Health insurance in Strafford County, New Hampshire
4 insurers sell 46 marketplace plans here, and 5.3% 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
4 insurers sell marketplace plans in Strafford County, offering 46 plans between them, roughly 12 each. It gained 3 since the previous plan year, up from 1.
Comparatively few people go uncovered
5.3% of Strafford County's 103,621 under-65 residents have no health coverage — 5,515 people. That is close to the New Hampshire rate of 5.5%, and puts Strafford County in the bottom 10% of the 1,817 counties on this site (1778th).
How much the marketplace is used
5,642 Strafford County residents selected a marketplace plan for 2026: 54 per thousand under-65 residents, 1500th of 1,817. That is under the 78 per thousand typical of published counties. 1,068 of them — 19% — were new rather than renewing.
Strafford County against New Hampshire
Strafford County is the smallest of the 4 New Hampshire counties we publish a page for. Its uninsured rate tracks the state almost exactly and it carries the same 4 insurers as every other county in the state. Marketplace use is close to the New Hampshire rate.
| Strafford County | New Hampshire | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 5.3% | 5.5% | 9.9% |
| Insurers selling | 4 | 4–4 | 4 |
| Plans offered | 46 | — | 57 |
| Selections per 1,000 | 54 | 58 | 78 |
| New rather than renewing | 19% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Jasper County (Missouri) | 103,631 | 12.1% | 4 | 48 |
| Madison County (Indiana) | 103,839 | 8.1% | 5 | 71 |
| Black Hawk County (Iowa) | 104,711 | 6.6% | 3 | 42 |
| Gregg County (Texas) | 102,314 | 18.9% | 4 | 61 |
Madison County has 5 insurers against this county's 4 — a reminder that the county line, not the state line, is what decides your options.
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