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RANKING · 2024 ACS · 51 SHOWN OF 51

Highest employer health coverage, US states

US states ranked by the share of people with employer-based health insurance, alone or in combination with other coverage (2024 ACS). Utah leads at 64.2%. 51 states qualify in total. The median across all 51 is 55.8%. Biggest climber in the top 100 since 2020: District of Columbia, DC, up 12 places to #5.

All statesAll rankings
RANKPLACESTATEPOPEMPLOYER-BASED INSURANCEVS 2020
USUnited States334,922,49954.8%–
01Utah, UTUT3,392,33164.2%−0.6 pts
02New Hampshire, NHNH1,394,86863.0%−0.9 pts
03▲2Massachusetts, MAMA7,044,05662.3%−0.9 pts
04▼1Maryland, MDMD6,206,01162.0%−1.5 pts
05▲12District of Columbia, DCDC681,29461.7%+2.2 pts
06▼2Hawaii, HIHI1,445,23561.5%−1.9 pts
07▲2North Dakota, NDND784,84161.1%−0.6 pts
08▼2Minnesota, MNMN5,739,44561.1%−1.3 pts
09▼2New Jersey, NJNJ9,343,80960.8%−1.6 pts
10▼2Wisconsin, WIWI5,914,87260.5%−1.6 pts
11▼1Michigan, MIMI10,077,76159.9%−0.8 pts
12▲2Virginia, VAVA8,705,17059.1%−1.0 pts
13▲5Illinois, ILIL12,694,79859.1%−0.4 pts
14▼2Connecticut, CTCT3,624,50858.8%−1.6 pts
15▼4Delaware, DEDE1,021,19158.7%−1.8 pts
16Pennsylvania, PAPA13,018,63958.7%−1.0 pts
17▼4Iowa, IAIA3,210,50758.6%−1.6 pts
18▲6Washington, WAWA7,816,11658.6%+0.2 pts
19▼4Nebraska, NENE1,978,70758.5%−1.2 pts
20▼1Kansas, KSKS2,947,19758.5%−0.8 pts
21Ohio, OHOH11,810,29357.7%−1.5 pts
22▼2Indiana, ININ6,851,07357.6%−1.6 pts
23▼1Rhode Island, RIRI1,101,80157.2%−1.5 pts
24▲3Colorado, COCO5,862,18956.9%+0.5 pts
25Missouri, MOMO6,191,81456.5%−0.9 pts
26▼3Wyoming, WYWY582,39755.8%−2.6 pts
27▲1Vermont, VTVT647,10655.4%−0.2 pts
28▲2South Dakota, SDSD907,42855.3%+0.6 pts
29▼3New York, NYNY19,852,36655.0%−1.7 pts
30▼1Maine, MEME1,387,81754.6%−1.0 pts
31▲1West Virginia, WVWV1,778,37354.4%+0.3 pts
32▼1Oregon, OROR4,254,29354.4%0.0 pts
33▲4Alaska, AKAK735,70654.0%+0.4 pts
34▼1Alabama, ALAL5,086,76853.4%−0.7 pts
35▲5Idaho, IDID1,934,26253.2%+0.6 pts
36▼2Georgia, GAGA10,940,40753.2%−0.7 pts
37▲1Tennessee, TNTN7,066,38353.1%−0.3 pts
38▼2Kentucky, KYKY4,534,82452.9%−0.9 pts
39California, CACA39,287,37752.7%−0.1 pts
40▼5Nevada, NVNV3,184,61252.5%−1.3 pts
41North Carolina, NCNC10,730,40452.3%+0.1 pts
42▲2Arizona, AZAZ7,378,83851.6%+1.0 pts
43▼1South Carolina, SCSC5,296,22551.4%−0.6 pts
44▼1Texas, TXTX30,188,42451.3%−0.4 pts
45Oklahoma, OKOK4,028,63449.0%−1.4 pts
46▲1Montana, MTMT1,116,87548.4%−0.3 pts
47▼1Louisiana, LALA4,611,96147.4%−1.7 pts
48Mississippi, MSMS2,946,77947.2%−0.2 pts
49Arkansas, ARAR3,049,39146.6%−0.6 pts
50Florida, FLFL22,416,07745.7%−0.1 pts
51New Mexico, NMNM2,120,24642.7%−1.2 pts
SHOWING 1–51 OF 51

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

Frequently asked

Which state has the highest employer-based insurance?

Utah ranks #1 with 64.2% (2024 American Community Survey).

What are the top 5 states by employer-based insurance?

Utah, New Hampshire, Massachusetts, Maryland, District of Columbia.

How many states are in this ranking?

51 states qualify after filtering for population minimums and data availability. The ranking covers 2024 ACS 5-year 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, American Community Survey 5-year estimates (2024).