Health insurance in Taylor County, Texas
2 insurers sell 28 marketplace plans here, and 16.2% 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.
Two insurers, and what that means
Two insurers sell here, offering 28 plans between them. If either leaves, Taylor County becomes a single-insurer county. The number has not changed since the previous plan year.
One in six has no coverage
16.2% of Taylor County's 121,713 under-65 residents have no health coverage — 19,693 people. That is below the Texas rate of 19.1%, and puts Taylor County in the top quarter of the 1,817 counties on this site (276th).
Some of those 19,693 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
15,037 Taylor County residents selected a marketplace plan for 2026: 124 per thousand under-65 residents, 522nd of 1,817. That is above the 78 per thousand typical of published counties. 2,009 of them — 13% — were new rather than renewing.
Taylor County against Texas
Taylor County is the 35th largest of the 43 Texas counties we publish. Its uninsured rate runs 2.9 points lower than Texas overall and its 2 insurers sit between the state's 1 and 10. Marketplace use is close to the Texas rate.
| Taylor County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 16.2% | 19.1% | 9.9% |
| Insurers selling | 2 | 1–10 | 4 |
| Plans offered | 28 | — | 57 |
| Selections per 1,000 | 124 | 159 | 78 |
| New rather than renewing | 13% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Grayson County | 122,037 | 19.0% | 4 | 57 |
| Rockwall County | 119,286 | 11.6% | 9 | 120 |
| Randall County | 124,338 | 14.8% | 4 | 54 |
| Gregg County | 102,314 | 18.9% | 4 | 61 |
| Merrimack County (New Hampshire) | 119,447 | 6.6% | 4 | 46 |
Rockwall County has 9 insurers against this county's 2 — a reminder that the county line, not the state line, is what decides your options.
Other Texas counties · Where the subsidy stops · Enrollment dates