{
  "finding": "one-issuer",
  "name": "Counties with a single insurer",
  "updated": "2026-09-18",
  "license": "https://creativecommons.org/licenses/by/4.0/",
  "attribution": "QHP Index (https://qhpindex.com/findings/one-issuer/)",
  "source": "Centers for Medicare & Medicaid Services, HealthCare.gov QHP landscape and OEP county public use files",
  "count": 57,
  "rows": [
    {
      "area": "AK",
      "county": "Aleutians East",
      "county_slug": "aleutians-east",
      "label": "Aleutians East",
      "plans": 8,
      "issuers": 1,
      "premium_40_low": 729.31,
      "premium_40_silver_low": 1035.5
    },
    {
      "area": "AK",
      "county": "Aleutians West",
      "county_slug": "aleutians-west",
      "label": "Aleutians West",
      "plans": 8,
      "issuers": 1,
      "premium_40_low": 729.31,
      "premium_40_silver_low": 1035.5
    },
    {
      "area": "AK",
      "county": "Bethel",
      "county_slug": "bethel",
      "label": "Bethel",
      "plans": 8,
      "issuers": 1,
      "premium_40_low": 722.09,
      "premium_40_silver_low": 1025.25
    },
    {
      "area": "AK",
      "county": "Bristol Bay",
      "county_slug": "bristol-bay",
      "label": "Bristol Bay",
      "plans": 8,
      "issuers": 1,
      "premium_40_low": 729.31,
      "premium_40_silver_low": 1035.5
    },
    {
      "area": "AK",
      "county": "Chugach",
      "county_slug": "chugach",
      "label": "Chugach",
      "plans": 8,
      "issuers": 1,
      "premium_40_low": 722.09,
      "premium_40_silver_low": 1025.25
    },
    {
      "area": "AK",
      "county": "Copper River",
      "county_slug": "copper-river",
      "label": "Copper River",
      "plans": 8,
      "issuers": 1,
      "premium_40_low": 722.09,
      "premium_40_silver_low": 1025.25
    },
    {
      "area": "AK",
      "county": "Denali",
      "county_slug": "denali",
      "label": "Denali",
      "plans": 8,
      "issuers": 1,
      "premium_40_low": 729.31,
      "premium_40_silver_low": 1035.5
    },
    {
      "area": "AK",
      "county": "Dillingham",
      "county_slug": "dillingham",
      "label": "Dillingham",
      "plans": 8,
      "issuers": 1,
      "premium_40_low": 722.09,
      "premium_40_silver_low": 1025.25
    },
    {
      "area": "AK",
      "county": "Kodiak Island",
      "county_slug": "kodiak-island",
      "label": "Kodiak Island",
      "plans": 8,
      "issuers": 1,
      "premium_40_low": 729.31,
      "premium_40_silver_low": 1035.5
    },
    {
      "area": "AK",
      "county": "Kusilvak",
      "county_slug": "kusilvak",
      "label": "Kusilvak",
      "plans": 8,
      "issuers": 1,
      "premium_40_low": 729.31,
      "premium_40_silver_low": 1035.5
    },
    {
      "area": "AK",
      "county": "Lake And Peninsula",
      "county_slug": "lake-and-peninsula",
      "label": "Lake And Peninsula",
      "plans": 8,
      "issuers": 1,
      "premium_40_low": 729.31,
      "premium_40_silver_low": 1035.5
    },
    {
      "area": "AK",
      "county": "Nome",
      "county_slug": "nome",
      "label": "Nome",
      "plans": 8,
      "issuers": 1,
      "premium_40_low": 729.31,
      "premium_40_silver_low": 1035.5
    },
    {
      "area": "AK",
      "county": "North Slope",
      "county_slug": "north-slope",
      "label": "North Slope",
      "plans": 8,
      "issuers": 1,
      "premium_40_low": 729.31,
      "premium_40_silver_low": 1035.5
    },
    {
      "area": "AK",
      "county": "Northwest Arctic",
      "county_slug": "northwest-arctic",
      "label": "Northwest Arctic",
      "plans": 8,
      "issuers": 1,
      "premium_40_low": 729.31,
      "premium_40_silver_low": 1035.5
    },
    {
      "area": "AK",
      "county": "Southeast Fairbanks",
      "county_slug": "southeast-fairbanks",
      "label": "Southeast Fairbanks",
      "plans": 8,
      "issuers": 1,
      "premium_40_low": 729.31,
      "premium_40_silver_low": 1035.5
    },
    {
      "area": "AK",
      "county": "Yakutat",
      "county_slug": "yakutat",
      "label": "Yakutat",
      "plans": 8,
      "issuers": 1,
      "premium_40_low": 729.31,
      "premium_40_silver_low": 1035.5
    },
    {
      "area": "AK",
      "county": "Yukon Koyukuk",
      "county_slug": "yukon-koyukuk",
      "label": "Yukon Koyukuk",
      "plans": 8,
      "issuers": 1,
      "premium_40_low": 729.31,
      "premium_40_silver_low": 1035.5
    },
    {
      "area": "AL",
      "county": "Autauga",
      "county_slug": "autauga",
      "label": "Autauga County",
      "plans": 12,
