Data / Rankings / Uninsured rate, ages 18 to 64 (US model-based estimate) / Counties in Alabama

Counties in Alabama by uninsured rate, ages 18 to 64 (US model-based estimate)

DeKalb County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 67 counties in 2014, at 26.9%. Shelby County had the lowest, at 13.2%. The median was 18.9% and the figure for Alabama was 18.1%. Source: the U.S. Census Bureau.

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Highest26.9DeKalb County
Lowest13.2Shelby County
Median18.967 counties
Alabama18.1History

Map of counties, 2014

Autauga County: 14.2 %Baldwin County: 20.5 %Barbour County: 19.9 %Bibb County: 17.2 %Blount County: 20.8 %Bullock County: 22.8 %Butler County: 18.7 %Calhoun County: 18.2 %Chambers County: 18.9 %Cherokee County: 18.2 %Chilton County: 22.6 %Choctaw County: 17.8 %Clarke County: 19.3 %Clay County: 22.2 %Cleburne County: 18.2 %Coffee County: 18.9 %Colbert County: 16.5 %Conecuh County: 21 %Coosa County: 18.7 %Covington County: 19.7 %Crenshaw County: 20.5 %Cullman County: 20.8 %Dale County: 17.9 %Dallas County: 19 %DeKalb County: 26.9 %Elmore County: 14.7 %Escambia County: 22.1 %Etowah County: 18.7 %Fayette County: 18.5 %Franklin County: 25.4 %Geneva County: 21.7 %Greene County: 19.4 %Hale County: 17.9 %Henry County: 18.8 %Houston County: 17.3 %Jackson County: 19.9 %Jefferson County: 16.2 %Lamar County: 17.6 %Lauderdale County: 17.2 %Lawrence County: 20.1 %Lee County: 16.6 %Limestone County: 18.6 %Lowndes County: 18.3 %Macon County: 16.1 %Madison County: 15.8 %Marengo County: 16.9 %Marion County: 19.5 %Marshall County: 24.5 %Mobile County: 19.4 %Monroe County: 22.9 %Montgomery County: 18.1 %Morgan County: 20.5 %Perry County: 20 %Pickens County: 18 %Pike County: 18.5 %Randolph County: 21.6 %Russell County: 19.4 %St. Clair County: 17 %Shelby County: 13.2 %Sumter County: 20.7 %Talladega County: 17.3 %Tallapoosa County: 18 %Tuscaloosa County: 15.3 %Walker County: 19.4 %Washington County: 18.9 %Wilcox County: 21 %Winston County: 20.6 %
  • Under 17
  • 17 to 18
  • 18 to 19
  • 19 to 20
  • 20 to 21
  • 21 and over
%, 2014. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2014

DeKalb County: 26.9 %DeKalb County26.9Franklin County: 25.4 %Franklin County25.4Marshall County: 24.5 %Marshall County24.5Monroe County: 22.9 %Monroe County22.9Bullock County: 22.8 %Bullock County22.8Chilton County: 22.6 %Chilton County22.6Clay County: 22.2 %Clay County22.2Escambia County: 22.1 %Escambia County22.1Geneva County: 21.7 %Geneva County21.7Randolph County: 21.6 %Randolph County21.6Conecuh County: 21 %Conecuh County21Wilcox County: 21 %Wilcox County21Blount County: 20.8 %Blount County20.8Cullman County: 20.8 %Cullman County20.8Sumter County: 20.7 %Sumter County20.7Winston County: 20.6 %Winston County20.6Baldwin County: 20.5 %Baldwin County20.5Crenshaw County: 20.5 %Crenshaw County20.5Morgan County: 20.5 %Morgan County20.5Lawrence County: 20.1 %Lawrence County20.1Perry County: 20 %Perry County20Barbour County: 19.9 %Barbour County19.9Jackson County: 19.9 %Jackson County19.9Covington County: 19.7 %Covington County19.7Marion County: 19.5 %Marion County19.5Greene County: 19.4 %Greene County19.4Mobile County: 19.4 %Mobile County19.4Russell County: 19.4 %Russell County19.4Walker County: 19.4 %Walker County19.4Clarke County: 19.3 %Clarke County19.3Dallas County: 19 %Dallas County19Chambers County: 18.9 %Chambers County18.9Coffee County: 18.9 %Coffee County18.9Washington County: 18.9 %Washington County18.9Henry County: 18.8 %Henry County18.8Butler County: 18.7 %Butler County18.7Coosa County: 18.7 %Coosa County18.7Etowah County: 18.7 %Etowah County18.7Limestone County: 18.6 %Limestone County18.6Fayette County: 18.5 %Fayette County18.5DeKalb County: 26.9 %DeKalb County26.9Franklin County: 25.4 %Franklin County25.4Marshall County: 24.5 %Marshall County24.5Monroe County: 22.9 %Monroe County22.9Bullock County: 22.8 %Bullock County22.8Chilton County: 22.6 %Chilton County22.6Clay County: 22.2 %Clay County22.2Escambia County: 22.1 %Escambia County22.1Geneva County: 21.7 %Geneva County21.7Randolph County: 21.6 %Randolph County21.6Conecuh County: 21 %Conecuh County21Wilcox County: 21 %Wilcox County21Blount County: 20.8 %Blount County20.8Cullman County: 20.8 %Cullman County20.8Sumter County: 20.7 %Sumter County20.7Winston County: 20.6 %Winston County20.6Baldwin County: 20.5 %Baldwin County20.5Crenshaw County: 20.5 %Crenshaw County20.5Morgan County: 20.5 %Morgan County20.5Lawrence County: 20.1 %Lawrence County20.1Perry County: 20 %Perry County20Barbour County: 19.9 %Barbour County19.9Jackson County: 19.9 %Jackson County19.9Covington County: 19.7 %Covington County19.7Marion County: 19.5 %Marion County19.5Greene County: 19.4 %Greene County19.4Mobile County: 19.4 %Mobile County19.4Russell County: 19.4 %Russell County19.4Walker County: 19.4 %Walker County19.4Clarke County: 19.3 %Clarke County19.3Dallas County: 19 %Dallas County19Chambers County: 18.9 %Chambers County18.9Coffee County: 18.9 %Coffee County18.9Washington County: 18.9 %Washington County18.9Henry County: 18.8 %Henry County18.8Butler County: 18.7 %Butler County18.7Coosa County: 18.7 %Coosa County18.7Etowah County: 18.7 %Etowah County18.7Limestone County: 18.6 %Limestone County18.6Fayette County: 18.5 %Fayette County18.5
%. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Full ranking

