The following list ranks the states by the percentage of their private-sector employees who were enrolled in high-deductible health insurance plans in 2021. The U.S. national average is 55.7 percent.
The data is from the State Health Access Data Assistance Center at the University of Minnesota and was funded by the Robert Wood Johnson Foundation.
High-deductible health plans are defined as plans that meet the minimum deductible amount required for health savings account eligibility — $1,400 for an individual and $2,800 for a family in 2021.
States ranked from the highest to lowest percentage of private-sector employees with a high-deductible health plan:
1. Maine: 76.2 percent
2. Tennessee: 68.7 percent
3. Nebraska: 67.6 percent
4. Kentucky: 67.1 percent
5. Colorado: 66.4 percent
6. North Carolina: 66.1 percent
7. Arizona: 66 percent
8. New Hampshire: 65.3 percent
9. Ohio: 64.7 percent
10. Utah: 64.1 percent
11. Wisconsin: 63.1 percent
12. Idaho: 62.9 percent
13. Minnesota: 62.6 percent
14. South Dakota: 62.4 percent
15. Florida: 62.3 percent
16. Vermont: 62.1 percent
17. Louisiana: 61.8 percent
18. Indiana: 61.5 percent
19. Georgia: 60.9 percent
20. South Carolina: 60.7 percent
21. Iowa: 60.2 percent
22. Wyoming: 59.9 percent
23. Missouri: 59.5 percent
24. Michigan: 59.1 percent
25. Virginia: 58.9 percent
26. Oregon: 58.7 percent
27. Arkansas: 58 percent
T-28. Washington: 56.2 percent
T-28. Kansas: 56.2 percent
30. Montana: 55.8 percent
T-31. New Mexico: 55.5 percent
T-31. Texas: 55.5 percent
33. Connecticut: 54.4 percent
34. West Virginia: 54 percent
35. North Dakota: 53.3 percent
36. Maryland: 52.5 percent
37. New Jersey: 51.6 percent
T-38. Oklahoma: 51.5 percent
T-38. Pennsylvania: 51.5 percent
40: Massachusetts: 51.1 percent
T-41. New York: 50.8 percent
T-41. Delaware: 50.8 percent
43. Illinois: 49.6 percent
44. Rhode Island: 49.5 percent
45. Mississippi: 47.6 percent
46. Nevada: 44.9 percent
47. California: 43.6 percent
T-48. Alabama: 42.8 percent
T-48. Alaska: 42.8 percent
50: Hawaii: 11.6 percent