      "issuers": 1,
      "premium_40_low": 404.5,
      "premium_40_silver_low": 619.54
    },
    {
      "area": "AL",
      "county": "Butler",
      "county_slug": "butler",
      "label": "Butler County",
      "plans": 12,
      "issuers": 1,
      "premium_40_low": 417.47,
      "premium_40_silver_low": 639.41
    },
    {
      "area": "AL",
      "county": "Crenshaw",
      "county_slug": "crenshaw",
      "label": "Crenshaw County",
      "plans": 12,
      "issuers": 1,
      "premium_40_low": 417.47,
      "premium_40_silver_low": 639.41
    },
    {
      "area": "AL",
      "county": "Elmore",
      "county_slug": "elmore",
      "label": "Elmore County",
      "plans": 12,
      "issuers": 1,
      "premium_40_low": 404.5,
      "premium_40_silver_low": 619.54
    },
    {
      "area": "AL",
      "county": "Lamar",
      "county_slug": "lamar",
      "label": "Lamar County",
      "plans": 12,
      "issuers": 1,
      "premium_40_low": 417.47,
      "premium_40_silver_low": 639.41
    },
    {
      "area": "AL",
      "county": "Monroe",
      "county_slug": "monroe",
      "label": "Monroe County",
      "plans": 12,
      "issuers": 1,
      "premium_40_low": 417.47,
      "premium_40_silver_low": 639.41
    },
    {
      "area": "AL",
      "county": "Wilcox",
      "county_slug": "wilcox",
      "label": "Wilcox County",
      "plans": 12,
      "issuers": 1,
      "premium_40_low": 417.47,
      "premium_40_silver_low": 639.41
    },
    {
      "area": "AZ",
      "county": "Apache",
      "county_slug": "apache",
      "label": "Apache County",
      "plans": 9,
      "issuers": 1,
      "premium_40_low": 780.66,
      "premium_40_silver_low": 1029.35
    },
    {
      "area": "FL",
      "county": "Monroe",
      "county_slug": "monroe",
      "label": "Monroe County",
      "plans": 33,
      "issuers": 1,
      "premium_40_low": 949.07,
      "premium_40_silver_low": 1272.01
    },
    {
      "area": "KS",
      "county": "Clark",
      "county_slug": "clark",
      "label": "Clark County",
      "plans": 9,
      "issuers": 1,
      "premium_40_low": 722.83,
      "premium_40_silver_low": 882.34
    },
    {
      "area": "KS",
      "county": "Finney",
      "county_slug": "finney",
      "label": "Finney County",
      "plans": 9,
      "issuers": 1,
      "premium_40_low": 722.83,
      "premium_40_silver_low": 882.34
    },
    {
      "area": "KS",
      "county": "Ford",
      "county_slug": "ford",
      "label": "Ford County",
      "plans": 9,
      "issuers": 1,
      "premium_40_low": 722.83,
      "premium_40_silver_low": 882.34
    },
    {
      "area": "KS",
      "county": "Grant",
      "county_slug": "grant",
      "label": "Grant County",
      "plans": 9,
      "issuers": 1,
      "premium_40_low": 722.83,
      "premium_40_silver_low": 882.34
    },
    {
      "area": "KS",
      "county": "Gray",
      "county_slug": "gray",
      "label": "Gray County",
      "plans": 9,
      "issuers": 1,
      "premium_40_low": 722.83,
      "premium_40_silver_low": 882.34
    },
    {
      "area": "KS",
      "county": "Hamilton",
      "county_slug": "hamilton",
      "label": "Hamilton County",
      "plans": 9,
      "issuers": 1,
      "premium_40_low": 722.83,
      "premium_40_silver_low": 882.34
    },
    {
      "area": "KS",
      "county": "Haskell",
      "county_slug": "haskell",
      "label": "Haskell County",
      "plans": 9,
      "issuers": 1,
      "premium_40_low": 722.83,
      "premium_40_silver_low": 882.34
    },
    {
      "area": "KS",
      "county": "Kearny",
      "county_slug": "kearny",
      "label": "Kearny County",
      "plans": 9,
      "issuers": 1,
      "premium_40_low": 722.83,
      "premium_40_silver_low": 882.34
    },
    {
      "area": "KS",
      "county": "Meade",
      "county_slug": "meade",
      "label": "Meade County",
      "plans": 9,
      "issuers": 1,
      "premium_40_low": 722.83,
      "premium_40_silver_low": 882.34
    },
    {
      "area": "KS",
      "county": "Morton",
      "county_slug": "morton",
      "label": "Morton County",
      "plans": 9,
      "issuers": 1,
      "premium_40_low": 722.83,
      "premium_40_silver_low": 882.34
    },
    {
      "area": "KS",
      "county": "Seward",
      "county_slug": "seward",
      "label": "Seward County",
      "plans": 9,
      "issuers": 1,
      "premium_40_low": 722.83,
      "premium_40_silver_low": 882.34
    },
    {
      "area": "KS",
      "county": "Stanton",
      "county_slug": "stanton",
