Health insurance in Ellis County, Texas
8 insurers sell 119 marketplace plans here, and 16.1% 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.
8 insurers competing here
8 insurers sell in Ellis County — 119 plans in total, around 15 each. Few people compare 119 plans properly without help. The number has not changed since the previous plan year.
One in six has no coverage
16.1% of Ellis County's 199,216 under-65 residents have no health coverage — 32,167 people. That is below the Texas rate of 19.1%, and puts Ellis County in the top quarter of the 1,817 counties on this site (278th).
Some of those 32,167 are in the Texas coverage gap: under $15,960 a year, too little for a subsidy and no expanded Medicaid to fall back on.
A market taking in new buyers
25,545 Ellis County residents selected a marketplace plan for 2026: 128 per thousand under-65 residents, 478th of 1,817. That is above the 78 per thousand typical of published counties. 7,320 — 29% — were new rather than renewing, an unusually high share.
Ellis County against Texas
Ellis County is the 23rd largest of the 43 Texas counties we publish. Its uninsured rate runs 3.0 points lower than Texas overall and its 8 insurers sit between the state's 1 and 10. Marketplace use is close to the Texas rate.
| Ellis County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 16.1% | 19.1% | 9.9% |
| Insurers selling | 8 | 1–10 | 4 |
| Plans offered | 119 | — | 57 |
| Selections per 1,000 | 128 | 159 | 78 |
| New rather than renewing | 29% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Smith County | 198,975 | 21.0% | 4 | 61 |
| Brazos County | 200,739 | 17.3% | 4 | 55 |
| Jefferson County | 194,962 | 20.3% | 6 | 91 |
| McLennan County | 219,047 | 18.3% | 3 | 44 |
All of them have fewer insurers than this county's 8, which makes it the stronger market locally.
Other Texas counties · Where the subsidy stops · Enrollment dates