Health insurance in Brunswick County, North Carolina
4 insurers sell 65 marketplace plans here, and 9.0% 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 Brunswick County, offering 65 plans between them, roughly 16 each. The number has not changed since the previous plan year.
How many people here have no coverage
9.0% of Brunswick County's 108,465 under-65 residents have no health coverage — 9,811 people. That is close to the North Carolina rate of 10.2%, and puts Brunswick County in the middle half of the 1,817 counties on this site (1236th).
How much the marketplace is used
12,622 Brunswick County residents selected a marketplace plan for 2026: 116 per thousand under-65 residents, 581st of 1,817. That is above the 78 per thousand typical of published counties. 1,869 of them — 15% — were new rather than renewing.
Brunswick County against North Carolina
Brunswick County is the 22nd largest of the 24 North Carolina counties we publish. Its uninsured rate runs 1.2 points lower than North Carolina overall and its 4 insurers sit between the state's 2 and 6. Marketplace use is about 1.3 times the North Carolina rate.
| Brunswick County | North Carolina | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 9.0% | 10.2% | 9.9% |
| Insurers selling | 4 | 2–6 | 4 |
| Plans offered | 65 | — | 57 |
| Selections per 1,000 | 116 | 87 | 78 |
| New rather than renewing | 15% | 17% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Orange County | 117,265 | 8.1% | 4 | 44 |
| Randolph County | 118,898 | 12.8% | 5 | 75 |
| Rowan County | 121,307 | 11.2% | 3 | 54 |
| Harnett County | 122,387 | 9.9% | 4 | 56 |
Randolph County has 5 insurers against this county's 4 — a reminder that the county line, not the state line, is what decides your options.
65 plans is a lot to work through. Start with network type, then the metal tiers. Other North Carolina counties.