About 36,766 of the 150,463 people under 65 in Ector County had no coverage at all in 2024 — 24.4%, against a Texas average of 19.1%. A gap of 5.3 points is large, and it is the 30th highest of the 254 counties in Texas. Local uninsured rates this far above a state average almost always trace back to the mix of employers rather than to the plans for sale, which are the same ones sold across the rating area.
Ector County against Texas, and against the counties we cover
| Ector County | Texas | Covered counties | |
|---|---|---|---|
| Uninsured, under 65 | 24.4% | 19.1% | 13.0% |
| Marketplace enrollees per 1,000 | 243 | — | 127 |
| Insurers selling here | 4 | 6 (median) | 5 |
| Individual plans offered | 54 | — | 84 |
State uninsured rate from the Census SAHIE series; the final column is the median across the 104 counties covered on this site. Enrollment density is CMS plan selections per 1,000 under-65 residents.
What you can actually buy here
4 insurers compete here. That is thin enough that switching carrier usually means switching hospital system too, and wide enough that the premiums genuinely differ. Both things are worth checking before either is dismissed. Between them they offer 54 plans, about 14 for each insurer, a short list by national standards. Short lists are easier to compare properly, which is a real advantage as long as one of them fits your doctors. The count is unchanged from last year, so the networks you compared previously still stand.
36,589 marketplace plan selections were recorded in Ector County for 2026, or 243 per thousand under-65 residents — above the 127 typical of the counties covered here. Enough people locally have done this that the process is not unfamiliar territory. Of those, 9,261 were new to the marketplace and 27,328 were renewing. A 25% new share is high, and new enrollees are disproportionately people who lost job-based coverage during the year rather than people shopping by choice.
Nearest counties on coverage
The counties we cover in Texas whose uninsured rate sits closest to Ector County. Worth a look if you are comparing across a county line or moving.
| County | Uninsured | Insurers | Enrollees |
|---|---|---|---|
| Dallas County | 24.2% | 10 | 452,075 |
| El Paso County | 23.7% | 7 | 135,308 |
| Harris County | 22.8% | 9 | 731,300 |
| Webb County | 26.2% | 3 | 51,727 |
| Cameron County | 26.6% | 5 | 78,862 |
| Hidalgo County | 26.7% | 5 | 210,638 |
Everything that applies in Texas · How COBRA works · Work out your COBRA premium · After a job ends
Common questions
How many people are uninsured in Ector County?
About 36,766 people under 65, out of 150,463 in that age group — 24.4%, the 30th highest of the 254 counties in Texas. The Texas average is 19.1%. Census Bureau estimates for 2024, the most recent published.
How many health insurers sell in Ector County?
4 insurers offer individual marketplace plans in Ector County for 2026, unchanged from the year before, and between them they sell 54 individual medical plans. The median across the counties covered on this site is 5 insurers and 84 plans.
How many people in Ector County buy marketplace coverage?
36,589 plan selections for 2026 — 9,261 new consumers and 27,328 renewals. That works out at 243 per thousand under-65 residents, against a median of 127 across the counties covered here. New consumers are the group most likely to have lost a job during the year.
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.
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
- U.S. Census Bureau, Small Area Health Insurance Estimates, 2024 (released August 2026)
- Centers for Medicare & Medicaid Services, 2026 Marketplace Open Enrollment County-Level Public Use File
- Centers for Medicare & Medicaid Services, 2026 Service Area Public Use File
- Centers for Medicare & Medicaid Services, 2026 Plan Attributes Public Use File
- U.S. Department of Labor, FAQs on COBRA Continuation Health Coverage for Workers