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

Glenn County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 58 counties in 2019, at 15.6%. San Francisco County had the lowest, at 5.7%. The median was 10.6% and the figure for California was 11%. Source: the U.S. Census Bureau.

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Highest15.6Glenn County
Median10.658 counties
California11History

Map of counties, 2019

Alameda County: 5.9 %Alpine County: 9.7 %Amador County: 8.6 %Butte County: 9.6 %Calaveras County: 9 %Colusa County: 15.4 %Contra Costa County: 7.8 %Del Norte County: 10.4 %El Dorado County: 7.2 %Fresno County: 12.7 %Glenn County: 15.6 %Humboldt County: 11.2 %Imperial County: 12.9 %Inyo County: 10.7 %Kern County: 12.3 %Kings County: 12.5 %Lake County: 11.4 %Lassen County: 6 %Los Angeles County: 13.6 %Madera County: 14.6 %Marin County: 6.2 %Mariposa County: 11.2 %Mendocino County: 12.8 %Merced County: 15.4 %Modoc County: 13.7 %Mono County: 12 %Monterey County: 15.6 %Napa County: 10.2 %Nevada County: 8 %Orange County: 10.7 %Placer County: 5.8 %Plumas County: 7.7 %Riverside County: 12.5 %Sacramento County: 8.4 %San Benito County: 10.9 %San Bernardino County: 12.5 %San Diego County: 10.8 %San Francisco County: 5.7 %San Joaquin County: 10.5 %San Luis Obispo County: 8 %San Mateo County: 6.7 %Santa Barbara County: 15 %Santa Clara County: 6.6 %Santa Cruz County: 9.2 %Shasta County: 10.1 %Sierra County: 8 %Siskiyou County: 11.1 %Solano County: 7.3 %Sonoma County: 9 %Stanislaus County: 10.6 %Sutter County: 11.2 %Tehama County: 10.8 %Trinity County: 11.7 %Tulare County: 12.9 %Tuolumne County: 7.8 %Ventura County: 12.8 %Yolo County: 8 %Yuba County: 10.3 %
  • Under 7.8
  • 7.8 to 9
  • 9 to 11
  • 11 to 13
  • 13 and over
%, 2019. 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, 2019

Glenn County: 15.6 %Glenn County15.6Monterey County: 15.6 %Monterey County15.6Colusa County: 15.4 %Colusa County15.4Merced County: 15.4 %Merced County15.4Santa Barbara County: 15 %Santa Barbara County15Madera County: 14.6 %Madera County14.6Modoc County: 13.7 %Modoc County13.7Los Angeles County: 13.6 %Los Angeles County13.6Imperial County: 12.9 %Imperial County12.9Tulare County: 12.9 %Tulare County12.9Mendocino County: 12.8 %Mendocino County12.8Ventura County: 12.8 %Ventura County12.8Fresno County: 12.7 %Fresno County12.7Kings County: 12.5 %Kings County12.5Riverside County: 12.5 %Riverside County12.5San Bernardino County: 12.5 %San Bernardino County12.5Kern County: 12.3 %Kern County12.3Mono County: 12 %Mono County12Trinity County: 11.7 %Trinity County11.7Lake County: 11.4 %Lake County11.4Humboldt County: 11.2 %Humboldt County11.2Mariposa County: 11.2 %Mariposa County11.2Sutter County: 11.2 %Sutter County11.2Siskiyou County: 11.1 %Siskiyou County11.1San Benito County: 10.9 %San Benito County10.9San Diego County: 10.8 %San Diego County10.8Tehama County: 10.8 %Tehama County10.8Inyo County: 10.7 %Inyo County10.7Orange County: 10.7 %Orange County10.7Stanislaus County: 10.6 %Stanislaus County10.6San Joaquin County: 10.5 %San Joaquin County10.5Del Norte County: 10.4 %Del Norte County10.4Yuba County: 10.3 %Yuba County10.3Napa County: 10.2 %Napa County10.2Shasta County: 10.1 %Shasta County10.1Alpine County: 9.7 %Alpine County9.7Butte County: 9.6 %Butte County9.6Santa Cruz County: 9.2 %Santa Cruz County9.2Calaveras County: 9 %Calaveras County9Sonoma County: 9 %Sonoma County9Amador County: 8.6 %Amador County8.6Sacramento County: 8.4 %Sacramento County8.4Nevada County: 8 %Nevada County8San Luis Obispo County: 8 %San Luis Obispo County8Sierra County: 8 %Sierra County8Yolo County: 8 %Yolo County8Contra Costa County: 7.8 %Contra Costa County7.8Tuolumne County: 7.8 %Tuolumne County7.8Plumas County: 7.7 %Plumas County7.7Solano County: 7.3 %Solano County7.3El Dorado County: 7.2 %El Dorado County7.2San Mateo County: 6.7 %San Mateo County6.7Santa Clara County: 6.6 %Santa Clara County6.6Marin County: 6.2 %Marin County6.2Lassen County: 6 %Lassen County6Alameda County: 5.9 %Alameda County5.9Placer County: 5.8 %Placer County5.8San Francisco County: 5.7 %San Francisco County5.7Glenn County: 15.6 %Glenn County15.6Monterey County: 15.6 %Monterey County15.6Colusa County: 15.4 %Colusa County15.4Merced County: 15.4 %Merced County15.4Santa Barbara County: 15 %Santa Barbara County15Madera County: 14.6 %Madera County14.6Modoc County: 13.7 %Modoc County13.7Los Angeles County: 13.6 %Los Angeles County13.6Imperial County: 12.9 %Imperial County12.9Tulare County: 12.9 %Tulare County12.9Mendocino County: 12.8 %Mendocino County12.8Ventura County: 12.8 %Ventura County12.8Fresno County: 12.7 %Fresno County12.7Kings County: 12.5 %Kings County12.5Riverside County: 12.5 %Riverside County12.5San Bernardino County: 12.5 %San Bernardino County12.5Kern County: 12.3 %Kern County12.3Mono County: 12 %Mono County12Trinity County: 11.7 %Trinity County11.7Lake County: 11.4 %Lake County11.4Humboldt County: 11.2 %Humboldt County11.2Mariposa County: 11.2 %Mariposa County11.2Sutter County: 11.2 %Sutter County11.2Siskiyou County: 11.1 %Siskiyou County11.1San Benito County: 10.9 %San Benito County10.9San Diego County: 10.8 %San Diego County10.8Tehama County: 10.8 %Tehama County10.8Inyo County: 10.7 %Inyo County10.7Orange County: 10.7 %Orange County10.7Stanislaus County: 10.6 %Stanislaus County10.6San Joaquin County: 10.5 %San Joaquin County10.5Del Norte County: 10.4 %Del Norte County10.4Yuba County: 10.3 %Yuba County10.3Napa County: 10.2 %Napa County10.2Shasta County: 10.1 %Shasta County10.1Alpine County: 9.7 %Alpine County9.7Butte County: 9.6 %Butte County9.6Santa Cruz County: 9.2 %Santa Cruz County9.2Calaveras County: 9 %Calaveras County9Sonoma County: 9 %Sonoma County9Amador County: 8.6 %Amador County8.6Sacramento County: 8.4 %Sacramento County8.4Nevada County: 8 %Nevada County8San Luis Obispo County: 8 %San Luis Obispo County8Sierra County: 8 %Sierra County8Yolo County: 8 %Yolo County8Contra Costa County: 7.8 %Contra Costa County7.8Tuolumne County: 7.8 %Tuolumne County7.8Plumas County: 7.7 %Plumas County7.7Solano County: 7.3 %Solano County7.3El Dorado County: 7.2 %El Dorado County7.2San Mateo County: 6.7 %San Mateo County6.7Santa Clara County: 6.6 %Santa Clara County6.6Marin County: 6.2 %Marin County6.2Lassen County: 6 %Lassen County6Alameda County: 5.9 %Alameda County5.9Placer County: 5.8 %Placer County5.8San Francisco County: 5.7 %San Francisco County5.7
%. 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