RankCounties2014 (%)Change on 2013
1DeKalb County26.9-2.4 pts
2Franklin County25.4-1 pts
3Marshall County24.5-4.2 pts
4Monroe County22.9-1 pts
5Bullock County22.8-1.7 pts
6Chilton County22.6-1.8 pts
7Clay County22.2-1.7 pts
8Escambia County22.1-2.3 pts
9Geneva County21.7-2.9 pts
10Randolph County21.6-2.6 pts
11Conecuh County21-2.4 pts
11Wilcox County21-1.8 pts
13Blount County20.8-1.5 pts
13Cullman County20.8-2.9 pts
15Sumter County20.7-0.8 pts
16Winston County20.6-0.6 pts
17Baldwin County20.5-1.5 pts
17Crenshaw County20.5-0.3 pts
17Morgan County20.5-1.3 pts
20Lawrence County20.1-2.4 pts
21Perry County20-0.6 pts
22Barbour County19.9-2.7 pts
22Jackson County19.9-2.8 pts
24Covington County19.7-1.8 pts
25Marion County19.5-0.9 pts
26Greene County19.4-2.3 pts
26Mobile County19.4-2 pts
26Russell County19.4-3 pts
26Walker County19.4-1 pts
30Clarke County19.3-1 pts
31Dallas County19-0.2 pts
32Chambers County18.9-2.6 pts
32Coffee County18.9-2.4 pts
32Washington County18.9-1.1 pts
35Henry County18.8-2.4 pts
36Butler County18.7-1.5 pts
36Coosa County18.7-2.2 pts
36Etowah County18.7-1.7 pts
39Limestone County18.6-1.8 pts
40Fayette County18.5-1.1 pts
40Pike County18.5-2.8 pts
42Lowndes County18.3-1 pts
43Calhoun County18.2-2.2 pts
43Cherokee County18.2-2.3 pts
43Cleburne County18.2-2.9 pts
46Montgomery County18.1-1.8 pts
47Pickens County18-3.4 pts
47Tallapoosa County18-2.3 pts
49Dale County17.9-1.2 pts
49Hale County17.9-2.9 pts
51Choctaw County17.8-2 pts
52Lamar County17.6-2.6 pts
53Houston County17.3-3.2 pts
53Talladega County17.3-1.4 pts
55Bibb County17.2-1.9 pts
55Lauderdale County17.2-1.6 pts
57St. Clair County17-1.2 pts
58Marengo County16.9-3 pts
59Lee County16.6-3.3 pts
60Colbert County16.5-1.8 pts
61Jefferson County16.2-2.2 pts
62Macon County16.1-3.7 pts
63Madison County15.8-1.4 pts
64Tuscaloosa County15.3-3.6 pts
65Elmore County14.7-0.8 pts
66Autauga County14.2-3.2 pts
67Shelby County13.2-1.9 pts

Other periods

About this ranking

People aged 18 to 64 without health insurance coverage of any kind, as a percentage of all people aged 18 to 64. United States: Census Bureau Small Area Health Insurance Estimates (SAHIE) for states and counties, all races, both sexes and all income levels.

A model-based single-year estimate that combines the American Community Survey with administrative records and population estimates, so every county gets a figure. Covers states and counties only, because the SAHIE dataset files have no national row. The Census Bureau advises comparing years from 2008 on only; 2013 is the updated release. Working-age adults; the rate for everyone under 65 is uninsured_rate_under_65.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip. Retrieved 2026-10-12.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

U.S. Census Bureau. (2026). Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties (Counties in Alabama by uninsured rate, ages 18 to 64 (US model-based estimate), 2014) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip

MLA 9

Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties, Counties in Alabama by uninsured rate, ages 18 to 64 (US model-based estimate), 2014. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2014. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. Counties in Alabama by uninsured rate, ages 18 to 64 (US model-based estimate), 2014. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2014.

Harvard

U.S. Census Bureau (2026) Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties, Counties in Alabama by uninsured rate, ages 18 to 64 (US model-based estimate), 2014 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2014 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2014,
  author = {{U.S. Census Bureau}},
  title = {{Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties: Counties in Alabama by uninsured rate, ages 18 to 64 (US model-based estimate), 2014}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2014. Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties: Counties in Alabama by uninsured rate, ages 18 to 64 (US model-based estimate), 2014
PY  - 2026
DA  - 2026/08/06
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2014
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2014.
N1  - Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip. Retrieved 2026-10-12.
ER  -
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Questions

Which county has the highest uninsured rate, ages 18 to 64 (US model-based estimate)?

DeKalb County, with 26.9% in 2014, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, ages 18 to 64 (US model-based estimate)?

Shelby County, with 13.2% in 2014.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Uninsured rate, ages 18 to 64 (US model-based estimate): other rankings

Counties in Alabama: more rankings