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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. The median across all 58 is 48.6%. Biggest climber in the top 100 since 2020: Alpine County, CA, up 20 places to #22.

Highest employer health coverage by state
All USAlaskaAlabamaArkansasArizonaCaliforniaColoradoFloridaGeorgiaIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyoming
RANKPLACESTATEPOPEMPLOYER-BASED INSURANCEVS 2020
01▲1Santa Clara County, CACA1,914,39167.1%+0.2 pts
02▲1Placer County, CACA442,08166.8%+0.7 pts
03▼2San Mateo County, CACA743,56866.5%−1.2 pts
04▲1Alameda County, CACA1,636,63064.6%+0.8 pts
05▼1San Francisco County, CACA826,07964.4%−0.2 pts
06Contra Costa County, CACA1,170,07062.9%−0.5 pts
07▲3Yolo County, CACA224,41062.0%+1.6 pts
08El Dorado County, CACA192,32361.8%+0.9 pts
09▼2Solano County, CACA455,37660.5%−0.6 pts
10▲4San Benito County, CACA70,08259.1%+1.5 pts
11Marin County, CACA253,69458.9%−0.6 pts
12▲3Sacramento County, CACA1,618,46057.3%+0.5 pts
13San Luis Obispo County, CACA282,36757.1%−0.8 pts
14▲3Santa Cruz County, CACA258,85256.6%+0.9 pts
15▲9Amador County, CACA41,87656.4%+4.6 pts
16Sonoma County, CACA486,44456.1%−0.5 pts
17▼8Lassen County, CACA28,11755.3%−5.6 pts
18▼6Napa County, CACA132,94955.2%−4.0 pts
19▲2San Diego County, CACA3,282,24855.2%+1.2 pts
20▼2Orange County, CACA3,149,50754.4%−0.9 pts
21▲1Ventura County, CACA830,85153.9%0.0 pts
22▲20Alpine County, CACA1,04352.5%+7.9 pts
23▲16Mariposa County, CACA16,91852.1%+5.6 pts
24▲1San Joaquin County, CACA823,81552.0%+1.2 pts
25▼6Inyo County, CACA18,15849.4%−5.6 pts
26▲3Stanislaus County, CACA557,71949.1%+0.4 pts
27Tuolumne County, CACA53,16049.1%−0.9 pts
28▲2Riverside County, CACA2,544,91648.8%+0.2 pts
29▲2Nevada County, CACA101,91148.6%+0.2 pts
30▼2Calaveras County, CACA46,60547.9%−1.4 pts
31▲2San Bernardino County, CACA2,224,09147.9%−0.3 pts
32▲2Los Angeles County, CACA9,694,93447.8%−0.3 pts
33▼1Santa Barbara County, CACA442,06547.8%−0.6 pts
34▲3Shasta County, CACA181,64847.6%+0.7 pts
35Butte County, CACA209,21147.4%+0.2 pts
36▲4Yuba County, CACA88,69147.3%+0.9 pts
37▲1Sutter County, CACA98,78746.4%−0.2 pts
38▼15Mono County, CACA12,50546.3%−6.6 pts
39▼3Monterey County, CACA433,72945.2%−1.9 pts
40▲3Fresno County, CACA1,035,45644.6%+0.4 pts
41▲5Siskiyou County, CACA42,01344.6%+2.0 pts
42▼22Plumas County, CACA18,58344.1%−10.3 pts
43▲8Del Norte County, CACA26,41043.9%+3.5 pts
44▲1Colusa County, CACA21,83643.6%+0.2 pts
45▲2Kings County, CACA154,32743.0%+0.7 pts
46▼2Kern County, CACA927,06842.9%−1.2 pts
47▲2Humboldt County, CACA131,64742.0%+0.3 pts
48▼7Glenn County, CACA28,14140.9%−4.3 pts
49▲3Merced County, CACA297,26040.9%+0.9 pts
50▲3Madera County, CACA167,92738.6%−0.1 pts
51▼1Modoc County, CACA8,42638.2%−2.5 pts
52▼4Tehama County, CACA64,66538.1%−4.2 pts
53▲1Tulare County, CACA485,14638.0%+0.5 pts
54▲2Mendocino County, CACA88,12237.7%+1.8 pts
55▼29Sierra County, CACA3,09837.1%−12.9 pts
56▼1Imperial 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

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