Contra Costa County, CA

County

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2020 Population

1.15M

0.485% 1-year growth

US Senator

Dianne Feinstein

Democratic Party

US Senator

Alex Padilla

Democratic Party

2020 Median Age

39.9

0.504% 1-year increase

2020 Poverty Rate

8.17%

6.1% 1-year decrease

2020 Median Household Income

$103,997

4.29% 1-year growth

2020 Median Property Value

$655,500

4.75% 1-year growth

2020 Employed Population

563,813

0.795% 1-year growth

About

In 2020, Contra Costa County, CA had a population of 1.15M people with a median age of 39.9 and a median household income of $103,997. Between 2019 and 2020 the population of Contra Costa County, CA grew from 1.14M to 1.15M, a 0.485% increase and its median household income grew from $99,716 to $103,997, a 4.29% increase.

The 5 largest ethnic groups in Contra Costa County, CA are White (Non-Hispanic) (42.6%), Asian (Non-Hispanic) (17.2%), Other (Hispanic) (10.5%), White (Hispanic) (10.4%), and Black or African American (Non-Hispanic) (8.23%).

None of the households in Contra Costa County, CA reported speaking a non-English language at home as their primary shared language. This does not consider the potential multi-lingual nature of households, but only the primary self-reported language spoken by all members of the household.

89.2% of the residents in Contra Costa County, CA are U.S. citizens.

The largest universities in Contra Costa County, CA are Diablo Valley College (3,728 degrees awarded in 2020), Los Medanos College (2,631 degrees), and Contra Costa College (1,779 degrees).

In 2020, the median property value in Contra Costa County, CA was $655,500, and the homeownership rate was 66.8%. Most people in Contra Costa County, CA drove alone to work, and the average commute time was 38.5 minutes. The average car ownership in Contra Costa County, CA was 2 cars per household.

Contra Costa County, CA borders Alameda County, CA, Marin County, CA, Sacramento County, CA, San Francisco County, CA, San Joaquin County, CA, Solano County, CA, and Sonoma County, CA.

Photo by Images by John 'K'

United States California San Francisco-Oakland-Hayward, CA

Diversity

Contra Costa County, CA is home to a population of 1.15M people, from which 89.2% are citizens. As of 2020, 24.9% of Contra Costa County, CA residents were born outside of the country (285k people).

In 2020, there were 2.48 times more White (Non-Hispanic) residents (489k people) in Contra Costa County, CA than any other race or ethnicity. There were 197k Asian (Non-Hispanic) and 120k Other (Hispanic) residents, the second and third most common ethnic groups.

Race and Ethnicity

The 3 largest ethnic groups in Contra Costa County, CA

White (Non-Hispanic)
489k ± 1.49k
Asian (Non-Hispanic)
197k ± 2.27k
Other (Hispanic)
120k ± 4.71k

25.8%

Hispanic Population

296k people

25.8% of the people in Contra Costa County, CA are hispanic (296k people).

The following chart shows the 7 races represented in Contra Costa County, CA as a share of the total population.

Heritage

Foreign-Born Population

24.9%

2020 Foreign-Born Population

285k people

25.4%

2019 Foreign-Born Population

290k people

As of 2020, 24.9% of Contra Costa County, CA residents (285k people) were born outside of the United States, which is higher than the national average of 13.5%. In 2019, the percentage of foreign-born citizens in Contra Costa County, CA was 25.4%, meaning that the rate has been decreasing.

The following chart shows the percentage of foreign-born residents in Contra Costa County, CA compared to that of it's neighboring and parent geographies.

Age by Nativity

Median Native-Born Age

± 0.2

Median Foreign-Born Age

± 0.4

In 2020, the median age of all people in Contra Costa County, CA was 39.9. Native-born citizens, with a median age of 35, were generally younger than foreign-born citizens, with a median age of 47. But people in Contra Costa County, CA are getting getting older. In 2019, the average age of all Contra Costa County, CA residents was 40.

Global Diversity

The PUMS dataset is not available at the County level, so we are showing data for California.

Most Common Origin

Mexico
4,008,868 ± 46,586 people
Philippines
829,356 ± 22,122 people
China
683,718 ± 20,124 people

In 2020, the most common birthplace for the foreign-born residents of California was Mexico, the natal country of 4,008,868 California residents, followed by Philippines with 829,356 and China with 683,718.

Citizenship

89.2%

2020 Citizenship

88.5%

2019 Citizenship

As of 2020, 89.2% of Contra Costa County, CA residents were US citizens, which is lower than the national average of 93.4%. In 2019, the percentage of US citizens in Contra Costa County, CA was 88.5%, meaning that the rate of citizenship has been increasing.

The following chart shows US citizenship percentages in Contra Costa County, CA compared to that of it's neighboring and parent geographies.

Military

Veterans

Most Common Service Period

Vietnam
15,908 ± 894
Gulf War (2001-)
6,095 ± 671
Gulf War (1990s)
5,652 ± 577

Contra Costa County, CA has a large population of military personnel who served in Vietnam, 2.61 times greater than any other conflict.

COVID-19

Daily New Cases by Date

Showing data at the state level for California. Hospitalization data for some states may be delayed or not reported.

Y-Axis

This chart shows the number of COVID-19 daily new cases by date in California, as a 7-day rolling average, compared with the four states with the most similar number of confirmed cases.

