HOW UNINSURED RATES IN TENNESSEE COUNTIES VARY BY EMPLOYMENT AND INCOME

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HOW UNINSURED RATES IN TENNESSEE COUNTIES VARY BY EMPLOYMENT AND INCOME Some Tennesseans are more likely to have health insurance than others. Age, income, education, and race/ethnicity are a just few of the factors that influence rates of health insurance coverage. The maps and tables below show how uninsured rates in Tennessee counties varied from 2012-2016 after accounting for employment status and income. Note: The 5-year average uninsured rates shown here are based on data from the U.S. Census Bureau. While uninsured rates are often discussed in the context of a single year, the Census Bureau does not publish 1-year estimates for areas with populations below 65,000, which excludes many Tennessee counties. In 2016, the most recent year available, Census data show that 9% of Tennesseans were uninsured statewide. FIGURE 1. PERCENT OF TENNESSEANS WITHOUT HEALTH INSURANCE (2012-2016) FIGURE 2. PERCENT OF EMPLOYED TENNESSEANS WITHOUT HEALTH INSURANCE (2012-2016) 1 THE SYCAMORE INSTITUTE

TABLE 1. INCOMES ASSOCIATED WITH 2016 FEDERAL POVERTY PERCENTAGES % Federal Poverty Level (FPL) Single Family of 4 138% $16,394 $33,534 400% $47,520 $97,200 Source: U.S. Department of Health and Human Services (2) FIGURE 3. PERCENT OF TENNESSEANS AT OR BELOW 138% FPL WITHOUT HEALTH INSURANCE (2012-2016) FIGURE 4. PERCENT OF TENNESSEANS AT OR BELOW 400% FPL WITHOUT HEALTH INSURANCE (2012-2016) Source: The Sycamore Institute s analysis of 2012-2016 American Community Survey 5-Year Estimates (1) 2 THE SYCAMORE INSTITUTE

TABLE 2. TENNESSEE UNINSURED RATES BY COUNTY (2012-2016) Uninsured 1 Employed 2 138% FPL 3 400% FPL 4 (percent of population) Tennessee i 11.8% 13.8% 21.2% 10.7% Anderson County 9.3% 11.1% 19.4% 8.6% Bedford County 14.0% 17.3% 22.4% 12.3% Benton County 13.4% 15.6% 24.0% 12.7% Bledsoe County 14.4% 15.1% 26.0% 12.4% Blount County 10.1% 12.7% 20.1% 9.2% Bradley County 13.1% 15.2% 24.6% 11.9% Campbell County 12.8% 15.3% 17.8% 12.1% Cannon County 11.8% 14.2% 17.5% 11.0% Carroll County 11.0% 12.2% 17.6% 10.4% Carter County 13.8% 16.8% 21.1% 13.3% Cheatham County 10.6% 12.0% 19.0% 9.7% Chester County 12.5% 16.2% 23.7% 11.5% Claiborne County 9.4% 9.7% 15.8% 8.6% Clay County 13.4% 16.5% 21.3% 13.3% Cocke County 14.4% 17.9% 20.0% 13.7% Coffee County 11.7% 13.9% 21.9% 10.9% Crockett County 15.1% 16.8% 24.0% 14.4% Cumberland County 12.5% 18.4% 20.9% 11.7% Davidson County 14.2% 16.1% 23.3% 12.9% Decatur County 11.2% 13.8% 21.3% 10.3% DeKalb County 13.5% 14.5% 26.0% 11.9% Dickson County 11.7% 12.5% 22.7% 10.9% Dyer County 10.8% 13.8% 18.2% 10.2% Fayette County 9.1% 10.0% 19.3% 8.0% Fentress County 13.2% 19.2% 17.8% 12.1% Franklin County 9.9% 12.4% 23.2% 9.4% Gibson County 10.5% 14.5% 15.9% 9.6% Giles County 11.7% 14.0% 24.4% 11.5% Grainger County 10.6% 14.3% 16.4% 9.8% Greene County 12.1% 14.2% 21.0% 11.3% Grundy County 19.3% 24.1% 23.3% 18.5% Hamblen County 14.6% 17.8% 25.3% 13.5% Hamilton County 10.5% 12.8% 21.0% 9.5% Hancock County 12.8% 14.8% 16.6% 12.4% 3 THE SYCAMORE INSTITUTE

