States ranked by employer-sponsored health coverage

Utah had the highest percentage of residents covered under employer-sponsored health plans last year, according to an analysis from KFF.

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KFF used data from the Census Bureau’s American Community Survey, which polls 1% of the U.S. population and provides accurate state-level health insurance coverage estimates. Respondents report their current insurance status and are categorized into a single insurance type based on specific criteria. 

Employer-sponsored insurance includes coverage through a current or former employer or union, either as a policyholder or dependent.

Nationwide, 48.6% of Americans were covered under employer-sponsored health plans in 2023. Here’s how each state and Washington, D.C., ranked.

Note: The list includes ties. 

  1. Utah — 60.4%
  2. District of Columbia — 58.9%
  3. North Dakota — 57.6%
  4. Minnesota — 56.5%
  5. New Hampshire — 55.4%
  6. Massachusetts — 54.6%
  7. Wisconsin — 54%
    New Jersey — 54%
  8. Illinois — 53.9%
    Maryland — 53.9%
  9. Kansas — 53.5%
  10. Nebraska — 53%
  11. Iowa — 52.8%
  12. Washington — 52.3%
  13. Colorado — 52.2%
  14. Virginia — 52%
  15. Indiana — 51.9%
  16. South Dakota — 51.4%
  17. Connecticut — 51.3%
    Missouri — 51.3%
  18. Ohio — 51%
  19. Rhode Island — 50.8%
  20. Pennsylvania — 50.3%
  21. Hawaii — 50%
  22. Michigan — 49.8%
  23. Vermont — 48.8%
  24. Idaho — 48.4%
  25. Oregon — 48.2%
  26. Delaware — 47.9%
  27. Wyoming — 47.8%
  28. Georgia — 47.4%
    Texas — 47.4%
  29. Tennessee — 47.1%
  30. California — 47%
    New York — 47%
  31. Nevada — 46.7%
  32. Arizona — 46.6%
  33. North Carolina — 46.5%
  34. Maine — 46.4%
  35. Alabama — 46.3%
  36. Kentucky — 46.1%
  37. South Carolina — 44.4%
  38. West Virginia — 44.3%
  39. Alaska — 43.8%
  40. Oklahoma — 43.2%
  41. Mississippi — 42.7%
  42. Arkansas — 42.4%
  43. Montana — 41.9%
  44. Louisiana — 40.9%
  45. Florida — 40.5%
  46. New Mexico — 34.6%
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