RANKING · 2024 ACS · 133 SHOWN OF 133

Highest employer health coverage, Virginia counties

Virginia 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 133 counties in Virginia that qualify, ranked against each other statewide. The median across all 133 is 52.0%. Biggest climber in the top 100 since 2020: Richmond County, VA, up 65 places to #16.

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SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPEMPLOYER-BASED INSURANCEVS 2020

01Falls Church, VAVA15,15980.4%−2.2 pts

02▲1Loudoun County, VAVA449,74975.6%−1.0 pts

03▼1Arlington County, VAVA243,93175.3%−2.9 pts

04▲15Clarke County, VAVA15,60970.8%+5.7 pts

05▼1Fairfax, VAVA26,77270.6%−1.7 pts

06New Kent County, VAVA28,02269.6%+1.2 pts

07▲2King George County, VAVA29,64669.5%+1.4 pts

08▲13Poquoson, VAVA13,29269.1%+4.2 pts

09▼4Hanover County, VAVA116,42368.9%−0.5 pts

10▼3Fairfax County, VAVA1,167,87368.7%+0.6 pts

11▲6King William County, VAVA19,61768.2%+2.2 pts

12▲6Montgomery County, VAVA98,43467.9%+2.4 pts

13▼2Powhatan County, VAVA32,59166.9%−0.6 pts

14▲1Alexandria, VAVA160,66266.7%+0.1 pts

15▼7Fauquier County, VAVA76,50366.6%−1.5 pts

16▲65Richmond County, VAVA9,29465.2%+13.1 pts

17▲14Charlottesville, VAVA44,38864.9%+3.2 pts

18▼6Goochland County, VAVA29,18764.6%−2.7 pts

19▲19Fredericksburg, VAVA30,39364.1%+4.2 pts

20▼4Chesterfield County, VAVA397,14864.0%−2.1 pts

21▲5Stafford County, VAVA170,80363.9%+0.5 pts

22▼9Salem, VAVA25,81663.5%−3.5 pts

23Prince William County, VAVA502,96663.2%−0.8 pts

24▼2Albemarle County, VAVA118,35663.1%−1.7 pts

25▼1Henrico County, VAVA342,77562.9%−1.1 pts

26▲3Fluvanna County, VAVA28,97562.7%+0.1 pts

27▼7Frederick County, VAVA99,95562.6%−2.5 pts

28▲6Spotsylvania County, VAVA155,38862.3%+1.4 pts

29▼15Roanoke County, VAVA97,15062.2%−4.4 pts

30▼2Williamsburg, VAVA15,86160.2%−2.6 pts

31▼6Botetourt County, VAVA34,14459.9%−3.9 pts

32▲14Orange County, VAVA40,08359.9%+1.9 pts

33▼3Greene County, VAVA21,95859.7%−2.4 pts

34▼7Caroline County, VAVA34,41359.2%−4.0 pts

35▲16Radford, VAVA17,24359.2%+2.3 pts

36▲9York County, VAVA71,37459.0%+0.7 pts

37▲6Isle of Wight County, VAVA41,32158.4%−0.3 pts

38▲3Giles County, VAVA16,56458.4%−0.7 pts

39▲3Augusta County, VAVA78,94058.1%−0.6 pts

40▼1Dinwiddie County, VAVA28,89657.9%−1.9 pts

41▼5Bedford County, VAVA83,05957.8%−2.5 pts

42▲2Culpeper County, VAVA57,66657.6%−0.7 pts

43▲30Lynchburg, VAVA81,34756.4%+3.1 pts

44▲24Surry County, VAVA6,60355.9%+1.8 pts

45▲5Chesapeake, VAVA255,33255.8%−1.1 pts

46▲15Louisa County, VAVA42,92455.7%+0.3 pts

47▲20Campbell County, VAVA55,62955.2%+1.0 pts

48▲27Prince Edward County, VAVA22,39155.0%+1.9 pts

49▲14Suffolk, VAVA104,69954.8%−0.4 pts

50▼18James City County, VAVA83,32654.5%−7.1 pts

51▼3Warren County, VAVA42,74054.3%−3.7 pts

52▼5Rockingham County, VAVA89,31654.1%−3.9 pts

53▲12Amelia County, VAVA13,63253.9%−0.4 pts

54▼14Amherst County, VAVA31,96253.6%−6.0 pts

55Pulaski County, VAVA33,58653.6%−2.6 pts

56▼2Manassas, VAVA44,33253.6%−2.9 pts

57▲9Charles City County, VAVA6,62353.0%−1.2 pts

58▼25Craig County, VAVA4,80052.9%−8.5 pts

59▲15Virginia Beach, VAVA453,73752.9%−0.3 pts

60▼3Floyd County, VAVA15,78952.8%−3.2 pts

61▼12Harrisonburg, VAVA50,83952.8%−4.3 pts

62▲8Waynesboro, VAVA23,95152.7%−1.1 pts

