RANKING · 2020 CENSUS · 99 SHOWN OF 99

Highest employer health coverage, Iowa counties · 2020

Iowa 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 99 counties in Iowa that qualify, ranked against each other statewide.

IowaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPEMPLOYER-BASED INSURANCEVS –

01Dallas County, IAIA118,45773.5%–

02Story County, IAIA101,29171.4%–

03Warren County, IAIA57,33169.0%–

04Madison County, IAIA17,27067.7%–

05Johnson County, IAIA160,04467.4%–

06Bremer County, IAIA25,29667.0%–

07Marion County, IAIA34,19266.1%–

08Dubuque County, IAIA99,38165.2%–

09Benton County, IAIA26,00464.6%–

10Linn County, IAIA232,02864.6%–

11Grundy County, IAIA12,36164.5%–

12Cedar County, IAIA18,35964.2%–

13Polk County, IAIA516,54663.9%–

14Boone County, IAIA26,79963.2%–

15Buchanan County, IAIA20,88363.1%–

16Muscatine County, IAIA41,85362.8%–

17Black Hawk County, IAIA131,53262.0%–

18Winneshiek County, IAIA19,73361.8%–

19Scott County, IAIA175,25961.7%–

20Harrison County, IAIA14,62361.4%–

21Sioux County, IAIA36,77460.9%–

22Iowa County, IAIA16,50460.1%–

23Hamilton County, IAIA14,94459.7%–

24Jasper County, IAIA38,15359.5%–

25Plymouth County, IAIA25,69759.5%–

26Poweshiek County, IAIA18,36859.0%–

27Delaware County, IAIA17,67459.0%–

28Louisa County, IAIA10,41659.0%–

29Mills County, IAIA14,79358.8%–

30Guthrie County, IAIA10,78257.6%–

31Jackson County, IAIA19,28857.6%–

32Monroe County, IAIA7,40657.5%–

33Hancock County, IAIA10,52857.4%–

34Cherokee County, IAIA11,36957.0%–

35Winnebago County, IAIA10,25157.0%–

36Chickasaw County, IAIA11,66356.7%–

37Worth County, IAIA7,33856.3%–

38Greene County, IAIA8,65855.9%–

39O'Brien County, IAIA14,22055.9%–

40Pottawattamie County, IAIA92,99655.8%–

41Cerro Gordo County, IAIA42,37255.7%–

42Marshall County, IAIA39,89055.7%–

43Woodbury County, IAIA106,64955.7%–

44Tama County, IAIA16,79655.6%–

45Hardin County, IAIA16,45555.3%–

46Clinton County, IAIA46,00255.2%–

47Henry County, IAIA19,34955.1%–

48Butler County, IAIA14,04955.0%–

49Palo Alto County, IAIA8,89955.0%–

50Lyon County, IAIA12,35454.7%–

51Wapello County, IAIA35,21054.7%–

52Jones County, IAIA21,25354.4%–

53Washington County, IAIA22,66754.3%–

54Mahaska County, IAIA21,88054.2%–

55Carroll County, IAIA20,30353.6%–

56Ida County, IAIA6,77753.6%–

57Des Moines County, IAIA38,07753.5%–

58Lucas County, IAIA8,84753.5%–

59Humboldt County, IAIA9,40953.4%–

60Webster County, IAIA36,83853.4%–

61Emmet County, IAIA9,10753.1%–

62Floyd County, IAIA14,90153.1%–

63Buena Vista County, IAIA20,44953.0%–

64Taylor County, IAIA5,83552.7%–

65Howard County, IAIA9,41552.7%–

66Montgomery County, IAIA10,00252.7%–

67Wright County, IAIA12,80152.7%–

68Clay County, IAIA16,20252.2%–

69Page County, IAIA14,85652.0%–

70Lee County, IAIA32,30651.8%–

71Osceola County, IAIA5,98051.4%–

72Fremont County, IAIA6,52251.2%–

73Keokuk County, IAIA9,79751.2%–

74Adams County, IAIA3,61751.1%–

75Clayton County, IAIA16,84550.9%–

76Dickinson County, IAIA18,07750.4%–

77Shelby County, IAIA11,68950.4%–

78Clarke County, IAIA9,57450.1%–

79Kossuth County, IAIA14,32250.1%–

80Adair County, IAIA7,40350.0%–

81Union County, IAIA11,82949.6%–

82Fayette County, IAIA19,04749.2%–

83Calhoun County, IAIA9,56249.1%–

84Cass County, IAIA12,96048.5%–

85Mitchell County, IAIA10,65048.1%–

86Allamakee County, IAIA14,23848.1%–

87Crawford County, IAIA16,23748.1%–

88Franklin County, IAIA9,86847.1%–

89Monona County, IAIA8,53946.6%–

90Decatur County, IAIA7,65546.2%–

91Audubon County, IAIA5,50945.5%–

92Pocahontas County, IAIA6,81945.3%–

93Sac County, IAIA9,52544.9%–

94Wayne County, IAIA6,73844.8%–

95Ringgold County, IAIA4,64244.4%–

96Jefferson County, IAIA15,29142.0%–

97Van Buren County, IAIA7,13141.9%–

98Davis County, IAIA9,23041.2%–

99Appanoose County, IAIA12,07738.7%–

SHOWING 1–99 OF 99

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