Health insurance in Rockwall County, Texas
9 insurers sell 120 marketplace plans here, and 11.6% 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.
9 insurers competing here
9 insurers sell in Rockwall County — 120 plans in total, around 13 each. Few people compare 120 plans properly without help. The number has not changed since the previous plan year.
Coverage is better here than across the state
11.6% of Rockwall County's 119,286 under-65 residents have no health coverage — 13,867 people. That is far below Texas as a whole, which sits at 19.1% — 7.5 points better than its own state, and puts Rockwall County in the middle half of the 1,817 counties on this site (762nd).
Some of those 13,867 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
15,487 Rockwall County residents selected a marketplace plan for 2026: 130 per thousand under-65 residents, 461st of 1,817. That is above the 78 per thousand typical of published counties. 4,248 — 27% — were new rather than renewing, an unusually high share.
Rockwall County against Texas
Rockwall County is the 36th largest of the 43 Texas counties we publish. Its uninsured rate runs 7.5 points lower than Texas overall and its 9 insurers sit between the state's 1 and 10. Marketplace use is close to the Texas rate.
| Rockwall County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 11.6% | 19.1% | 9.9% |
| Insurers selling | 9 | 1–10 | 4 |
| Plans offered | 120 | — | 57 |
| Selections per 1,000 | 130 | 159 | 78 |
| New rather than renewing | 27% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Taylor County | 121,713 | 16.2% | 2 | 28 |
| Grayson County | 122,037 | 19.0% | 4 | 57 |
| Randall County | 124,338 | 14.8% | 4 | 54 |
| Gregg County | 102,314 | 18.9% | 4 | 61 |
All of them have fewer insurers than this county's 9, which makes it the stronger market locally.
Other Texas counties · Where the subsidy stops · Enrollment dates