RANKING · 2024 ACS · 67 SHOWN OF 67

Highest employer health coverage, Alabama counties

Alabama counties ranked by the share of people with employer-based health insurance, alone or in combination with other coverage (2024 ACS). This list covers the 67 counties in Alabama that qualify, ranked against each other statewide. The median across all 67 is 48.1%. Biggest climber in the top 100 since 2020: Washington County, AL, up 21 places to #7.

AlabamaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPEMPLOYER-BASED INSURANCEVS 2020

01Shelby County, ALAL238,55265.9%−0.3 pts

02▲3Limestone County, ALAL122,92863.7%+2.5 pts

03▼1Madison County, ALAL433,51663.7%+0.1 pts

04▼1Tuscaloosa County, ALAL241,36863.0%+1.1 pts

05▲1Lee County, ALAL189,88160.4%0.0 pts

06▼2Elmore County, ALAL91,57760.0%−1.6 pts

07▲21Washington County, ALAL14,82258.5%+6.7 pts

08▼1St. Clair County, ALAL98,20656.9%−1.8 pts

09Autauga County, ALAL61,92055.9%−0.9 pts

10Lauderdale County, ALAL97,13555.2%−1.2 pts

11▲2Lawrence County, ALAL33,84355.1%−0.6 pts

12▼1Morgan County, ALAL126,48355.1%−0.7 pts

13▲3Walker County, ALAL65,14054.8%+1.4 pts

14▼2Jefferson County, ALAL665,74254.3%−1.5 pts

15▼7Colbert County, ALAL59,47453.5%−3.7 pts

16▲7Baldwin County, ALAL267,76153.5%+1.5 pts

17▼2Pike County, ALAL33,68853.1%−1.1 pts

18▲18Bibb County, ALAL22,26252.7%+2.5 pts

19▲2Cherokee County, ALAL26,41352.6%+0.2 pts

20▲9Chilton County, ALAL47,70852.3%+0.9 pts

21▼3Clay County, ALAL14,20752.0%−0.7 pts

22▲10Randolph County, ALAL23,16351.5%+0.9 pts

23▲4Talladega County, ALAL81,60350.8%−1.1 pts

24▼10Blount County, ALAL60,15650.1%−5.1 pts

25▲14Tallapoosa County, ALAL40,95349.9%+0.4 pts

26▲12Mobile County, ALAL411,65849.8%−0.1 pts

27▼3Etowah County, ALAL103,88649.7%−2.2 pts

28▼2Montgomery County, ALAL225,89149.6%−2.3 pts

29▲2Cullman County, ALAL94,00949.3%−1.4 pts

30▲16Marshall County, ALAL103,53748.7%+1.2 pts

31▼14Calhoun County, ALAL115,83448.7%−4.6 pts

32▲8Fayette County, ALAL15,87248.6%−0.7 pts

33▼14Cleburne County, ALAL15,97048.5%−4.1 pts

34▲10Franklin County, ALAL32,44948.1%−0.1 pts

35▲6Jackson County, ALAL54,28148.1%−1.2 pts

36▲15Winston County, ALAL23,82947.6%+2.0 pts

37▼3Lamar County, ALAL13,58747.5%−2.8 pts

38▲4Chambers County, ALAL34,25347.4%−1.5 pts

39▼14Macon County, ALAL18,13246.6%−5.3 pts

40▲8Clarke County, ALAL22,01446.5%−0.4 pts

41▼6Henry County, ALAL18,39446.4%−3.9 pts

42▼20Covington County, ALAL37,94746.2%−5.8 pts

43▼10Escambia County, ALAL36,66546.2%−4.1 pts

44▼1Marion County, ALAL29,09745.9%−2.5 pts

45▲4Pickens County, ALAL18,22145.9%−0.6 pts

46▲11Choctaw County, ALAL11,90445.7%+2.1 pts

47▼2Houston County, ALAL110,31845.2%−2.5 pts

48▲2Coffee County, ALAL56,95345.1%−1.1 pts

49▼19Crenshaw County, ALAL13,17545.1%−6.1 pts

50▲2Marengo County, ALAL18,31145.0%−0.4 pts

51▲2Monroe County, ALAL18,96544.5%−0.8 pts

52▼15Coosa County, ALAL10,16143.9%−6.2 pts

53▲8Sumter County, ALAL11,58843.8%+2.3 pts

54▲4Lowndes County, ALAL9,35943.3%+0.4 pts

55▲7Barbour County, ALAL24,60742.7%+2.8 pts

56▼9DeKalb County, ALAL74,08542.6%−4.8 pts

57▲6Hale County, ALAL15,19442.3%+2.8 pts

58▼3Geneva County, ALAL27,55441.0%−3.0 pts

59Dale County, ALAL49,91240.2%−2.2 pts

60Russell County, ALAL58,89840.2%−1.5 pts

61▼41Butler County, ALAL18,10039.7%−12.8 pts

62▲4Wilcox County, ALAL9,66637.2%+2.5 pts

63▲1Dallas County, ALAL35,14036.8%−1.4 pts

64▼10Conecuh County, ALAL10,89935.8%−8.8 pts

65▲2Perry County, ALAL7,42535.0%+5.5 pts

66▼10Bullock County, ALAL9,78034.6%−9.3 pts

67▼2Greene County, ALAL7,06726.2%−8.9 pts

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES