Health insurance in Burleigh County, North Dakota
3 insurers sell 37 marketplace plans here, and 5.4% 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 Burleigh County, offering 37 plans between them, roughly 12 each. The number has not changed since the previous plan year.
Comparatively few people go uncovered
5.4% of Burleigh County's 79,314 under-65 residents have no health coverage — 4,287 people. That is close to the North Dakota rate of 6.5%, and puts Burleigh County in the bottom 10% of the 1,817 counties on this site (1769th).
How much the marketplace is used
4,374 Burleigh County residents selected a marketplace plan for 2026: 55 per thousand under-65 residents, 1494th of 1,817. That is under the 78 per thousand typical of published counties. 586 of them — 13% — were new rather than renewing.
Burleigh County against North Dakota
Burleigh County is the 2nd largest of the 3 North Dakota counties we publish. Its uninsured rate runs 1.1 points lower than North Dakota overall and with 3 insurers it is as well served as anywhere in North Dakota. Marketplace use is close to the North Dakota rate.
| Burleigh County | North Dakota | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 5.4% | 6.5% | 9.9% |
| Insurers selling | 3 | 2–3 | 4 |
| Plans offered | 37 | — | 57 |
| Selections per 1,000 | 55 | 64 | 78 |
| New rather than renewing | 13% | 13% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Fairbanks North Star Borough (Alaska) | 79,659 | 11.5% | 2 | 15 |
| Laramie County (Wyoming) | 82,792 | 10.2% | 2 | 23 |
| Franklin County (Missouri) | 85,622 | 8.8% | 4 | 48 |
| Eaton County (Michigan) | 85,802 | 5.4% | 4 | 42 |
Franklin County has 4 insurers against this county's 3 — a reminder that the county line, not the state line, is what decides your options.
All North Dakota counties · How the credit works · Enrollment dates