Cross-state analysis from CMS Plan Year 2026 data.
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36 of 1,491 counties (2.4%) have exactly one carrier filed on the 2026 marketplace. In those counties your plan choice is limited to that insurer’s network.
| State | 1-carrier counties | Total | Share | Counties |
|---|---|---|---|---|
| Kansas | 14 | 105 | 13% | Clark, Finney, Ford, Grant, Gray, Hamilton, Haskell, Kearny, … |
| Alabama | 7 | 67 | 10% | Autauga, Butler, Crenshaw, Elmore, Lamar, Monroe, Wilcox |
| Texas | 7 | 254 | 3% | Archer, Baylor, Clay, Foard, Hardeman, Wichita, Wilbarger |
| Oklahoma | 5 | 77 | 6% | Cimarron, Coal, Custer, Texas, Washita |
| Florida | 1 | 67 | 1% | Monroe |
| Utah | 1 | 29 | 3% | Sanpete |
| Wisconsin | 1 | 72 | 1% | Fond du Lac |
Source: CMS Plan Year 2026 Qualified Health Plan Landscape file. Full-price filed rates before premium tax credits; not a quote or an offer of coverage. Published 2026-07-31.
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