Health insurance in Dallas County, Iowa
3 insurers sell 42 marketplace plans here, and 4.1% of under-65 residents have no coverage at all.
Source: CMS Marketplace Open Enrollment Public Use Files and US Census Small Area Health Insurance Estimates, 2026 release.
Who sells here, and how much choice that gives
3 insurers sell marketplace plans in Dallas County, offering 42 plans between them, roughly 14 each. The number has not changed since the previous plan year.
Comparatively few people go uncovered
4.1% of Dallas County's 100,226 under-65 residents have no health coverage — 4,127 people. That is below the Iowa rate of 6.4%, and puts Dallas County in the bottom 10% of the 1,817 counties on this site (1811th).
How much the marketplace is used
4,436 Dallas County residents selected a marketplace plan for 2026: 44 per thousand under-65 residents, 1705th of 1,817. That is under the 78 per thousand typical of published counties. 717 of them — 16% — were new rather than renewing.
Dallas County against Iowa
Dallas County is the 6th largest of the 7 Iowa counties we publish. Its uninsured rate runs 2.3 points lower than Iowa overall and its 3 insurers sit between the state's 2 and 5. Marketplace use is close to the Iowa rate.
| Dallas County | Iowa | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 4.1% | 6.4% | 9.9% |
| Insurers selling | 3 | 2–5 | 4 |
| Plans offered | 42 | — | 57 |
| Selections per 1,000 | 44 | 48 | 78 |
| New rather than renewing | 16% | 14% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Black Hawk County | 104,711 | 6.6% | 3 | 42 |
| Woodbury County | 87,572 | 9.0% | 4 | 58 |
| Johnson County | 129,488 | 6.0% | 2 | 16 |
| Scott County | 141,985 | 5.2% | 4 | 58 |
Woodbury County has 4 insurers against this county's 3 — a reminder that the county line, not the state line, is what decides your options.