Uninsured 1 Employed 2 138% FPL 3 400% FPL 4 (percent of population) Hardeman County 12.4% 14.4% 17.9% 11.2% Hardin County 13.4% 16.3% 20.9% 12.6% Hawkins County 11.0% 14.0% 18.8% 10.2% Haywood County 11.5% 12.8% 17.7% 11.1% Henderson County 10.9% 12.0% 18.5% 9.9% Henry County 10.9% 13.8% 17.4% 10.1% Hickman County 15.0% 18.1% 26.1% 14.0% Houston County 12.5% 16.2% 23.1% 11.9% Humphreys County 10.0% 12.4% 20.4% 9.0% Jackson County 14.3% 17.0% 21.9% 13.3% Jefferson County 11.4% 14.1% 20.2% 10.6% Johnson County 12.7% 16.3% 20.4% 12.4% Knox County 9.9% 11.7% 19.9% 9.1% Lake County 13.0% 17.1% 13.2% 12.0% Lauderdale County 13.5% 16.5% 19.2% 12.9% Lawrence County 16.2% 14.8% 33.8% 15.7% Lewis County 14.7% 20.6% 23.6% 13.0% Lincoln County 10.9% 12.9% 19.5% 10.4% Loudon County 11.6% 15.3% 22.3% 10.8% McMinn County 11.6% 14.1% 19.1% 10.1% McNairy County 13.5% 14.9% 23.4% 10.2% Macon County 11.5% 16.6% 18.8% 10.6% Madison County 10.6% 12.2% 16.2% 12.5% Marion County 11.5% 15.0% 23.8% 10.8% Marshall County 11.6% 13.4% 21.2% 9.4% Maury County 11.1% 13.3% 20.9% 10.8% Meigs County 11.3% 13.8% 13.4% 10.5% Monroe County 12.7% 15.4% 21.8% 11.6% Montgomery County 10.4% 13.6% 17.7% 8.9% Moore County 9.4% 13.0% 19.1% 8.6% Morgan County 12.1% 12.5% 17.5% 11.6% Obion County 13.8% 15.5% 22.3% 12.9% Overton County 11.3% 14.9% 20.7% 10.7% Perry County 16.9% 20.6% 27.4% 16.3% Pickett County 12.9% 19.4% 21.8% 12.8% Polk County 10.8% 11.6% 23.4% 10.1% Putnam County 12.4% 14.2% 21.6% 11.3% 4 THE SYCAMORE INSTITUTE

Uninsured 1 Employed 2 138% FPL 3 400% FPL 4 (percent of population) Rhea County 10.5% 12.9% 19.7% 10.3% Roane County 9.8% 11.4% 17.0% 9.1% Robertson County 10.3% 12.5% 17.2% 8.7% Rutherford County 11.1% 12.2% 22.3% 9.7% Scott County 12.9% 15.4% 15.6% 11.9% Sequatchie County 10.5% 11.9% 18.3% 9.5% Sevier County 18.3% 24.3% 28.7% 17.1% Shelby County 13.7% 15.0% 22.6% 12.5% Smith County 9.7% 10.7% 18.3% 8.5% Stewart County 10.5% 11.7% 16.3% 9.7% Sullivan County 10.7% 13.2% 18.7% 9.9% Sumner County 9.6% 11.6% 20.6% 8.0% Tipton County 11.2% 13.0% 22.6% 9.9% Trousdale County 12.3% 12.8% 21.4% 10.9% Unicoi County 11.6% 13.9% 19.4% 10.7% Union County 12.1% 13.5% 19.6% 10.7% Van Buren County 12.2% 16.5% 19.3% 11.1% Warren County 12.7% 17.0% 16.7% 12.0% Washington County 11.1% 13.5% 21.6% 10.3% Wayne County 12.1% 14.9% 18.0% 10.9% Weakley County 9.4% 12.1% 13.8% 8.4% White County 12.8% 14.1% 19.1% 12.6% Williamson County 5.2% 5.8% 24.0% 3.9% Wilson County 8.0% 9.1% 18.6% 6.7% 1 The percentage of individuals of all ages who did not have health insurance. 2 The percentage of individuals of all ages who are employed who did not have health insurance. 3 The percentage of individuals of all ages with household incomes at or below 138% of the federal poverty level who did not have health insurance. 4 The percentage of individuals of all ages with household incomes at or below 400% of the federal poverty level who did not have health insurance. 5 THE SYCAMORE INSTITUTE

THE SYCAMORE INSTITUTE The Sycamore Institute is an independent, nonpartisan public policy research center for Tennessee. Sign up for email alerts at: SycamoreInstituteTN.org Written By Courtnee Melton, PhD Policy Analyst cmelton@sycamoreinstitutetn.org Other TSI Staff Laura Berlind Executive Director Mandy Pellegrin Policy Director Brian Straessle Communications Director REFERENCES 1. U.S. Census Bureau. 2012-2016 American Community Survey 5-Year Estimates. [Online] 2017. Accessed via https://www.census.gov/programs-surveys/acs/data.html 2. U.S. Department of Health and Human Services (HHS). Computations for the 2016 Poverty Guidelines. [Online] April 25, 2016. https://aspe.hhs.gov/computations-2016-poverty-guidelines 6 THE SYCAMORE INSTITUTE