Health insurance in Ector County, Texas
4 insurers sell 54 marketplace plans here, and 24.4% 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
4 insurers sell marketplace plans in Ector County, offering 54 plans between them, roughly 14 each. The number has not changed since the previous plan year.
Coverage is worse here than across the state
24.4% of Ector County's 150,463 under-65 residents have no health coverage — 36,766 people. That is far higher than Texas as a whole, which sits at 19.1% — 5.3 points above its own state, and puts Ector County in the top 5% of the 1,817 counties on this site (32nd).
Some of those 36,766 are in the Texas coverage gap: under $15,960 a year, too little for a subsidy and no expanded Medicaid to fall back on.
The marketplace is used heavily here
36,589 Ector County residents selected a marketplace plan for 2026: 243 per thousand under-65 residents, 48th of 1,817. That is 3.1× the 78 per thousand typical here. 9,261 — 25% — were new rather than renewing, an unusually high share.
Ector County against Texas
Ector County is the 32nd largest of the 43 Texas counties we publish. Its uninsured rate runs 5.3 points higher than Texas overall and its 4 insurers sit between the state's 1 and 10. Marketplace use is about 1.5 times the Texas rate.
| Ector County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 24.4% | 19.1% | 9.9% |
| Insurers selling | 4 | 1–10 | 4 |
| Plans offered | 54 | — | 57 |
| Selections per 1,000 | 243 | 159 | 78 |
| New rather than renewing | 25% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Parker County | 151,054 | 16.3% | 5 | 66 |
| Midland County | 162,576 | 17.0% | 4 | 54 |
| Comal County | 164,094 | 12.5% | 7 | 115 |
| Guadalupe County | 164,584 | 14.6% | 7 | 96 |
Comal County has 7 insurers against this county's 4 — a reminder that the county line, not the state line, is what decides your options.
Other Texas counties · Where the subsidy stops · Enrollment dates