RankCounties2019 (%)Change on 2018
1Glenn County15.6+0.4 pts
1Monterey County15.6-0.2 pts
3Colusa County15.4+0.4 pts
3Merced County15.4+3.3 pts
5Santa Barbara County15+0.6 pts
6Madera County14.6+0.5 pts
7Modoc County13.7+2.3 pts
8Los Angeles County13.6+1.1 pts
9Imperial County12.9+1.8 pts
9Tulare County12.9+0.8 pts
11Mendocino County12.8+0.6 pts
11Ventura County12.8+1 pts
13Fresno County12.7+0.8 pts
14Kings County12.5+1.3 pts
14Riverside County12.5+0.9 pts
14San Bernardino County12.5+0.8 pts
17Kern County12.3+0.5 pts
18Mono County12+0.1 pts
19Trinity County11.7+1.3 pts
20Lake County11.4+0.5 pts
21Humboldt County11.2+1.4 pts
21Mariposa County11.2+1.6 pts
21Sutter County11.2-0.5 pts
24Siskiyou County11.1+1 pts
25San Benito County10.9+0.9 pts
26San Diego County10.8-0.2 pts
26Tehama County10.8+0.6 pts
28Inyo County10.7+1.4 pts
28Orange County10.7+0.8 pts
30Stanislaus County10.6+1.5 pts
31San Joaquin County10.5+0.3 pts
32Del Norte County10.4+1.3 pts
33Yuba County10.3+0.1 pts
34Napa County10.2+0.4 pts
35Shasta County10.1+1.5 pts
36Alpine County9.7+1.9 pts
37Butte County9.6+0.4 pts
38Santa Cruz County9.2+0.7 pts
39Calaveras County9+0.4 pts
39Sonoma County9-0.8 pts
41Amador County8.6+1.6 pts
42Sacramento County8.4+0.8 pts
43Nevada County80 pts
43San Luis Obispo County8-0.7 pts
43Sierra County8-0.1 pts
43Yolo County8-0.3 pts
47Contra Costa County7.8+0.7 pts
47Tuolumne County7.8+0.4 pts
49Plumas County7.7+0.1 pts
50Solano County7.3+0.2 pts
51El Dorado County7.2+0.4 pts
52San Mateo County6.7+0.8 pts
53Santa Clara County6.6+0.4 pts
54Marin County6.2+0.4 pts
55Lassen County6+0.2 pts
56Alameda County5.90 pts
57Placer County5.8+0.3 pts
58San Francisco County5.7+0.3 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-2019-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), 2019) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-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), 2019. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/california-counties?period=2019. 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), 2019. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/california-counties?period=2019.

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), 2019 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/california-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_california_by_2019,
  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), 2019}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/california-counties?period=2019. 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-2019-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), 2019
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-2019-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/california-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/california-counties?period=2019.
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-2019-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)?

Glenn County, with 15.6% in 2019, according to the U.S. Census Bureau.

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

San Francisco County, with 5.7% in 2019.

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