Health insurance by state
Which insurers actually sell marketplace plans where you live. 170 issuers across 1,852 counties in 30 states, for plan year 2026.
The number of insurers offering plans varies enormously by county. Some counties have a single option; others have a dozen. This shows which.
Alabama
4 insurers · 60 counties
Alaska
2 insurers · 13 counties
Arizona
7 insurers · 15 counties
Arkansas
6 insurers · 0 counties
Delaware
3 insurers · 0 counties
Florida
16 insurers · 67 counties
Hawaii
2 insurers · 0 counties
Indiana
5 insurers · 85 counties
Iowa
6 insurers · 99 counties
Kansas
6 insurers · 105 counties
Louisiana
6 insurers · 64 counties
Michigan
7 insurers · 83 counties
Mississippi
5 insurers · 75 counties
Missouri
8 insurers · 115 counties
Montana
3 insurers · 56 counties
Nebraska
5 insurers · 93 counties
New Hampshire
4 insurers · 5 counties
North Carolina
6 insurers · 100 counties
North Dakota
3 insurers · 53 counties
Ohio
11 insurers · 88 counties
Oklahoma
7 insurers · 77 counties
Oregon
6 insurers · 18 counties
South Carolina
6 insurers · 46 counties
South Dakota
3 insurers · 66 counties
Tennessee
6 insurers · 95 counties
Texas
18 insurers · 254 counties
Utah
6 insurers · 28 counties
West Virginia
2 insurers · 0 counties
Wisconsin
12 insurers · 72 counties
Wyoming
2 insurers · 20 counties
Why only these states
Thirty states use the federal marketplace at HealthCare.gov, and CMS publishes their plan and coverage data openly. The remaining states run their own exchanges — California, New York, Colorado and others — and publish separately, in different formats. We cover the federal marketplace here rather than presenting incomplete national figures.
What a marketplace plan is
Marketplace plans are individual health policies sold through the exchange created by the Affordable Care Act. They must cover a standard set of essential benefits, cannot refuse you for a pre-existing condition, and may come with income-based subsidies.
They are not the only way to buy health insurance, but they are the only market where coverage, pricing and issuer participation are published as public data — which is why these pages are possible at all.
Source: CMS Health Insurance Exchange public use files, plan year 2026. Agent counts from the federal Find Local Help directory, updated daily.