Nationally, just over 32% of private sector employers with fewer than 50 employees offer health insurance to their workers, according to a KFF analysis.
The 2025 data comes from the Agency for Healthcare Research and Quality’s Medical Expenditure Panel Survey Insurance Component, an annual survey of employers.
States ranked by percentage of small employers that offer health insurance:
- Hawaii: 67.6%
- District of Columbia: 58.6%
- Massachusetts: 48.6%
- Rhode Island: 43.5%
- Nevada: 41.8%
- New Jersey: 41.7%
- Louisiana: 41.5%
- Connecticut: 40.9%
- New Hampshire: 39.8%
- Maryland: 39.5%
- New York: 39.3%
- Oklahoma: 37.2%
- Virginia: 37.2%
- Illinois: 35.5%
- California: 35.1%
- Kansas: 34.6%
- Washington: 34.6%
- Delaware: 34.2%
- Ohio: 34%
- South Dakota: 33.1%
- North Dakota: 33%
- Oregon: 33%
- Arkansas: 32.9%
- Montana: 32.2%
- Wisconsin: 32%
- Alabama: 31.8%
- Colorado: 31.6%
- Michigan: 31.4%
- Missouri: 31%
- Iowa: 30.7%
- Vermont: 30.3%
- Wyoming: 30.2%
- Idaho: 30%
- Pennsylvania: 30%
- Kentucky: 29.7%
- Tennessee: 28.7%
- Mississippi: 28.2%
- Texas: 28.2%
- Georgia: 27.9%
- Minnesota: 27.6%
- Arizona: 26.3%
- Maine: 26.3%
- Nebraska: 25.8%
- New Mexico: 24.9%
- North Carolina: 24.3%
- West Virginia: 23.7%
- Florida: 22.8%
- South Carolina: 21.2%
- Utah: 18.7%
- Indiana: 17%
- Alaska: 16.5%
At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory changes, cost management strategies and innovations shaping the future of payer-provider collaboration. Apply for complimentary registration now.
