Most U.S. workers ages 19 to 64 were covered by health insurance in 2024 but the uninsured rate varied by occupation, sometimes exceeding the uninsured rate among working-age adults who did not work.
The Health Insurance Coverage in the United States: 2024 report released today shows that 89.0% of the civilian noninstitutionalized population ages 19 to 64 had health insurance in 2024 — 74.0% private and 17.9% public.
The uninsured rate ranged from 2.5% in architecture and engineering occupations to 29.4% in farming, fishing and forestry occupations.
All workers in that age group had higher rates of private (80.8%) than of public insurance (11.7%).
In 2024, the uninsured rate of those ages 19 to 64 was 11%, slightly higher than the uninsured rate of all workers in that age group (10%).
The uninsured rate was also higher among part-time (13.4%) than full-time (8.8%) workers. The uninsured rate for those ages 19 to 64 who did not work was 14.7%.
The rate of health coverage varied across occupations. Workers ages 19 to 64 in select occupations had higher uninsured rates than the rate for all nonworkers in the same age group in 2024.
The uninsured rate ranged from 2.5% in architecture and engineering occupations to 29.4% in farming, fishing and forestry occupations (Figure 1). This 26.9 percentage point difference significantly exceeded the 4.6 percentage point gap between full-time and part-time workers ages 19 to 64 in 2024.
Workers in computer and mathematical occupations were about 77% less likely to be uninsured (2.7%) than those in production occupations (11.8%) and installation, maintenance, and repair occupations (11.9%).
In 2024, even working in health care did not guarantee health coverage. Healthcare support workers (10.5%) were more than twice as likely as healthcare practitioners and technical workers (3.8%) to be uninsured.
Additionally, a cross-occupational analysis shows four occupational groups had uninsured rates greater than the uninsured rate for nonworkers ages 19 to 64 (14.7%):
Transportation and material moving occupations (which include truck drivers, and freight, stock, and material movers) had uninsured rates (14.9%) comparable to and not statistically different from those who did not work.
In 2024, workers in transportation and material moving occupations made up about 7.4% of all workers. Yet, according to 2022 data from the Survey of Occupational Injuries and Illness, this group experienced the highest number of nonfatal occupational injuries and illnesses requiring at least one day away from work, representing about 22% of all cases (2.25 million).
Among all occupations, there were three groups that had both among the lowest uninsured rates and among the highest private coverage rates:
Fifteen of the 22 major occupational groups had private insurance rates higher than the rate for the civilian noninstitutionalized population ages 19 to 64 (74.0%).
Private coverage rates were lowest among farming, fishing and forestry occupations (50.3%), followed by food preparation and serving related occupations (57.1%), and building and grounds cleaning and maintenance occupations (58.1%).
The private coverage rates for food preparation and serving related occupations and for building and grounds cleaning and maintenance occupations were not statistically different from each other.
The following occupations had among the highest rates of public coverage and were not statistically different from each other:
The occupational groups with among the lowest rates of public coverage (not statistically different from each other) were:
More information on confidentiality protection, sampling error, nonsampling error, and definitions is available in the technical documentation. All comparative statements in this article have undergone statistical testing and, unless otherwise noted, all comparisons are statistically significant at the 10% significance level.
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