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.

All statesAll rankings

SAME RANKING BYCities Counties Metros ZIP codes

YEAR2020 2024

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

03Massachusetts, MAMA7,044,05662.3%−0.9 pts

04Maryland, MDMD6,206,01162.0%−1.5 pts

05District of Columbia, DCDC681,29461.7%+2.2 pts

06Hawaii, HIHI1,445,23561.5%−1.9 pts

07North Dakota, NDND784,84161.1%−0.6 pts

08Minnesota, MNMN5,739,44561.1%−1.3 pts

09New Jersey, NJNJ9,343,80960.8%−1.6 pts

10Wisconsin, WIWI5,914,87260.5%−1.6 pts

11Michigan, MIMI10,077,76159.9%−0.8 pts

12Virginia, VAVA8,705,17059.1%−1.0 pts

13Illinois, ILIL12,694,79859.1%−0.4 pts

14Connecticut, CTCT3,624,50858.8%−1.6 pts

15Delaware, DEDE1,021,19158.7%−1.8 pts

16Pennsylvania, PAPA13,018,63958.7%−1.0 pts

17Iowa, IAIA3,210,50758.6%−1.6 pts

18Washington, WAWA7,816,11658.6%+0.2 pts

19Nebraska, NENE1,978,70758.5%−1.2 pts

20Kansas, KSKS2,947,19758.5%−0.8 pts

21Ohio, OHOH11,810,29357.7%−1.5 pts

22Indiana, ININ6,851,07357.6%−1.6 pts

23Rhode Island, RIRI1,101,80157.2%−1.5 pts

24Colorado, COCO5,862,18956.9%+0.5 pts

25Missouri, MOMO6,191,81456.5%−0.9 pts

26Wyoming, WYWY582,39755.8%−2.6 pts

27Vermont, VTVT647,10655.4%−0.2 pts

28South Dakota, SDSD907,42855.3%+0.6 pts

29New York, NYNY19,852,36655.0%−1.7 pts

30Maine, MEME1,387,81754.6%−1.0 pts

31West Virginia, WVWV1,778,37354.4%+0.3 pts

32Oregon, OROR4,254,29354.4%+0.0 pts

33Alaska, AKAK735,70654.0%+0.4 pts

34Alabama, ALAL5,086,76853.4%−0.7 pts

35Idaho, IDID1,934,26253.2%+0.6 pts

36Georgia, GAGA10,940,40753.2%−0.7 pts

37Tennessee, TNTN7,066,38353.1%−0.3 pts

38Kentucky, KYKY4,534,82452.9%−0.9 pts

39California, CACA39,287,37752.7%−0.1 pts

40Nevada, NVNV3,184,61252.5%−1.3 pts

41North Carolina, NCNC10,730,40452.3%+0.1 pts

42Arizona, AZAZ7,378,83851.6%+1.0 pts

43South Carolina, SCSC5,296,22551.4%−0.6 pts

44Texas, TXTX30,188,42451.3%−0.4 pts

45Oklahoma, OKOK4,028,63449.0%−1.4 pts

46Montana, MTMT1,116,87548.4%−0.3 pts

47Louisiana, 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

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UPDATED 2026-08-08 · 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).