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

Tulare County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 58 counties in 2014, at 23.1%. Santa Clara County had the lowest, at 10.2%. The median was 16.2% and the figure for California was 17.3%. Source: the U.S. Census Bureau.

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Highest23.1Tulare County
Median16.258 counties
California17.3History

Map of counties, 2014

Alameda County: 11.4 %Alpine County: 17.4 %Amador County: 11.6 %Butte County: 15.5 %Calaveras County: 12 %Colusa County: 21.1 %Contra Costa County: 12.1 %Del Norte County: 15.4 %El Dorado County: 10.8 %Fresno County: 20.6 %Glenn County: 22.4 %Humboldt County: 17.6 %Imperial County: 20.9 %Inyo County: 15.4 %Kern County: 19.2 %Kings County: 18.7 %Lake County: 18.7 %Lassen County: 11 %Los Angeles County: 21.5 %Madera County: 22.7 %Marin County: 10.3 %Mariposa County: 14.1 %Mendocino County: 18.8 %Merced County: 19.6 %Modoc County: 17.7 %Mono County: 18.5 %Monterey County: 21.7 %Napa County: 14.7 %Nevada County: 13.3 %Orange County: 16.3 %Placer County: 10.7 %Plumas County: 13.3 %Riverside County: 20.9 %Sacramento County: 14.2 %San Benito County: 16.6 %San Bernardino County: 18.9 %San Diego County: 16 %San Francisco County: 10.4 %San Joaquin County: 17.1 %San Luis Obispo County: 15.6 %San Mateo County: 10.8 %Santa Barbara County: 18.9 %Santa Clara County: 10.2 %Santa Cruz County: 15.3 %Shasta County: 16.3 %Sierra County: 16.4 %Siskiyou County: 17 %Solano County: 12.5 %Sonoma County: 15.3 %Stanislaus County: 16.2 %Sutter County: 18.2 %Tehama County: 16.1 %Trinity County: 13.7 %Tulare County: 23.1 %Tuolumne County: 13.2 %Ventura County: 16 %Yolo County: 13.3 %Yuba County: 18 %
  • Under 12
  • 12 to 15
  • 15 to 16
  • 16 to 18
  • 18 to 19
  • 19 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.

