RANKING · 2024 ACS · 58 SHOWN OF 58

Highest employer health coverage, California counties

California 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 58 counties in California that qualify, ranked against each other statewide.

CaliforniaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPEMPLOYER-BASED INSURANCEVS 2020

01Santa Clara County, CACA1,914,39167.1%+0.2 pts

02Placer County, CACA442,08166.8%+0.7 pts

03San Mateo County, CACA743,56866.5%−1.2 pts

04Alameda County, CACA1,636,63064.6%+0.8 pts

05San Francisco County, CACA826,07964.4%−0.2 pts

06Contra Costa County, CACA1,170,07062.9%−0.5 pts

07Yolo County, CACA224,41062.0%+1.6 pts

08El Dorado County, CACA192,32361.8%+0.9 pts

09Solano County, CACA455,37660.5%−0.6 pts

10San Benito County, CACA70,08259.1%+1.5 pts

11Marin County, CACA253,69458.9%−0.6 pts

12Sacramento County, CACA1,618,46057.3%+0.5 pts

13San Luis Obispo County, CACA282,36757.1%−0.8 pts

14Santa Cruz County, CACA258,85256.6%+0.9 pts

15Amador County, CACA41,87656.4%+4.6 pts

16Sonoma County, CACA486,44456.1%−0.5 pts

17Lassen County, CACA28,11755.3%−5.6 pts

18Napa County, CACA132,94955.2%−4.0 pts

19San Diego County, CACA3,282,24855.2%+1.2 pts

20Orange County, CACA3,149,50754.4%−0.9 pts

21Ventura County, CACA830,85153.9%+0.0 pts

22Alpine County, CACA1,04352.5%+7.9 pts

23Mariposa County, CACA16,91852.1%+5.6 pts

24San Joaquin County, CACA823,81552.0%+1.2 pts

25Inyo County, CACA18,15849.4%−5.6 pts

26Stanislaus County, CACA557,71949.1%+0.4 pts

27Tuolumne County, CACA53,16049.1%−0.9 pts

28Riverside County, CACA2,544,91648.8%+0.2 pts

29Nevada County, CACA101,91148.6%+0.2 pts

30Calaveras County, CACA46,60547.9%−1.4 pts

31San Bernardino County, CACA2,224,09147.9%−0.3 pts

32Los Angeles County, CACA9,694,93447.8%−0.3 pts

33Santa Barbara County, CACA442,06547.8%−0.6 pts

34Shasta County, CACA181,64847.6%+0.7 pts

35Butte County, CACA209,21147.4%+0.2 pts

36Yuba County, CACA88,69147.3%+0.9 pts

37Sutter County, CACA98,78746.4%−0.2 pts

38Mono County, CACA12,50546.3%−6.6 pts

39Monterey County, CACA433,72945.2%−1.9 pts

40Fresno County, CACA1,035,45644.6%+0.4 pts

41Siskiyou County, CACA42,01344.6%+2.0 pts

42Plumas County, CACA18,58344.1%−10.3 pts

43Del Norte County, CACA26,41043.9%+3.5 pts

44Colusa County, CACA21,83643.6%+0.2 pts

45Kings County, CACA154,32743.0%+0.7 pts

46Kern County, CACA927,06842.9%−1.2 pts

47Humboldt County, CACA131,64742.0%+0.3 pts

48Glenn County, CACA28,14140.9%−4.3 pts

49Merced County, CACA297,26040.9%+0.9 pts

50Madera County, CACA167,92738.6%−0.1 pts

51Modoc County, CACA8,42638.2%−2.5 pts

52Tehama County, CACA64,66538.1%−4.2 pts

53Tulare County, CACA485,14638.0%+0.5 pts

54Mendocino County, CACA88,12237.7%+1.8 pts

55Sierra County, CACA3,09837.1%−12.9 pts

56Imperial County, CACA181,41136.9%−0.4 pts

57Lake County, CACA67,77235.4%+2.7 pts

58Trinity County, CACA15,72025.4%−2.2 pts

SHOWING 1–58 OF 58

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