Health insurance in Randall County, Texas
4 insurers sell 54 marketplace plans here, and 14.8% 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 Randall County, offering 54 plans between them, roughly 14 each. The number has not changed since the previous plan year.
Coverage is better here than across the state
14.8% of Randall County's 124,338 under-65 residents have no health coverage — 18,370 people. That is far below Texas as a whole, which sits at 19.1% — 4.3 points better than its own state, and puts Randall County in the top quarter of the 1,817 counties on this site (368th).
Some of those 18,370 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
13,199 Randall County residents selected a marketplace plan for 2026: 106 per thousand under-65 residents, 717th of 1,817. That is above the 78 per thousand typical of published counties. 2,028 of them — 15% — were new rather than renewing.
Randall County against Texas
Randall County is the 33rd largest of the 43 Texas counties we publish. Its uninsured rate runs 4.3 points lower than Texas overall and its 4 insurers sit between the state's 1 and 10. Marketplace use is well under the Texas rate.
| Randall County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 14.8% | 19.1% | 9.9% |
| Insurers selling | 4 | 1–10 | 4 |
| Plans offered | 54 | — | 57 |
| Selections per 1,000 | 106 | 159 | 78 |
| New rather than renewing | 15% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Grayson County | 122,037 | 19.0% | 4 | 57 |
| Taylor County | 121,713 | 16.2% | 2 | 28 |
| Rockwall County | 119,286 | 11.6% | 9 | 120 |
| Gregg County | 102,314 | 18.9% | 4 | 61 |
| Ector County | 150,463 | 24.4% | 4 | 54 |
Rockwall County has 9 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