RANKING · 2020 CENSUS · 51 SHOWN OF 51

Highest employer health coverage, US states · 2020

US states ranked by the share of people with employer-based health insurance, alone or in combination with other coverage (2020 ACS). Utah leads at 64.8%. 51 states qualify in total.

All statesAll rankings

SAME RANKING BYCities Counties Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPEMPLOYER-BASED INSURANCEVS –

USUnited States331,449,28155.4%–

01Utah, UTUT3,392,33164.8%–

02New Hampshire, NHNH1,394,86863.9%–

03Maryland, MDMD6,206,01163.5%–

04Hawaii, HIHI1,445,23563.4%–

05Massachusetts, MAMA7,044,05663.2%–

06Minnesota, MNMN5,739,44562.4%–

07New Jersey, NJNJ9,343,80962.4%–

08Wisconsin, WIWI5,914,87262.1%–

09North Dakota, NDND784,84161.7%–

10Michigan, MIMI10,077,76160.7%–

11Delaware, DEDE1,021,19160.5%–

12Connecticut, CTCT3,624,50860.4%–

13Iowa, IAIA3,210,50760.2%–

14Virginia, VAVA8,705,17060.1%–

15Nebraska, NENE1,978,70759.7%–

16Pennsylvania, PAPA13,018,63959.7%–

17District of Columbia, DCDC681,29459.5%–

18Illinois, ILIL12,694,79859.5%–

19Kansas, KSKS2,947,19759.3%–

20Indiana, ININ6,851,07359.2%–

21Ohio, OHOH11,810,29359.2%–

22Rhode Island, RIRI1,101,80158.7%–

23Wyoming, WYWY582,39758.4%–

24Washington, WAWA7,816,11658.4%–

25Missouri, MOMO6,191,81457.4%–

26New York, NYNY19,852,36656.7%–

27Colorado, COCO5,862,18956.4%–

28Vermont, VTVT647,10655.6%–

29Maine, MEME1,387,81755.6%–

30South Dakota, SDSD907,42854.7%–

31Oregon, OROR4,254,29354.4%–

32West Virginia, WVWV1,778,37354.1%–

33Alabama, ALAL5,086,76854.1%–

34Georgia, GAGA10,940,40753.9%–

35Nevada, NVNV3,184,61253.8%–

36Kentucky, KYKY4,534,82453.8%–

37Alaska, AKAK735,70653.6%–

38Tennessee, TNTN7,066,38353.4%–

39California, CACA39,287,37752.8%–

40Idaho, IDID1,934,26252.6%–

41North Carolina, NCNC10,730,40452.2%–

42South Carolina, SCSC5,296,22552.0%–

43Texas, TXTX30,188,42451.7%–

44Arizona, AZAZ7,378,83850.6%–

45Oklahoma, OKOK4,028,63450.4%–

46Louisiana, LALA4,611,96149.1%–

47Montana, MTMT1,116,87548.7%–

48Mississippi, MSMS2,946,77947.4%–

49Arkansas, ARAR3,049,39147.2%–

50Florida, FLFL22,416,07745.8%–

51New Mexico, NMNM2,120,24643.9%–

SHOWING 1–51 OF 51

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UPDATED 2026-08-08 · DATA: US CENSUS BUREAU DECENNIAL CENSUS

Frequently asked

Which state has the highest employer-based insurance?

Utah ranks #1 with 64.8% (2020 Decennial Census).

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

Utah, New Hampshire, Maryland, Hawaii, Massachusetts.

How many states are in this ranking?

51 states 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.