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Losing health coverage in Florida

COBRA works the same in every state, but almost everything around it does not — enrollment dates, which products are legal, and what coverage actually costs here. This is what is specific to Florida.

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Florida assigns a separate rating area to every one of its 67 counties — one of only two states in the country to do so — which means your specific county determines your options far more precisely here than almost anywhere else. Florida has not expanded Medicaid and 13.7% of working-age residents are uninsured, among the highest rates in the nation. The coverage gap is real and large here, and it is the first thing worth checking.

What the numbers say about Florida

13.7%of under-65 residents uninsured — the 4th highest of 51
13.3%of median monthly household income taken by a single COBRA premium — the 17th highest of 51
1.00%monthly layoff and discharge rate

Florida ranks the 16th highest of 51 on our State COBRA Exposure Index, which combines those three measures. Uninsured figures are 2024 Census estimates covering all 67 counties in the state.

What is different about Florida

Florida uses the federal marketplace at HealthCare.gov.

Open Enrollment for 2027 coverage runs from November 1, 2026 to January 15, 2027, the federal schedule. Enroll by December 15, 2026 for coverage starting January 1.

Short-term plans are available here, but they are not comprehensive coverage — typically medically underwritten, often excluding pre-existing conditions, and not minimum essential coverage. They can suit a short, defined gap such as a new employer’s waiting period. They are not a substitute for a marketplace plan.

Where plans are priced

Individual health plans are not priced statewide. Florida is divided into geographic rating areas, and the plans available to you — and what they cost — depend on which one your county falls into. Two households an hour apart can face a different list at a different price. This is why a national quote figure means very little, and why a licensed agent will ask for your ZIP code before anything else.

COBRA in Florida

COBRA is federal law, so it works identically in every state. If your employer had 20 or more employees you have 60 days to elect from the later of losing coverage or receiving your notice, then 45 days to make the first payment, and coverage reaches back to the day your old plan ended. You pay 102% of the full premium.

What varies by state is what happens when federal COBRA does not apply. If your employer had fewer than 20 employees, Florida may have its own continuation law — often called mini-COBRA — with different durations and eligibility. Ask about this specifically if you worked for a small employer, because it is easy to be told "you do not qualify for COBRA" and not be told about the state alternative.

How COBRA works in detail · COBRA compared with a marketplace plan · All your options after a job ends

The largest counties in Florida

Because plans are priced by rating area rather than statewide, the figures below differ between places that sit an hour apart. Each one has its own page with the local uninsured count, how many people bought marketplace coverage there, and how many insurers actually sell in it.

CountyUninsured, under 652026 plan selectionsInsurers
Alachua County10.3%39,4715
Bay County14.7%31,3474
Brevard County12.2%75,8078
Broward County13.8%544,50213
Clay County10.0%24,5427
Collier County16.4%70,6317
Duval County11.9%186,4047
Escambia County12.4%38,6645
Hernando County13.3%26,5564
Hillsborough County13.1%260,2359
Lake County12.6%66,72511
Lee County16.8%140,3086
Leon County11.4%32,0456
Manatee County15.1%64,2456
Marion County15.2%61,8198
Miami-Dade County15.3%1,031,63012
Okaloosa County13.0%22,8594
Orange County13.5%399,97412
Osceola County14.1%151,33311
Palm Beach County16.5%332,40212
Pasco County11.6%78,0689
Pinellas County12.2%120,1287
Polk County13.7%126,5217
Santa Rosa County9.8%15,5245
Sarasota County13.1%67,1805
Seminole County11.3%76,67512
St. Johns County7.6%32,9496
St. Lucie County14.0%68,7467
Volusia County13.0%82,3628

The 29 largest counties in Florida by population, covering 92% of the state's under-65 residents. Uninsured rates are 2024 Census estimates; plan selections and insurer counts are from the 2026 CMS public use files. Figures for every county in Florida — including those without their own page — are in the state data set.

Common questions

How much is health insurance in Florida?

There is no single answer, because Florida is split into geographic rating areas and prices differ between them. Your age, household size and income all change the figure too. What we can say concretely is that a full COBRA premium consumes about 13.3% of median monthly household income here, which is the 17th highest of 51 in the country — one reason so many people in Florida look for an alternative.

When is Open Enrollment in Florida?

November 1, 2026 to January 15, 2027 for 2027 coverage, following the federal schedule. Enroll by December 15, 2026 if you want coverage starting January 1.

Can I get short-term health insurance in Florida?

Yes, they are available in Florida. They are not comprehensive coverage — typically medically underwritten and not minimum essential coverage — so they suit a short, defined gap rather than an ongoing need.

What if my employer in Florida had fewer than 20 employees?

Federal COBRA would not apply, but Florida may have its own continuation law covering smaller employers. Durations and eligibility differ from federal COBRA. Ask specifically about state continuation — people are often told they do not qualify for COBRA without being told the state alternative exists.

Does losing my job in Florida let me buy insurance right away?

Yes. Losing job-based coverage opens a 60-day Special Enrollment Period for a marketplace plan, and only 30 days to join a spouse's or parent's employer plan. Medicaid has no window at all and can be applied for any day of the year.

Is Medicaid an option in Florida?

It is worth checking first either way, because there is no enrollment window and no premium, and eligibility is assessed on your current monthly income rather than your annual figure. Be warned, though: Florida has not expanded Medicaid. That leaves a coverage gap — adults earning too much for the state's restrictive Medicaid limits but too little to qualify for marketplace subsidies. Losing a job can drop you into that gap rather than out of it, which is exactly why it is worth finding out where you stand before you decide anything else.

Why does my premium differ from someone else in Florida?

Because plans are priced by rating area rather than statewide, and your age and household composition also matter. Someone in a neighboring county can genuinely face a different set of plans at different prices.

Is there a health insurance agent near me in Florida?

You do not need one physically nearby. Plans in Florida are sold and priced by county, and a licensed agent can look up exactly what is available in yours from anywhere. Calling (866) 821-1808 connects you with a licensed agency covering Florida.

Talk it through with a licensed agent

Which option is right depends on your state, your income and which doctors you need to keep. A licensed agent can walk through it with you in about eight minutes.

Call (866) 821-1808

Free to call, no obligation, and we never ask you for payment. CobraScout is paid by the agency that answers, not by you. TTY 711.

Sources

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