RANKING · 2024 ACS · 100 SHOWN OF 100

Highest employer health coverage, North Carolina counties

North Carolina 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 100 counties in North Carolina that qualify, ranked against each other statewide. The median across all 100 is 46.0%. Biggest climber in the top 100 since 2020: Jones County, NC, up 51 places to #34.

North CarolinaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPEMPLOYER-BASED INSURANCEVS 2020

01Wake County, NCNC1,257,23566.5%+1.0 pts

02Orange County, NCNC152,49865.2%−0.2 pts

03Union County, NCNC267,67461.9%−0.5 pts

04▲2Durham County, NCNC347,24059.9%+1.2 pts

05▼1Cabarrus County, NCNC249,72559.5%−2.1 pts

06▲14Camden County, NCNC11,31558.9%+5.8 pts

07▲5Johnston County, NCNC256,44858.0%+2.5 pts

08▼1Mecklenburg County, NCNC1,233,38357.7%−0.3 pts

09▼1Chatham County, NCNC85,11157.6%+0.5 pts

10▲17Currituck County, NCNC33,15856.5%+4.6 pts

11▼1Iredell County, NCNC211,79856.3%+0.2 pts

12▼3Granville County, NCNC61,42154.8%−1.8 pts

13▼8Gates County, NCNC10,23454.0%−5.8 pts

14▲1New Hanover County, NCNC245,95953.9%−0.9 pts

15▼1Guilford County, NCNC562,23453.7%−1.1 pts

16▲9Davie County, NCNC45,85553.1%+0.8 pts

17▼1Alamance County, NCNC186,17753.1%−0.8 pts

18▲6Forsyth County, NCNC401,71852.7%0.0 pts

19▼1Gaston County, NCNC246,55852.7%−0.9 pts

20▼7Watauga County, NCNC54,78652.7%−2.2 pts

21▲7Franklin County, NCNC82,03752.2%+0.8 pts

22▲9Pender County, NCNC72,11152.0%+1.6 pts

23▲7Davidson County, NCNC180,18251.0%+0.2 pts

24▼13Lincoln County, NCNC98,65450.7%−5.1 pts

25▲25Dare County, NCNC38,24550.6%+3.5 pts

26▼3Stanly County, NCNC68,83050.5%−2.3 pts

27▲2Catawba County, NCNC170,17250.4%−0.8 pts

28▼7Pitt County, NCNC182,93650.3%−2.8 pts

29▼10Stokes County, NCNC46,12650.3%−3.0 pts

30▲12Rowan County, NCNC155,09650.1%+1.7 pts

31▲7Carteret County, NCNC70,46949.8%+1.2 pts

32▲33Pasquotank County, NCNC42,20149.7%+5.1 pts

33▼16Person County, NCNC40,63649.7%−4.1 pts

34▲51Jones County, NCNC9,57549.4%+10.8 pts

35▲4Alexander County, NCNC36,95849.3%+0.8 pts

36▼4Buncombe County, NCNC277,41749.2%−0.6 pts

37▼2Nash County, NCNC99,36549.2%0.0 pts

38▼2Burke County, NCNC88,65549.0%−0.1 pts

39▲6Craven County, NCNC105,02548.9%+1.1 pts

40▼3Brunswick County, NCNC174,70248.0%−1.0 pts

41▲33Polk County, NCNC20,53347.5%+4.7 pts

42▲22Moore County, NCNC110,61947.4%+2.6 pts

43▲3Martin County, NCNC21,60147.2%−0.3 pts

44▼11Mitchell County, NCNC15,06247.2%−2.2 pts

45▲16Lee County, NCNC70,25846.8%+1.8 pts

46▲1Surry County, NCNC72,28746.6%−0.8 pts

47▲15Madison County, NCNC22,55346.2%+1.3 pts

48▼26Perquimans County, NCNC13,49046.2%−6.7 pts

49▼5Yadkin County, NCNC38,32546.1%−2.2 pts

50▼16Cleveland County, NCNC103,32546.0%−3.3 pts

51▲32Yancey County, NCNC19,08446.0%+5.9 pts

52▼11Rockingham County, NCNC94,19545.9%−2.5 pts

53▲16Harnett County, NCNC150,13745.8%+2.2 pts

54▼6Wilson County, NCNC81,15045.5%−1.8 pts

55▼29Caswell County, NCNC22,56345.4%−6.6 pts

56▲3Randolph County, NCNC149,51645.3%+0.1 pts

57▼8McDowell County, NCNC45,19845.3%−1.9 pts

58▼6Chowan County, NCNC14,08245.1%−0.7 pts

59▼8Haywood County, NCNC63,36945.1%−1.5 pts

60▼17Henderson County, NCNC122,37544.7%−3.7 pts

61▼1Caldwell County, NCNC81,10544.2%−0.9 pts

62▲6Bertie County, NCNC17,08644.0%+0.4 pts

63▼8Ashe County, NCNC27,51443.5%−2.1 pts

64▼6Warren County, NCNC18,89842.9%−2.6 pts

65▲7Hertford County, NCNC19,01542.7%−0.4 pts

66▲16Duplin County, NCNC51,57142.5%+2.1 pts

67▼27Jackson County, NCNC45,03942.4%−6.0 pts

68▼12Anson County, NCNC21,75842.3%−3.2 pts

69▲4Edgecombe County, NCNC49,12142.3%−0.6 pts

70Transylvania County, NCNC34,21142.2%−1.3 pts

71▼5Lenoir County, NCNC55,83742.0%−2.6 pts

72▲9Bladen County, NCNC30,00741.8%+0.8 pts

73▼16Northampton County, NCNC16,49141.5%−4.0 pts

74▼21Montgomery County, NCNC26,40341.4%−4.4 pts

75▼8Rutherford County, NCNC65,74541.3%−2.7 pts

76▲2Sampson County, NCNC61,50441.3%+0.2 pts

77▲3Wayne County, NCNC122,27841.3%+0.2 pts

78▼7Vance County, NCNC42,63841.1%−2.4 pts

79▲9Alleghany County, NCNC11,47940.7%+3.1 pts

80▼17Wilkes County, NCNC66,23340.5%−4.4 pts

81▲10Clay County, NCNC12,23939.9%+3.1 pts

82▲4Columbus County, NCNC50,48739.8%+1.7 pts

83▲14Pamlico County, NCNC12,75839.5%+5.2 pts

84▼8Avery County, NCNC18,11039.4%−2.8 pts

85▼6Scotland County, NCNC33,32239.4%−1.7 pts

86▼32Graham County, NCNC8,19038.7%−7.0 pts

87▲3Macon County, NCNC39,23238.3%+1.2 pts

88▲4Cherokee County, NCNC30,83038.1%+1.5 pts

89▼14Richmond County, NCNC42,04138.1%−4.5 pts

90▼6Halifax County, NCNC46,53438.0%−1.1 pts

91▼4Beaufort County, NCNC44,67037.8%−0.1 pts

92▲3Hoke County, NCNC56,93936.9%+0.8 pts

93Cumberland County, NCNC338,47336.8%+0.3 pts

94▲2Swain County, NCNC14,02436.7%+1.5 pts

95▼18Greene County, NCNC20,70036.6%−4.6 pts

96▲2Onslow County, NCNC217,17536.6%+2.8 pts

97▼8Washington County, NCNC10,63834.3%−3.0 pts

98▼4Robeson County, NCNC119,94132.8%−3.6 pts

99▲1Hyde County, NCNC4,55430.1%+2.9 pts

100▼1Tyrrell County, NCNC3,53729.3%−2.6 pts

SHOWING 1–100 OF 100

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