Highest employer health coverage, US counties · 2020
US counties ranked by the share of people with employer-based health insurance, alone or in combination with other coverage (2020 ACS). Kalawao County, Hawaii leads at 97.9%. 3,135 counties qualify in total. Ohio carries 4 of the top 25 entries.
UPDATED 2026-08-08 · DATA: US CENSUS BUREAU DECENNIAL CENSUS
Frequently asked
Which county has the highest employer-based insurance?
Kalawao County, Hawaii ranks #1 with 97.9% (2020 Decennial Census).
What are the top 5 counties by employer-based insurance?
Kalawao County, Hawaii, Loving County, Texas, Los Alamos County, New Mexico, Falls Church, Virginia, Arlington County, Virginia.
How many counties are in this ranking?
3,135 counties qualify after filtering for population minimums and data availability. The ranking covers 2020 Decennial Census data.
How is employer-based insurance measured?
Share of the civilian noninstitutionalized population with employer-based health insurance, alone or in combination (ACS S2703). Source: US Census Bureau, 2020 Decennial Census.