RANKING · 2024 ACS · 115 SHOWN OF 115

Highest employer health coverage, Missouri counties

Missouri 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 115 counties in Missouri that qualify, ranked against each other statewide. The median across all 115 is 47.8%. Biggest climber in the top 100 since 2020: Grundy County, MO, up 28 places to #57.

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SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPEMPLOYER-BASED INSURANCEVS 2020

01St. Charles County, MOMO426,49972.2%−2.7 pts

02Platte County, MOMO114,40067.8%−2.5 pts

03Cole County, MOMO77,90867.3%−1.8 pts

04▲1Boone County, MOMO191,74666.9%−0.8 pts

05▼1Osage County, MOMO13,61166.7%−2.4 pts

06Clay County, MOMO265,03266.7%+0.7 pts

07▲12Warren County, MOMO39,01664.7%+4.9 pts

08Lincoln County, MOMO66,67663.9%−0.7 pts

09▼2St. Louis County, MOMO990,91163.3%−1.5 pts

10Jefferson County, MOMO233,13262.7%−0.5 pts

11Cass County, MOMO115,85962.0%−0.8 pts

12▲2Ste. Genevieve County, MOMO18,68961.4%+0.1 pts

13▼4Franklin County, MOMO108,09060.8%−3.0 pts

14▲6Adair County, MOMO25,68459.5%0.0 pts

15▲7Cooper County, MOMO17,13659.3%+1.3 pts

16▲2Cape Girardeau County, MOMO83,99958.5%−1.5 pts

17▼2Callaway County, MOMO45,76558.3%−2.7 pts

18▲10Lafayette County, MOMO33,53158.0%+2.7 pts

19▼6Ray County, MOMO23,39857.5%−4.3 pts

20▲1Christian County, MOMO96,72557.3%−0.8 pts

21▲6Saline County, MOMO23,26557.3%+1.7 pts

22▼5Clinton County, MOMO21,66156.8%−3.9 pts

23Jackson County, MOMO732,99455.4%−1.7 pts

24▲8Andrew County, MOMO18,24155.2%+0.7 pts

25▼13Perry County, MOMO19,09355.2%−6.9 pts

26▲4Lewis County, MOMO9,87955.0%+0.4 pts

27▼2Marion County, MOMO28,52554.4%−1.8 pts

28▲8Phelps County, MOMO45,24754.1%+1.3 pts

29▲5Sullivan County, MOMO5,73853.9%−0.3 pts

30▼14Howard County, MOMO10,18053.8%−7.1 pts

31▲14Caldwell County, MOMO9,01253.7%+1.9 pts

32▲12Chariton County, MOMO7,37753.5%+1.7 pts

33▲14DeKalb County, MOMO9,79553.5%+2.5 pts

34▼10Gasconade County, MOMO14,78453.5%−3.0 pts

35▼9Ralls County, MOMO10,44452.8%−3.2 pts

36▼7Greene County, MOMO309,28652.7%−2.2 pts

37▲20Maries County, MOMO8,39752.4%+4.0 pts

38▲3St. Louis, MOMO278,14452.4%+0.2 pts

39▼1Johnson County, MOMO56,67052.1%−0.4 pts

40▼7Moniteau County, MOMO15,42851.9%−2.5 pts

41▼6Linn County, MOMO11,81551.4%−2.5 pts

42▲11Nodaway County, MOMO20,17451.0%+1.3 pts

43▼3Randolph County, MOMO24,51350.9%−1.5 pts

44▼13Montgomery County, MOMO11,59050.7%−3.9 pts

45▼6Pike County, MOMO17,95550.5%−1.9 pts

46▼3Mercer County, MOMO3,40450.4%−1.6 pts

47▼10St. Francois County, MOMO67,80950.1%−2.5 pts

48Macon County, MOMO15,19049.9%−1.1 pts

49▲1Jasper County, MOMO127,42849.6%−0.6 pts

50▲1Livingston County, MOMO14,70849.6%−0.5 pts

51▼9Miller County, MOMO25,81749.6%−2.5 pts

52▼3Monroe County, MOMO8,95949.3%−1.5 pts

53▲10Bollinger County, MOMO10,64649.2%+2.3 pts