63▼5Madison County, VAVA14,23752.5%−3.4 pts

64▲16Bland County, VAVA6,15152.4%+0.2 pts

65▼13Shenandoah County, VAVA45,83952.1%−4.7 pts

66▼13Buena Vista, VAVA6,67252.1%−4.5 pts

67▲17Staunton, VAVA26,80152.0%+0.5 pts

68▲25Cumberland County, VAVA10,35251.9%+2.5 pts

69▼13Rockbridge County, VAVA22,66351.8%−4.4 pts

70▲21Alleghany County, VAVA14,54651.7%+1.7 pts

71▼9Prince George County, VAVA43,93651.7%−3.7 pts

72▼8Lexington, VAVA7,76951.6%−3.4 pts

73▲16Richmond, VAVA237,25751.3%+1.0 pts

74▼37Colonial Heights, VAVA18,73851.2%−9.0 pts

75▲10Nelson County, VAVA14,92050.7%−0.5 pts

76▼66King and Queen County, VAVA6,74350.3%−17.4 pts

77▼42Gloucester County, VAVA40,09750.2%−10.2 pts

78▼9Appomattox County, VAVA17,17250.0%−3.8 pts

79▲37Brunswick County, VAVA15,72750.0%+5.4 pts

80▼21Manassas Park, VAVA16,56050.0%−5.6 pts

81▲9Newport News, VAVA183,23049.9%−0.2 pts

82▼22Rappahannock County, VAVA7,43949.3%−6.2 pts

83▼1Southampton County, VAVA18,11049.1%−3.0 pts

84▲10Page County, VAVA23,76248.7%−0.6 pts

85▼14Wythe County, VAVA27,98348.5%−5.2 pts

86▲24Nottoway County, VAVA15,79648.4%+2.8 pts

87▼10Northumberland County, VAVA12,55748.2%−4.1 pts

88▼9Winchester, VAVA28,27248.0%−4.3 pts

89▲11Greensville County, VAVA11,18147.7%−0.2 pts

90▼3Roanoke, VAVA99,11147.7%−2.7 pts

91▲29Charlotte County, VAVA11,40147.6%+4.3 pts

92▼4Franklin County, VAVA55,52647.3%−3.0 pts

93▲20Buckingham County, VAVA17,13747.2%+1.9 pts

94▲1Franklin, VAVA8,47847.2%−1.8 pts

95▼12Hampton, VAVA137,31546.9%−5.0 pts

96▼20Lancaster County, VAVA10,99546.5%−6.4 pts

97▼11Washington County, VAVA53,89846.2%−4.6 pts

98▼2Mecklenburg County, VAVA30,74745.9%−2.9 pts

99▲7Westmoreland County, VAVA19,71545.7%−0.2 pts

100▼28Mathews County, VAVA8,52945.6%−7.9 pts

101▲1Tazewell County, VAVA38,63545.6%−1.7 pts

102▲13Norfolk, VAVA231,01345.5%+0.6 pts

103▼6Portsmouth, VAVA96,77745.3%−3.2 pts

104▲14Essex County, VAVA10,65445.2%+1.3 pts

105▲19Bath County, VAVA4,07644.8%+3.8 pts

106▼2Scott County, VAVA21,20044.5%−2.2 pts

107▲5Smyth County, VAVA28,88244.3%−1.1 pts

108▼7Pittsylvania County, VAVA59,49044.1%−3.8 pts

109▼4Hopewell, VAVA23,26143.9%−2.4 pts

110▲7Accomack County, VAVA33,85943.4%−0.8 pts

111▼2Carroll County, VAVA29,29943.4%−2.2 pts

112▼4Halifax County, VAVA33,44742.9%−2.9 pts

113▼10Wise County, VAVA34,82442.8%−4.2 pts

114▼22Sussex County, VAVA10,75542.7%−7.3 pts

115▲4Dickenson County, VAVA13,23642.5%−1.0 pts

116▼2Middlesex County, VAVA10,84142.2%−3.0 pts

117▲6Petersburg, VAVA33,73442.2%−0.1 pts

118▼7Patrick County, VAVA17,42441.8%−3.7 pts

119▲13Highland County, VAVA2,31841.7%+5.5 pts

120▼21Russell County, VAVA25,33241.6%−6.4 pts

121▼43Covington, VAVA5,68040.8%−11.5 pts

122▼15Norton, VAVA3,47740.3%−5.6 pts

123▼2Grayson County, VAVA15,23039.2%−3.9 pts

124▼26Lunenburg County, VAVA12,05838.6%−9.7 pts

125▲5Henry County, VAVA49,24238.2%−0.4 pts

126▲5Emporia, VAVA5,44737.6%+0.5 pts

127▲2Martinsville, VAVA13,84937.6%−1.2 pts

128▼3Bristol, VAVA16,41837.3%−3.4 pts

129▼7Northampton County, VAVA11,87935.9%−6.4 pts

130▼3Galax, VAVA6,67035.7%−3.5 pts

131▼3Buchanan County, VAVA18,49235.5%−3.3 pts

132▲1Lee County, VAVA21,64234.7%+2.9 pts

133▼7Danville, VAVA41,64734.2%−5.8 pts

SHOWING 1–133 OF 133

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