RANKING · 2024 ACS · 66 SHOWN OF 66

Highest employer health coverage, South Dakota counties

South 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 66 counties in South Dakota that qualify, ranked against each other statewide. The median across all 66 is 50.4%. Biggest climber in the top 100 since 2020: Jerauld County, SD, up 25 places to #20.

South DakotaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPEMPLOYER-BASED INSURANCEVS 2020

01Lincoln County, SDSD77,14571.7%−0.3 pts

02▲1Union County, SDSD17,40266.2%+2.2 pts

03▲1Stanley County, SDSD3,01865.4%+1.6 pts

04▼2Brookings County, SDSD37,63565.3%+0.1 pts

05Minnehaha County, SDSD212,69163.7%0.0 pts

06▲2Hughes County, SDSD17,57060.5%−0.3 pts

07▲14Codington County, SDSD29,56260.3%+5.6 pts

08▲3Brown County, SDSD37,56158.0%−1.4 pts

09▲4Yankton County, SDSD23,63557.4%−1.3 pts

10▲15Hamlin County, SDSD6,90057.2%+3.8 pts

11▼1Edmunds County, SDSD4,02257.1%−2.8 pts

12▼6Clay County, SDSD15,03156.3%−6.1 pts

13▲10Turner County, SDSD9,31455.6%+1.5 pts

14▲15Sanborn County, SDSD2,38855.4%+3.6 pts

15Marshall County, SDSD4,42654.6%−2.7 pts

16▲18Moody County, SDSD6,63254.5%+4.8 pts

17▲18Sully County, SDSD1,47954.0%+4.9 pts

18▼6Hanson County, SDSD3,45653.9%−4.9 pts

19▼1Hutchinson County, SDSD7,41353.9%−1.9 pts

20▲25Jerauld County, SDSD1,65453.9%+11.2 pts

21▼2Lake County, SDSD10,99353.7%−1.4 pts

22▲4Aurora County, SDSD2,80152.9%−0.3 pts

23▼9Grant County, SDSD7,53452.9%−5.6 pts

24▲3Beadle County, SDSD19,62452.8%+0.2 pts

25▼5McCook County, SDSD5,96452.6%−2.4 pts

26▲4Meade County, SDSD30,71152.4%+1.1 pts

27▲4Pennington County, SDSD116,79252.3%+1.4 pts

28▲16Harding County, SDSD1,33152.2%+9.5 pts

29▼1Davison County, SDSD20,06951.5%−1.1 pts

30▼23Deuel County, SDSD4,40851.2%−9.9 pts

31▲5Miner County, SDSD2,28151.1%+2.2 pts

32▼16Kingsbury County, SDSD5,28450.6%−5.7 pts

33▲10Bon Homme County, SDSD7,24450.4%+6.9 pts

34▼10Brule County, SDSD5,27849.6%−4.0 pts

35▼13Custer County, SDSD9,43148.7%−5.4 pts

36▲17Douglas County, SDSD2,88848.7%+8.8 pts

37▲1Walworth County, SDSD5,21748.6%+0.7 pts

38▼5Lawrence County, SDSD29,45948.5%−1.3 pts

39▼22Campbell County, SDSD1,37748.1%−7.7 pts

40Hand County, SDSD3,12148.0%+0.6 pts

41▲10Haakon County, SDSD1,80247.2%+6.4 pts

42▲6Butte County, SDSD10,85646.7%+5.2 pts

43▲7Day County, SDSD5,48445.6%+4.5 pts

44▼5Potter County, SDSD2,37745.6%−2.1 pts

45▼36Hyde County, SDSD1,19144.0%−16.1 pts

46McPherson County, SDSD2,34743.1%+0.8 pts

47▼10Fall River County, SDSD7,46742.7%−5.7 pts

48▲1Gregory County, SDSD4,03742.0%+0.7 pts

49▼17Jones County, SDSD91340.6%−9.7 pts

50▼9Spink County, SDSD6,15540.6%−6.5 pts

51▼4Clark County, SDSD4,03139.9%−1.9 pts

52▲5Charles Mix County, SDSD9,30337.9%+5.1 pts

53▲1Perkins County, SDSD2,85337.3%−1.2 pts

54▼12Faulk County, SDSD2,17836.4%−9.8 pts

55▲1Roberts County, SDSD10,25536.2%−0.4 pts

56▼1Lyman County, SDSD3,69433.7%−3.9 pts

57▼5Tripp County, SDSD5,70832.3%−8.0 pts

58▲1Dewey County, SDSD5,41929.1%+5.3 pts

59▲1Jackson County, SDSD2,66625.2%+1.8 pts

60▲1Ziebach County, SDSD2,38924.0%+3.4 pts

61▼3Bennett County, SDSD3,30722.7%−5.1 pts

62▲4Mellette County, SDSD2,13722.1%+10.8 pts

63▼1Corson County, SDSD3,78119.2%0.0 pts

64▼1Buffalo County, SDSD1,80217.4%+1.6 pts

65▼1Todd County, SDSD8,86317.1%+3.3 pts

66▼1Oglala Lakota County, SDSD13,33812.6%+0.4 pts

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