RANKING · 2024 ACS · 99 SHOWN OF 99

Highest employer health coverage, Iowa counties

Iowa 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 99 counties in Iowa that qualify, ranked against each other statewide. The median across all 99 is 53.6%. Biggest climber in the top 100 since 2020: Clarke County, IA, up 62 places to #16.

IowaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPEMPLOYER-BASED INSURANCEVS 2020

01▲1Story County, IAIA101,29170.9%−0.5 pts

02▼1Dallas County, IAIA118,45770.4%−3.1 pts

03Warren County, IAIA57,33168.9%−0.1 pts

04▲10Boone County, IAIA26,79966.7%+3.5 pts

05Johnson County, IAIA160,04466.1%−1.3 pts

06▲3Benton County, IAIA26,00465.4%+0.8 pts

07▲1Dubuque County, IAIA99,38164.6%−0.6 pts

08▼2Bremer County, IAIA25,29664.3%−2.7 pts

09▼2Marion County, IAIA34,19263.8%−2.3 pts

10▼6Madison County, IAIA17,27063.2%−4.5 pts

11Grundy County, IAIA12,36163.0%−1.5 pts

12▲3Buchanan County, IAIA20,88362.6%−0.5 pts

13Polk County, IAIA516,54661.8%−2.1 pts

14▼4Linn County, IAIA232,02861.4%−3.2 pts

15▲1Muscatine County, IAIA41,85360.8%−2.0 pts

16▲62Clarke County, IAIA9,57460.4%+10.3 pts

17▲2Scott County, IAIA175,25960.3%−1.4 pts

18▼6Cedar County, IAIA18,35960.0%−4.2 pts

19▲3Iowa County, IAIA16,50460.0%−0.1 pts

20▲9Mills County, IAIA14,79360.0%+1.2 pts

21▼1Harrison County, IAIA14,62359.3%−2.1 pts

22▲4Poweshiek County, IAIA18,36858.8%−0.2 pts

23▲4Delaware County, IAIA17,67458.8%−0.2 pts

24▲7Jackson County, IAIA19,28858.5%+0.9 pts

25▲7Monroe County, IAIA7,40658.4%+0.9 pts

26▼5Sioux County, IAIA36,77458.2%−2.7 pts

27▼10Black Hawk County, IAIA131,53258.0%−4.0 pts

28▲20Butler County, IAIA14,04957.9%+2.9 pts

29▼4Plymouth County, IAIA25,69757.6%−1.9 pts

30▲6Chickasaw County, IAIA11,66357.5%+0.8 pts

31▼3Louisa County, IAIA10,41657.4%−1.6 pts

32▲31Buena Vista County, IAIA20,44957.2%+4.2 pts

33▼9Jasper County, IAIA38,15357.1%−2.4 pts

34▲6Pottawattamie County, IAIA92,99656.3%+0.5 pts

35▼17Winneshiek County, IAIA19,73356.3%−5.5 pts

36▲25Emmet County, IAIA9,10755.2%+2.1 pts

37▼3Cherokee County, IAIA11,36955.1%−1.9 pts

38▲36Adams County, IAIA3,61754.8%+3.7 pts

39▼16Hamilton County, IAIA14,94454.8%−4.9 pts

40▼10Guthrie County, IAIA10,78254.6%−3.0 pts

41▲36Shelby County, IAIA11,68954.5%+4.1 pts

42▼7Winnebago County, IAIA10,25154.4%−2.6 pts

43▲1Tama County, IAIA16,79654.3%−1.3 pts

44▼1Marshall County, IAIA39,89054.2%−1.5 pts

45▲9Mahaska County, IAIA21,88054.1%−0.1 pts

46▼5Cerro Gordo County, IAIA42,37254.0%−1.7 pts

47Henry County, IAIA19,34953.9%−1.2 pts

48▲31Kossuth County, IAIA14,32253.7%+3.6 pts

49▲8Des Moines County, IAIA38,07753.6%+0.1 pts

50▲1Wapello County, IAIA35,21053.6%−1.1 pts

51▲9Webster County, IAIA36,83853.5%+0.1 pts

52▼2Lyon County, IAIA12,35453.1%−1.6 pts

53▼14O'Brien County, IAIA14,22053.0%−2.9 pts

54▲1Carroll County, IAIA20,30352.6%−1.0 pts

55▲4Humboldt County, IAIA9,40952.6%−0.8 pts

56▼4Jones County, IAIA21,25352.2%−2.2 pts

57▲19Dickinson County, IAIA18,07752.0%+1.6 pts

58▲13Osceola County, IAIA5,98052.0%+0.6 pts

59▼21Greene County, IAIA8,65851.9%−4.0 pts

60▼14Clinton County, IAIA46,00251.9%−3.3 pts

61▲27Franklin County, IAIA9,86851.9%+4.8 pts

62▼25Worth County, IAIA7,33851.8%−4.5 pts

63▼10Washington County, IAIA22,66751.5%−2.8 pts

64▲8Fremont County, IAIA6,52251.4%+0.2 pts

65▼23Woodbury County, IAIA106,64951.3%−4.4 pts

66▼10Ida County, IAIA6,77751.1%−2.5 pts

67▲13Adair County, IAIA7,40351.0%+1.0 pts

68▲17Mitchell County, IAIA10,65050.9%+2.8 pts

69▼7Floyd County, IAIA14,90150.5%−2.6 pts

70▼37Hancock County, IAIA10,52850.4%−7.0 pts

71▼7Taylor County, IAIA5,83550.1%−2.6 pts

72▼27Hardin County, IAIA16,45549.9%−5.4 pts

73▼24Palo Alto County, IAIA8,89949.9%−5.1 pts

74▲19Sac County, IAIA9,52549.9%+5.0 pts

75▼10Howard County, IAIA9,41549.5%−3.2 pts

76▼6Lee County, IAIA32,30649.5%−2.3 pts

77▲5Fayette County, IAIA19,04749.2%0.0 pts

78▲12Decatur County, IAIA7,65549.0%+2.8 pts

79▼6Keokuk County, IAIA9,79749.0%−2.2 pts

80▼5Clayton County, IAIA16,84548.8%−2.1 pts

81▼15Wright County, IAIA12,80148.6%−4.1 pts

82▼14Clay County, IAIA16,20248.2%−4.0 pts

83▲3Crawford County, IAIA16,23748.1%0.0 pts

84▼26Lucas County, IAIA8,84748.1%−5.4 pts

85▲6Audubon County, IAIA5,50947.6%+2.1 pts

86▲1Allamakee County, IAIA14,23847.2%−0.9 pts

87▼4Calhoun County, IAIA9,56246.7%−2.4 pts

88▼7Union County, IAIA11,82946.3%−3.3 pts

89▼5Cass County, IAIA12,96046.3%−2.2 pts

90▼23Montgomery County, IAIA10,00246.0%−6.7 pts

91▼22Page County, IAIA14,85645.6%−6.4 pts

92Pocahontas County, IAIA6,81945.4%+0.1 pts

93▲1Wayne County, IAIA6,73844.1%−0.7 pts

94▲5Appanoose County, IAIA12,07743.9%+5.2 pts

95▼6Monona County, IAIA8,53943.7%−2.9 pts

96▲2Davis County, IAIA9,23042.9%+1.7 pts

97▼2Ringgold County, IAIA4,64242.8%−1.6 pts

98▼2Jefferson County, IAIA15,29139.3%−2.7 pts

99▼2Van Buren County, IAIA7,13135.8%−6.1 pts

SHOWING 1–99 OF 99

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