54▲6Scott County, MOMO37,97548.7%+1.3 pts

55▲10Carroll County, MOMO8,41748.6%+2.0 pts

56▲5Shelby County, MOMO5,87048.6%+1.3 pts

57▲28Grundy County, MOMO9,74448.5%+6.0 pts

58▲12Polk County, MOMO33,60447.8%+2.7 pts

59▼1Buchanan County, MOMO83,54047.6%−0.7 pts

60▲2Putnam County, MOMO4,54647.5%+0.5 pts

61▲23Washington County, MOMO23,81047.4%+4.8 pts

62▼3Pettis County, MOMO44,25446.9%−0.7 pts

63▼9Newton County, MOMO62,26346.6%−2.6 pts

64▼12Audrain County, MOMO24,52846.2%−3.6 pts

65▼9Bates County, MOMO16,51246.0%−2.4 pts

66▲6Lawrence County, MOMO39,40145.8%+1.0 pts

67▲22Clark County, MOMO6,47545.3%+4.0 pts

68▲15Iron County, MOMO9,31845.2%+2.5 pts

69▲12Madison County, MOMO12,85845.1%+2.2 pts

70▲8Webster County, MOMO43,05444.8%+1.3 pts

71▼5Gentry County, MOMO6,38444.5%−1.9 pts

72▼8Schuyler County, MOMO4,14044.3%−2.4 pts

73▼18Laclede County, MOMO36,94344.2%−4.3 pts

74▲1Camden County, MOMO44,04743.9%−0.3 pts

75▲25St. Clair County, MOMO9,97643.8%+7.4 pts

76▼3Henry County, MOMO22,67143.5%−1.1 pts

77▼6Crawford County, MOMO22,92942.9%−2.0 pts

78▼4Dent County, MOMO14,58442.3%−2.0 pts

79▼33Worth County, MOMO1,91441.8%−9.7 pts

80▼1Barry County, MOMO36,20041.7%−1.7 pts

81▲15Texas County, MOMO25,99441.2%+3.8 pts

82▲4Atchison County, MOMO5,17541.1%−1.1 pts

83▼3Daviess County, MOMO8,55841.1%−1.8 pts

84▼16Harrison County, MOMO8,28140.7%−4.6 pts

85▲6Taney County, MOMO57,00140.3%−1.0 pts

86▲9Stoddard County, MOMO28,28440.1%+1.1 pts

87▼10Butler County, MOMO41,90440.0%−3.9 pts

88▼19Vernon County, MOMO19,94639.9%−5.3 pts

89▼22Reynolds County, MOMO5,99239.6%−5.9 pts

90▼3New Madrid County, MOMO15,08639.6%−2.6 pts

91▼9Holt County, MOMO4,20039.3%−3.4 pts

92▲14Cedar County, MOMO14,88839.2%+5.1 pts

93▲14Douglas County, MOMO12,34239.1%+5.1 pts

94▲5Pulaski County, MOMO54,44239.1%+2.7 pts

95▼7Dade County, MOMO7,80438.8%−2.8 pts

96▼6Stone County, MOMO32,50338.8%−2.5 pts

97▲16Shannon County, MOMO7,28538.7%+6.5 pts

98▼22Barton County, MOMO11,79538.6%−5.4 pts

99▼6Howell County, MOMO40,79838.1%−1.9 pts

100▼8McDonald County, MOMO23,99238.1%−2.8 pts

101▼3Dunklin County, MOMO26,85537.4%+1.0 pts

102▲2Dallas County, MOMO18,02537.3%+1.5 pts

103▼6Benton County, MOMO20,53637.2%+0.6 pts

104▲1Wright County, MOMO19,67137.0%+2.2 pts

105▲7Morgan County, MOMO22,41835.5%+2.9 pts

106▲9Oregon County, MOMO8,70935.4%+6.4 pts

107▼4Ripley County, MOMO10,71733.9%−2.0 pts

108▼6Mississippi County, MOMO12,00333.7%−2.2 pts

109▼8Carter County, MOMO5,41833.3%−2.8 pts

110▲4Hickory County, MOMO9,04433.1%+2.6 pts

111▼2Ozark County, MOMO9,17232.7%−1.0 pts

112▼4Knox County, MOMO3,72831.7%−2.3 pts

113▼2Pemiscot County, MOMO14,46531.5%−1.6 pts

114▼20Scotland County, MOMO4,79631.0%−8.4 pts

115▼5Wayne County, MOMO10,78229.6%−3.6 pts

SHOWING 1–115 OF 115

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