RANKING · 2024 ACS · 53 SHOWN OF 53

Most uninsured people, North Dakota counties

North Dakota counties with the most residents lacking health insurance, as of the 2024 American Community Survey. Ranked by number of people, not the uninsured rate. This list covers the 53 counties in North Dakota that qualify, ranked against each other statewide.

North DakotaAll states All rankings

SAME RANKING BYCities States Metros

RELATEDLargest foreign-born population Most residents with a disability Largest veteran population Largest senior population Most unmarried people Most unmarried men

RANKPLACESTATEPOPUNINSURED RESIDENTSVS 2020

01Cass County, NDND201,79410,570+4%

02Williams County, NDND41,7674,507−4%

03Burleigh County, NDND103,2514,408−9%

04Ward County, NDND68,2334,122+9%

05Grand Forks County, NDND74,5013,184−19%

06Rolette County, NDND11,6882,614−29%

07Stark County, NDND34,0132,156−25%

08Morton County, NDND34,6011,869+27%

09McKenzie County, NDND15,1921,547−28%

10Mountrail County, NDND9,3951,493−13%

11Stutsman County, NDND21,4141,146−31%

12Richland County, NDND16,7311,100+56%

13Ramsey County, NDND11,530922−17%

14Walsh County, NDND10,179816+49%

15Sioux County, NDND3,667784−45%

16Mercer County, NDND8,441619−44%

17Benson County, NDND5,759603−1%

18Dunn County, NDND4,058588−28%

19Bottineau County, NDND6,284524+125%

20Barnes County, NDND10,573474−0%

21Pembina County, NDND6,568458−12%

22McHenry County, NDND5,130426+143%

23McLean County, NDND9,740425+7%

24Dickey County, NDND4,895370+30%

25Traill County, NDND7,920351−18%

26Pierce County, NDND3,838295+157%

27Divide County, NDND2,110210−7%

28Bowman County, NDND2,762204+3%

29LaMoure County, NDND4,135202+12%

30Emmons County, NDND3,215199+19%

31Sargent County, NDND3,711194+60%

32Foster County, NDND3,212161+22%

33Cavalier County, NDND3,497153−43%

34Ransom County, NDND5,617152−32%

35Wells County, NDND3,729142+29%

36Renville County, NDND2,331118−6%

37Nelson County, NDND2,963117−29%

38McIntosh County, NDND2,451117−30%

39Hettinger County, NDND2,492116−50%

40Steele County, NDND1,797116+57%

41Griggs County, NDND2,239112+32%

42Adams County, NDND2,275110−39%

43Eddy County, NDND2,329109−10%

44Grant County, NDND2,20696−32%

45Burke County, NDND2,13294+6%

46Towner County, NDND2,04094−47%

47Oliver County, NDND1,89886−39%

48Sheridan County, NDND1,29681−22%

49Billings County, NDND1,07161+110%

50Kidder County, NDND2,39355−83%

51Logan County, NDND1,85951+42%

52Golden Valley County, NDND1,80836−65%

53Slope County, NDND62834+750%

SHOWING 1–53 OF 53

Download CSV (full list, 53 rows)

UPDATED 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES