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.

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

02Limestone County, ALAL122,92863.7%+2.5 pts

03Madison County, ALAL433,51663.7%+0.1 pts

04Tuscaloosa County, ALAL241,36863.0%+1.1 pts

05Lee County, ALAL189,88160.4%+0.0 pts

06Elmore County, ALAL91,57760.0%−1.6 pts

07Washington County, ALAL14,82258.5%+6.7 pts

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

09Autauga County, ALAL61,92055.9%−0.9 pts

10Lauderdale County, ALAL97,13555.2%−1.2 pts

11Lawrence County, ALAL33,84355.1%−0.6 pts

12Morgan County, ALAL126,48355.1%−0.7 pts

13Walker County, ALAL65,14054.8%+1.4 pts

14Jefferson County, ALAL665,74254.3%−1.5 pts

15Colbert County, ALAL59,47453.5%−3.7 pts

16Baldwin County, ALAL267,76153.5%+1.5 pts

17Pike County, ALAL33,68853.1%−1.1 pts

18Bibb County, ALAL22,26252.7%+2.5 pts

19Cherokee County, ALAL26,41352.6%+0.2 pts

20Chilton County, ALAL47,70852.3%+0.9 pts

21Clay County, ALAL14,20752.0%−0.7 pts

22Randolph County, ALAL23,16351.5%+0.9 pts

23Talladega County, ALAL81,60350.8%−1.1 pts

24Blount County, ALAL60,15650.1%−5.1 pts

25Tallapoosa County, ALAL40,95349.9%+0.4 pts

26Mobile County, ALAL411,65849.8%−0.1 pts

27Etowah County, ALAL103,88649.7%−2.2 pts

28Montgomery County, ALAL225,89149.6%−2.3 pts

29Cullman County, ALAL94,00949.3%−1.4 pts

30Marshall County, ALAL103,53748.7%+1.2 pts

31Calhoun County, ALAL115,83448.7%−4.6 pts

32Fayette County, ALAL15,87248.6%−0.7 pts

33Cleburne County, ALAL15,97048.5%−4.1 pts

34Franklin County, ALAL32,44948.1%−0.1 pts

35Jackson County, ALAL54,28148.1%−1.2 pts

36Winston County, ALAL23,82947.6%+2.0 pts

37Lamar County, ALAL13,58747.5%−2.8 pts

38Chambers County, ALAL34,25347.4%−1.5 pts

39Macon County, ALAL18,13246.6%−5.3 pts

40Clarke County, ALAL22,01446.5%−0.4 pts

41Henry County, ALAL18,39446.4%−3.9 pts

42Covington County, ALAL37,94746.2%−5.8 pts

43Escambia County, ALAL36,66546.2%−4.1 pts

44Marion County, ALAL29,09745.9%−2.5 pts

45Pickens County, ALAL18,22145.9%−0.6 pts

46Choctaw County, ALAL11,90445.7%+2.1 pts

47Houston County, ALAL110,31845.2%−2.5 pts

48Coffee County, ALAL56,95345.1%−1.1 pts

49Crenshaw County, ALAL13,17545.1%−6.1 pts

50Marengo County, ALAL18,31145.0%−0.4 pts

51Monroe County, ALAL18,96544.5%−0.8 pts

52Coosa County, ALAL10,16143.9%−6.2 pts

53Sumter County, ALAL11,58843.8%+2.3 pts

54Lowndes County, ALAL9,35943.3%+0.4 pts

55Barbour County, ALAL24,60742.7%+2.8 pts

56DeKalb County, ALAL74,08542.6%−4.8 pts

57Hale County, ALAL15,19442.3%+2.8 pts

58Geneva County, ALAL27,55441.0%−3.0 pts

59Dale County, ALAL49,91240.2%−2.2 pts

60Russell County, ALAL58,89840.2%−1.5 pts

61Butler County, ALAL18,10039.7%−12.8 pts

62Wilcox County, ALAL9,66637.2%+2.5 pts

63Dallas County, ALAL35,14036.8%−1.4 pts

64Conecuh County, ALAL10,89935.8%−8.8 pts

65Perry County, ALAL7,42535.0%+5.5 pts

66Bullock County, ALAL9,78034.6%−9.3 pts

67Greene County, ALAL7,06726.2%−8.9 pts

SHOWING 1–67 OF 67

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UPDATED 2026-08-08 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES