Health insurance in Grand Forks County, North Dakota
3 insurers sell 31 marketplace plans here, and 5.9% 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 Grand Forks County, offering 31 plans between them, roughly 10 each. It gained 1 since the previous plan year, up from 2.
Comparatively few people go uncovered
5.9% of Grand Forks County's 59,426 under-65 residents have no health coverage — 3,490 people. That is close to the North Dakota rate of 6.5%, and puts Grand Forks County in the bottom 10% of the 1,817 counties on this site (1717th).
How much the marketplace is used
3,416 Grand Forks County residents selected a marketplace plan for 2026: 57 per thousand under-65 residents, 1461st of 1,817. That is under the 78 per thousand typical of published counties. 552 of them — 16% — were new rather than renewing.
Grand Forks County against North Dakota
Grand Forks County is the smallest of the 3 North Dakota counties we publish a page for. Its uninsured rate runs 0.6 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.
| Grand Forks County | North Dakota | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 5.9% | 6.5% | 9.9% |
| Insurers selling | 3 | 2–3 | 4 |
| Plans offered | 31 | — | 57 |
| Selections per 1,000 | 57 | 64 | 78 |
| New rather than renewing | 16% | 13% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Lincoln County (South Dakota) | 64,397 | 6.9% | 2 | 41 |
| Natrona County (Wyoming) | 65,258 | 11.8% | 2 | 23 |
| Burleigh County | 79,314 | 5.4% | 3 | 37 |
| Fairbanks North Star Borough (Alaska) | 79,659 | 11.5% | 2 | 15 |
All of them have fewer insurers than this county's 3, which makes it the stronger market locally.
All North Dakota counties · How the credit works · Enrollment dates