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RANKING · 2024 ACS · 53 SHOWN OF 53

Highest employer health coverage, North Dakota counties

North Dakota 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 53 counties in North Dakota that qualify, ranked against each other statewide. The median across all 53 is 51.7%. Biggest climber in the top 100 since 2020: Dunn County, ND, up 20 places to #28.

Highest employer health coverage by state
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RANKPLACESTATEPOPEMPLOYER-BASED INSURANCEVS 2020
01Cass County, NDND201,79467.4%−1.4 pts
02▲2Burleigh County, NDND103,25167.4%+0.1 pts
03▲2Grand Forks County, NDND74,50164.6%−0.6 pts
04▲10McKenzie County, NDND15,19264.6%+5.0 pts
05▼2Williams County, NDND41,76763.9%−4.0 pts
06▲2Stark County, NDND34,01363.6%−0.6 pts
07Sargent County, NDND3,71162.4%−2.1 pts
08▼6Oliver County, NDND1,89862.3%−5.9 pts
09▲1Morton County, NDND34,60161.9%−1.8 pts
10▼1Burke County, NDND2,13260.6%−3.4 pts
11▲5Traill County, NDND7,92060.2%+2.4 pts
12▼1Richland County, NDND16,73160.0%−1.2 pts
13▼7Ransom County, NDND5,61759.5%−5.1 pts
14▲7Stutsman County, NDND21,41458.4%+1.9 pts
15▼2Ward County, NDND68,23358.0%−2.2 pts
16▼1Dickey County, NDND4,89557.9%+0.1 pts
17▲3McLean County, NDND9,74057.6%+0.7 pts
18▼6Barnes County, NDND10,57357.2%−3.2 pts
19▲9Pembina County, NDND6,56857.2%+3.6 pts
20▲3Walsh County, NDND10,17956.6%+1.5 pts
21▲1Mercer County, NDND8,44155.6%+0.4 pts
22▲14Nelson County, NDND2,96354.1%+3.6 pts
23▼6Eddy County, NDND2,32953.4%−4.3 pts
24▲5Ramsey County, NDND11,53052.9%+0.1 pts
25▲1McHenry County, NDND5,13052.2%−2.1 pts
26▼2Golden Valley County, NDND1,80852.2%−2.8 pts
27▼8Foster County, NDND3,21251.7%−5.4 pts
28▲20Dunn County, NDND4,05850.7%+12.0 pts
29▼2Bowman County, NDND2,76250.1%−4.1 pts
30▲12Cavalier County, NDND3,49749.6%+3.7 pts
31▲15Towner County, NDND2,04049.3%+7.4 pts
32▲1LaMoure County, NDND4,13549.1%−2.1 pts
33▼15Wells County, NDND3,72948.6%−8.7 pts
34Mountrail County, NDND9,39548.3%−2.4 pts
35▼10Griggs County, NDND2,23947.9%−6.9 pts
36▼4Renville County, NDND2,33147.7%−3.6 pts
37Adams County, NDND2,27547.6%−2.8 pts
38▼3Billings County, NDND1,07147.6%−3.0 pts
39▼9Bottineau County, NDND6,28447.6%−4.2 pts
40▲1Steele County, NDND1,79747.6%+1.4 pts
41▼1Divide County, NDND2,11047.3%+0.3 pts
42▲3Kidder County, NDND2,39346.5%+4.6 pts
43▲4Emmons County, NDND3,21544.0%+3.6 pts
44▲6Sheridan County, NDND1,29644.0%+8.5 pts
45▼14Hettinger County, NDND2,49243.3%−8.1 pts
46▼7Pierce County, NDND3,83841.9%−6.6 pts
47▼3Logan County, NDND1,85941.0%−3.1 pts
48▼5McIntosh County, NDND2,45141.0%−4.7 pts
49▲3Slope County, NDND62840.9%+12.2 pts
50▼12Grant County, NDND2,20636.7%−11.8 pts
51▼2Benson County, NDND5,75932.1%−4.0 pts
52▲1Sioux County, NDND3,66730.3%+4.0 pts
53▼2Rolette County, NDND11,68826.9%−2.7 pts
SHOWING 1–53 OF 53

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