At 18.7%, the uninsured rate among under-65 residents in Kaufman County is effectively the Texas average of 19.1% — about 32,597 people out of 174,481. It is the 105th lowest of the 254 counties in Texas. A county sitting on its state's average is the most ordinary case there is, which makes the state's own rules the thing worth reading rather than anything local.
Kaufman County against Texas, and against the counties we cover
| Kaufman County | Texas | Covered counties | |
|---|---|---|---|
| Uninsured, under 65 | 18.7% | 19.1% | 13.0% |
| Marketplace enrollees per 1,000 | 89 | — | 127 |
| Insurers selling here | 3 | 6 (median) | 5 |
| Individual plans offered | 48 | — | 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
3 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 48 plans, about 16 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.
15,607 people here bought marketplace coverage for 2026, about 89 per thousand under-65 residents. That sits near the middle of the counties covered on this site: a working individual market, but most local coverage still arrives through an employer. 2,840 of them were new consumers and 12,767 were renewals — a 18% new share, close to the national pattern. Roughly one in six enrollees here arrived within the year.
Nearest counties on coverage
The counties we cover in Texas whose uninsured rate sits closest to Kaufman County. Worth a look if you are comparing across a county line or moving.
| County | Uninsured | Insurers | Enrollees |
|---|---|---|---|
| Tarrant County | 18.9% | 9 | 236,647 |
| McLennan County | 18.3% | 3 | 20,502 |
| Nueces County | 19.1% | 4 | 37,566 |
| Bexar County | 18.1% | 9 | 299,950 |
| Johnson County | 19.6% | 6 | 18,398 |
| Montgomery County | 17.4% | 8 | 75,204 |
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 Kaufman County?
About 32,597 people under 65, out of 174,481 in that age group — 18.7%, the 105th lowest 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 Kaufman County?
3 insurers offer individual marketplace plans in Kaufman County for 2026, unchanged from the year before, and between them they sell 48 individual medical plans. The median across the counties covered on this site is 5 insurers and 84 plans.
How many people in Kaufman County buy marketplace coverage?
15,607 plan selections for 2026 — 2,840 new consumers and 12,767 renewals. That works out at 89 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