination (ACS S2703). Source: US Census Bureau, American Community Survey 5-year estimates (2024).