All counties, 2014

Tulare County: 23.1 %Tulare County23.1Madera County: 22.7 %Madera County22.7Glenn County: 22.4 %Glenn County22.4Monterey County: 21.7 %Monterey County21.7Los Angeles County: 21.5 %Los Angeles County21.5Colusa County: 21.1 %Colusa County21.1Imperial County: 20.9 %Imperial County20.9Riverside County: 20.9 %Riverside County20.9Fresno County: 20.6 %Fresno County20.6Merced County: 19.6 %Merced County19.6Kern County: 19.2 %Kern County19.2San Bernardino County: 18.9 %San Bernardino County18.9Santa Barbara County: 18.9 %Santa Barbara County18.9Mendocino County: 18.8 %Mendocino County18.8Kings County: 18.7 %Kings County18.7Lake County: 18.7 %Lake County18.7Mono County: 18.5 %Mono County18.5Sutter County: 18.2 %Sutter County18.2Yuba County: 18 %Yuba County18Modoc County: 17.7 %Modoc County17.7Humboldt County: 17.6 %Humboldt County17.6Alpine County: 17.4 %Alpine County17.4San Joaquin County: 17.1 %San Joaquin County17.1Siskiyou County: 17 %Siskiyou County17San Benito County: 16.6 %San Benito County16.6Sierra County: 16.4 %Sierra County16.4Orange County: 16.3 %Orange County16.3Shasta County: 16.3 %Shasta County16.3Stanislaus County: 16.2 %Stanislaus County16.2Tehama County: 16.1 %Tehama County16.1San Diego County: 16 %San Diego County16Ventura County: 16 %Ventura County16San Luis Obispo County: 15.6 %San Luis Obispo County15.6Butte County: 15.5 %Butte County15.5Del Norte County: 15.4 %Del Norte County15.4Inyo County: 15.4 %Inyo County15.4Santa Cruz County: 15.3 %Santa Cruz County15.3Sonoma County: 15.3 %Sonoma County15.3Napa County: 14.7 %Napa County14.7Sacramento County: 14.2 %Sacramento County14.2Mariposa County: 14.1 %Mariposa County14.1Trinity County: 13.7 %Trinity County13.7Nevada County: 13.3 %Nevada County13.3Plumas County: 13.3 %Plumas County13.3Yolo County: 13.3 %Yolo County13.3Tuolumne County: 13.2 %Tuolumne County13.2Solano County: 12.5 %Solano County12.5Contra Costa County: 12.1 %Contra Costa County12.1Calaveras County: 12 %Calaveras County12Amador County: 11.6 %Amador County11.6Alameda County: 11.4 %Alameda County11.4Lassen County: 11 %Lassen County11El Dorado County: 10.8 %El Dorado County10.8San Mateo County: 10.8 %San Mateo County10.8Placer County: 10.7 %Placer County10.7San Francisco County: 10.4 %San Francisco County10.4Marin County: 10.3 %Marin County10.3Santa Clara County: 10.2 %Santa Clara County10.2Tulare County: 23.1 %Tulare County23.1Madera County: 22.7 %Madera County22.7Glenn County: 22.4 %Glenn County22.4Monterey County: 21.7 %Monterey County21.7Los Angeles County: 21.5 %Los Angeles County21.5Colusa County: 21.1 %Colusa County21.1Imperial County: 20.9 %Imperial County20.9Riverside County: 20.9 %Riverside County20.9Fresno County: 20.6 %Fresno County20.6Merced County: 19.6 %Merced County19.6Kern County: 19.2 %Kern County19.2San Bernardino County: 18.9 %San Bernardino County18.9Santa Barbara County: 18.9 %Santa Barbara County18.9Mendocino County: 18.8 %Mendocino County18.8Kings County: 18.7 %Kings County18.7Lake County: 18.7 %Lake County18.7Mono County: 18.5 %Mono County18.5Sutter County: 18.2 %Sutter County18.2Yuba County: 18 %Yuba County18Modoc County: 17.7 %Modoc County17.7Humboldt County: 17.6 %Humboldt County17.6Alpine County: 17.4 %Alpine County17.4San Joaquin County: 17.1 %San Joaquin County17.1Siskiyou County: 17 %Siskiyou County17San Benito County: 16.6 %San Benito County16.6Sierra County: 16.4 %Sierra County16.4Orange County: 16.3 %Orange County16.3Shasta County: 16.3 %Shasta County16.3Stanislaus County: 16.2 %Stanislaus County16.2Tehama County: 16.1 %Tehama County16.1San Diego County: 16 %San Diego County16Ventura County: 16 %Ventura County16San Luis Obispo County: 15.6 %San Luis Obispo County15.6Butte County: 15.5 %Butte County15.5Del Norte County: 15.4 %Del Norte County15.4Inyo County: 15.4 %Inyo County15.4Santa Cruz County: 15.3 %Santa Cruz County15.3Sonoma County: 15.3 %Sonoma County15.3Napa County: 14.7 %Napa County14.7Sacramento County: 14.2 %Sacramento County14.2Mariposa County: 14.1 %Mariposa County14.1Trinity County: 13.7 %Trinity County13.7Nevada County: 13.3 %Nevada County13.3Plumas County: 13.3 %Plumas County13.3Yolo County: 13.3 %Yolo County13.3Tuolumne County: 13.2 %Tuolumne County13.2Solano County: 12.5 %Solano County12.5Contra Costa County: 12.1 %Contra Costa County12.1Calaveras County: 12 %Calaveras County12Amador County: 11.6 %Amador County11.6Alameda County: 11.4 %Alameda County11.4Lassen County: 11 %Lassen County11El Dorado County: 10.8 %El Dorado County10.8San Mateo County: 10.8 %San Mateo County10.8Placer County: 10.7 %Placer County10.7San Francisco County: 10.4 %San Francisco County10.4Marin County: 10.3 %Marin County10.3Santa Clara County: 10.2 %Santa Clara County10.2
%. 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
1Tulare County23.1-5.8 pts
2Madera County22.7-7 pts
3Glenn County22.4-6.2 pts
4Monterey County21.7-9.3 pts
5Los Angeles County21.5-7.8 pts
6Colusa County21.1-9.9 pts
7Imperial County20.9-6.8 pts
7Riverside County20.9-6.5 pts
9Fresno County20.6-6.3 pts
10Merced County19.6-8.6 pts
11Kern County19.2-7.9 pts
12San Bernardino County18.9-7 pts
12Santa Barbara County18.9-6.7 pts
14Mendocino County18.8-7.5 pts
15Kings County18.7-5.9 pts
15Lake County18.7-5.3 pts
17Mono County18.5-8.6 pts
18Sutter County18.2-8.1 pts
19Yuba County18-5.6 pts
20Modoc County17.7-9.2 pts
21Humboldt County17.6-7.2 pts
22Alpine County17.4-2.6 pts
23San Joaquin County17.1-7.7 pts
24Siskiyou County17-6.7 pts
25San Benito County16.6-7.4 pts
26Sierra County16.4-6.3 pts
27Orange County16.3-6.7 pts
27Shasta County16.3-5.5 pts
29Stanislaus County16.2-10.2 pts
30Tehama County16.1-7.7 pts
31San Diego County16-5.5 pts
31Ventura County16-6.3 pts
33San Luis Obispo County15.6-2.9 pts
34Butte County15.5-5.1 pts
35Del Norte County15.4-5.5 pts
35Inyo County15.4-5.9 pts
37Santa Cruz County15.3-6.9 pts
37Sonoma County15.3-5.2 pts
39Napa County14.7-6.7 pts
40Sacramento County14.2-6.9 pts
41Mariposa County14.1-3.5 pts
42Trinity County13.7-8.9 pts
43Nevada County13.3-6.5 pts
43Plumas County13.3-7.7 pts
43Yolo County13.3-6.9 pts
46Tuolumne County13.2-5.2 pts
47Solano County12.5-5.6 pts
48Contra Costa County12.1-5.2 pts
49Calaveras County12-6.6 pts
50Amador County11.6-6.7 pts
51Alameda County11.4-6 pts
52Lassen County11-4.5 pts
53El Dorado County10.8-5 pts
53San Mateo County10.8-3.5 pts
55Placer County10.7-4.7 pts
56San Francisco County10.4-3.6 pts
57Marin County10.3-3.9 pts
58Santa Clara County10.2-5.4 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 California 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 California 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/california-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 California 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/california-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 California 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/california-counties?period=2014 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_california_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 California 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/california-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 California 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/california-counties?period=2014
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/california-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)?

Tulare County, with 23.1% in 2014, according to the U.S. Census Bureau.

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

Santa Clara County, with 10.2% 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 California: more rankings