Health insurance in Kaufman County, Texas
3 insurers sell 48 marketplace plans here, and 18.7% 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 Kaufman County, offering 48 plans between them, roughly 16 each. The number has not changed since the previous plan year.
One in six has no coverage
18.7% of Kaufman County's 174,481 under-65 residents have no health coverage — 32,597 people. That is close to the Texas rate of 19.1%, and puts Kaufman County in the top 10% of the 1,817 counties on this site (166th).
Some of those 32,597 are in the Texas coverage gap: under $15,960 a year, too little for a subsidy and no expanded Medicaid to fall back on.
How much the marketplace is used
15,607 Kaufman County residents selected a marketplace plan for 2026: 89 per thousand under-65 residents, 923rd of 1,817. That is close to the 78 per thousand typical of published counties. 2,840 of them — 18% — were new rather than renewing.
Kaufman County against Texas
Kaufman County is the 27th largest of the 43 Texas counties we publish. Its uninsured rate tracks the state almost exactly and its 3 insurers sit between the state's 1 and 10. Marketplace use is well under the Texas rate.
| Kaufman County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 18.7% | 19.1% | 9.9% |
| Insurers selling | 3 | 1–10 | 4 |
| Plans offered | 48 | — | 57 |
| Selections per 1,000 | 89 | 159 | 78 |
| New rather than renewing | 18% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Johnson County | 178,018 | 19.6% | 6 | 86 |
| Guadalupe County | 164,584 | 14.6% | 7 | 96 |
| Comal County | 164,094 | 12.5% | 7 | 115 |
| Midland County | 162,576 | 17.0% | 4 | 54 |
Guadalupe County has 7 insurers against this county's 3 — a reminder that the county line, not the state line, is what decides your options.
Other Texas counties · Where the subsidy stops · Enrollment dates