RANKING · 2020 CENSUS · 67 SHOWN OF 67

Highest employer health coverage, Alabama counties · 2020

Alabama counties ranked by the share of people with employer-based health insurance, alone or in combination with other coverage (2020 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 –

01Shelby County, ALAL238,55266.2%–

02Madison County, ALAL433,51663.6%–

03Tuscaloosa County, ALAL241,36861.9%–

04Elmore County, ALAL91,57761.6%–

05Limestone County, ALAL122,92861.2%–

06Lee County, ALAL189,88160.4%–

07St. Clair County, ALAL98,20658.7%–

08Colbert County, ALAL59,47457.2%–

09Autauga County, ALAL61,92056.8%–

10Lauderdale County, ALAL97,13556.4%–

11Morgan County, ALAL126,48355.8%–

12Jefferson County, ALAL665,74255.8%–

13Lawrence County, ALAL33,84355.7%–

14Blount County, ALAL60,15655.2%–

15Pike County, ALAL33,68854.2%–

16Walker County, ALAL65,14053.4%–

17Calhoun County, ALAL115,83453.3%–

18Clay County, ALAL14,20752.7%–

19Cleburne County, ALAL15,97052.6%–

20Butler County, ALAL18,10052.5%–

21Cherokee County, ALAL26,41352.4%–

22Covington County, ALAL37,94752.0%–

23Baldwin County, ALAL267,76152.0%–

24Etowah County, ALAL103,88651.9%–

25Macon County, ALAL18,13251.9%–

26Montgomery County, ALAL225,89151.9%–

27Talladega County, ALAL81,60351.9%–

28Washington County, ALAL14,82251.8%–

29Chilton County, ALAL47,70851.4%–

30Crenshaw County, ALAL13,17551.2%–

31Cullman County, ALAL94,00950.7%–

32Randolph County, ALAL23,16350.6%–

33Escambia County, ALAL36,66550.3%–

34Lamar County, ALAL13,58750.3%–

35Henry County, ALAL18,39450.3%–

36Bibb County, ALAL22,26250.2%–

37Coosa County, ALAL10,16150.1%–

38Mobile County, ALAL411,65849.9%–

39Tallapoosa County, ALAL40,95349.5%–

40Fayette County, ALAL15,87249.3%–

41Jackson County, ALAL54,28149.3%–

42Chambers County, ALAL34,25348.9%–

43Marion County, ALAL29,09748.4%–

44Franklin County, ALAL32,44948.2%–

45Houston County, ALAL110,31847.7%–

46Marshall County, ALAL103,53747.5%–

47DeKalb County, ALAL74,08547.4%–

48Clarke County, ALAL22,01446.9%–

49Pickens County, ALAL18,22146.5%–

50Coffee County, ALAL56,95346.2%–

51Winston County, ALAL23,82945.6%–

52Marengo County, ALAL18,31145.4%–

53Monroe County, ALAL18,96545.3%–

54Conecuh County, ALAL10,89944.6%–

55Geneva County, ALAL27,55444.0%–

56Bullock County, ALAL9,78043.9%–

57Choctaw County, ALAL11,90443.6%–

58Lowndes County, ALAL9,35942.9%–

59Dale County, ALAL49,91242.4%–

60Russell County, ALAL58,89841.7%–

61Sumter County, ALAL11,58841.5%–

62Barbour County, ALAL24,60739.9%–

63Hale County, ALAL15,19439.5%–

64Dallas County, ALAL35,14038.2%–

65Greene County, ALAL7,06735.1%–

66Wilcox County, ALAL9,66634.7%–

67Perry County, ALAL7,42529.5%–

SHOWING 1–67 OF 67

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UPDATED 2026-08-08 · DATA: US CENSUS BUREAU DECENNIAL CENSUS