      "label": "Stanton County",
      "plans": 9,
      "issuers": 1,
      "premium_40_low": 722.83,
      "premium_40_silver_low": 882.34
    },
    {
      "area": "KS",
      "county": "Stevens",
      "county_slug": "stevens",
      "label": "Stevens County",
      "plans": 9,
      "issuers": 1,
      "premium_40_low": 722.83,
      "premium_40_silver_low": 882.34
    },
    {
      "area": "KS",
      "county": "Wallace",
      "county_slug": "wallace",
      "label": "Wallace County",
      "plans": 9,
      "issuers": 1,
      "premium_40_low": 772.07,
      "premium_40_silver_low": 942.44
    },
    {
      "area": "OK",
      "county": "Cimarron",
      "county_slug": "cimarron",
      "label": "Cimarron County",
      "plans": 13,
      "issuers": 1,
      "premium_40_low": 575.09,
      "premium_40_silver_low": 776.64
    },
    {
      "area": "OK",
      "county": "Coal",
      "county_slug": "coal",
      "label": "Coal County",
      "plans": 13,
      "issuers": 1,
      "premium_40_low": 575.09,
      "premium_40_silver_low": 776.64
    },
    {
      "area": "OK",
      "county": "Custer",
      "county_slug": "custer",
      "label": "Custer County",
      "plans": 13,
      "issuers": 1,
      "premium_40_low": 575.09,
      "premium_40_silver_low": 776.64
    },
    {
      "area": "OK",
      "county": "Texas",
      "county_slug": "texas",
      "label": "Texas County",
      "plans": 13,
      "issuers": 1,
      "premium_40_low": 575.09,
      "premium_40_silver_low": 776.64
    },
    {
      "area": "OK",
      "county": "Washita",
      "county_slug": "washita",
      "label": "Washita County",
      "plans": 13,
      "issuers": 1,
      "premium_40_low": 575.09,
      "premium_40_silver_low": 776.64
    },
    {
      "area": "TX",
      "county": "Archer",
      "county_slug": "archer",
      "label": "Archer County",
      "plans": 19,
      "issuers": 1,
      "premium_40_low": 555.98,
      "premium_40_silver_low": 912.76
    },
    {
      "area": "TX",
      "county": "Baylor",
      "county_slug": "baylor",
      "label": "Baylor County",
      "plans": 19,
      "issuers": 1,
      "premium_40_low": 555.98,
      "premium_40_silver_low": 912.76
    },
    {
      "area": "TX",
      "county": "Clay",
      "county_slug": "clay",
      "label": "Clay County",
      "plans": 19,
      "issuers": 1,
      "premium_40_low": 555.98,
      "premium_40_silver_low": 912.76
    },
    {
      "area": "TX",
      "county": "Foard",
      "county_slug": "foard",
      "label": "Foard County",
      "plans": 19,
      "issuers": 1,
      "premium_40_low": 555.98,
      "premium_40_silver_low": 912.76
    },
    {
      "area": "TX",
      "county": "Hardeman",
      "county_slug": "hardeman",
      "label": "Hardeman County",
      "plans": 19,
      "issuers": 1,
      "premium_40_low": 555.98,
      "premium_40_silver_low": 912.76
    },
    {
      "area": "TX",
      "county": "Wichita",
      "county_slug": "wichita",
      "label": "Wichita County",
      "plans": 19,
      "issuers": 1,
      "premium_40_low": 555.98,
      "premium_40_silver_low": 912.76
    },
    {
      "area": "TX",
      "county": "Wilbarger",
      "county_slug": "wilbarger",
      "label": "Wilbarger County",
      "plans": 19,
      "issuers": 1,
      "premium_40_low": 555.98,
      "premium_40_silver_low": 912.76
    },
    {
      "area": "UT",
      "county": "Sanpete",
      "county_slug": "sanpete",
      "label": "Sanpete County",
      "plans": 8,
      "issuers": 1,
      "premium_40_low": 704.32,
      "premium_40_silver_low": 798.02
    },
    {
      "area": "WI",
      "county": "Fond du Lac",
      "county_slug": "fond-du-lac",
      "label": "Fond du Lac County",
      "plans": 9,
      "issuers": 1,
      "premium_40_low": 398.5,
      "premium_40_silver_low": 633.03
    },
    {
      "area": "WY",
      "county": "Lincoln",
      "county_slug": "lincoln",
      "label": "Lincoln County",
      "plans": 11,
      "issuers": 1,
      "premium_40_low": 794.86,
      "premium_40_silver_low": 1102.93
    },
    {
      "area": "WY",
      "county": "Teton",
      "county_slug": "teton",
      "label": "Teton County",
      "plans": 11,
      "issuers": 1,
      "premium_40_low": 794.86,
      "premium_40_silver_low": 1102.93
    },
    {
      "area": "WY",
      "county": "Uinta",
      "county_slug": "uinta",
      "label": "Uinta County",
      "plans": 11,
      "issuers": 1,
      "premium_40_low": 794.86,
      "premium_40_silver_low": 1102.93
    }
  ]
}