Health insurance in Cass County, North Dakota
3 insurers sell 40 marketplace plans here, and 6.0% 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
3 insurers sell marketplace plans in Cass County, offering 40 plans between them, roughly 13 each. The number has not changed since the previous plan year.
Comparatively few people go uncovered
6.0% of Cass County's 166,524 under-65 residents have no health coverage — 9,924 people. That is close to the North Dakota rate of 6.5%, and puts Cass County in the bottom 10% of the 1,817 counties on this site (1699th).
How much the marketplace is used
6,561 Cass County residents selected a marketplace plan for 2026: 39 per thousand under-65 residents, 1764th of 1,817. That is under the 78 per thousand typical of published counties. 1,189 of them — 18% — were new rather than renewing.
Cass County against North Dakota
Cass County is the largest of the 3 North Dakota counties we publish, by under-65 population. Its uninsured rate tracks the state almost exactly and with 3 insurers it is as well served as anywhere in North Dakota. Marketplace use is well under the North Dakota rate.
| Cass County | North Dakota | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 6.0% | 6.5% | 9.9% |
| Insurers selling | 3 | 2–3 | 4 |
| Plans offered | 40 | — | 57 |
| Selections per 1,000 | 39 | 64 | 78 |
| New rather than renewing | 18% | 13% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| DeSoto County (Mississippi) | 166,554 | 9.1% | 5 | 48 |
| Deschutes County (Oregon) | 166,304 | 5.9% | 5 | 41 |
| Calcasieu Parish (Louisiana) | 167,995 | 8.7% | 4 | 44 |
DeSoto County has 5 insurers against this county's 3 — a reminder that the county line, not the state line, is what decides your options.
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