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Unemployment Insurance Claims

Data is only available at the state level. Showing data for California.

This chart shows weekly unemployment insurance claims in California (not-seasonally adjusted) compared with the four states with the most similar impact.

The most recent data point uses Advance State Claims data, which can be revised in subsequent weeks.

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Employment by Industry Sector

Data is only available at the state level. Showing data for California.

Y-Axis

8.45%

Year-over-year growth

Employment change between May 2020 and May 2021

As of May 2021, there are 145M people employed in California. This represents a 8.45% increase in employment when compared to May 2020.

The following chart shows monthly employment numbers for each industry sector in California.

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Community Mobility

Data is only available at the state level. Showing data for California.

This chart presents movement trends over time in the state of California across different categories of places such as retail and recreation, groceries and pharmacies, parks, transit stations, workplaces, and residential.

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Economy

Median household income in Contra Costa County, CA is $103,997. In 2020, the tract with the highest Median Household Income in Contra Costa County, CA was Census Tract 3452.04 with a value of $250,001, followed by Census Tract 3461.02 and Census Tract 3530.02, with respective values of $250,001 and $250,001.

Males in California have an average income that is 1.26 times higher than the average income of females, which is $64,427. The income inequality in California (measured using the Gini index) is 0.498, which is higher than than the national average.

The economy of Contra Costa County, CA employs 564k people. The largest industries in Contra Costa County, CA are Health Care & Social Assistance (77,861 people), Professional, Scientific, & Technical Services (64,682 people), and Retail Trade (56,455 people), and the highest paying industries are Mining, Quarrying, & Oil & Gas Extraction ($152,599), Management of Companies & Enterprises ($147,000), and Utilities ($116,029).

Wages

Median Household Income

$103,997

2020 value

± $1,239

4.29%

1 Year Growth

± 1.59%

Households in Contra Costa County, CA have a median annual income of $103,997, which is more than the median annual income of $64,994 across the entire United States. This is in comparison to a median income of $99,716 in 2019, which represents a 4.29% annual growth.

The following chart shows how the median household income in Contra Costa County, CA compares to that of its neighboring and parent geographies.

Wage by Sex in Common Jobs

The PUMS dataset is not available at the County level, so we are showing data for California.

$81,373

Average Male Salary in California

± $777

$64,427

Average Female Salary in California

± $650

In 2020, full-time male employees in California made 1.26 times more than female employees.

This chart shows the sex-based wage disparity in the 5 most common occupations in California by number of full-time employees.

Wage by Race and Ethnicity in Common Jobs

The PUMS dataset is not available at the County level, so we are showing data for California.

Highest Average Salaries by Race & Ethnicity in California

Asian
$76,893 ± $1,222
White
$68,605 ± $653
Two or More Races
$54,009 ± $1,392

In 2020 the highest paid race/ethnicity of California workers was Asian. These workers were paid 1.12 times more than White workers, who made the second highest salary of any race/ethnicity in California.

This chart shows the race- and ethnicity-based wage disparities in the 5 most common occupations in California by number of full-time employees.

Wage Distribution

The closest comparable wage GINI for Contra Costa County, CA is from California.

0.498

2020 Wage GINI in California

0.499

2019 Wage GINI in California

In 2020, the income inequality in California was 0.498 according to the GINI calculation of the wage distribution. Income inequality had a 0.321% decline from 2019 to 2020, which means that wage distribution grew somewhat more even. The GINI for California was higher than than the national average of 0.478. In other words, wages are distributed less evenly in California in comparison to the national average.

This chart shows the number of workers in California across various wage buckets compared to the national average.

Income by Location

Use the dropdown to filter by race/ethnicity.

Race/Ethnicity

Highest Median Household Income (Total)

Census Tract 3452.04
Census Tract 3461.02
Census Tract 3530.02

In 2020, the tract with the highest Median Household Income (Total) in Contra Costa County, CA was Census Tract 3452.04 with a value of $250,001, followed by Census Tract 3461.02 and Census Tract 3530.02, with respective values of $250,001 and $250,001.

The following map shows all of the tracts in Contra Costa County, CA colored by their Median Household Income (Total).

Poverty by Age and Sex

Females 25 - 34

Largest Demographic Living in Poverty

8.17% of the population for whom poverty status is determined in Contra Costa County, CA (93k out of 1.14M people) live below the poverty line, a number that is lower than the national average of 12.8%. The largest demographic living in poverty are Females 25 - 34, followed by Females 35 - 44 and then Females 55 - 64.

The Census Bureau uses a set of money income thresholds that vary by family size and composition to determine who classifies as impoverished. If a family's total income is less than the family's threshold than that family and every individual in it is considered to be living in poverty.

Poverty by Race and Ethnicity

Largest Race or Ethnicity Living in Poverty

White
39,690 ± 1,722
Hispanic
35,282 ± 1,749
Other
17,190 ± 1,196

The most common racial or ethnic group living below the poverty line in Contra Costa County, CA is White, followed by Hispanic and Other.

Occupations

Employment by Occupations

564k

2020 Value

± 6,361

0.795%

1 Year growth

± 1.5%

From 2019 to 2020, employment in Contra Costa County, CA grew at a rate of 0.795%, from 559k employees to 564k employees.

The most common job groups, by number of people living in Contra Costa County, CA, are Management Occupations (76,051 people), Office & Administrative Support Occupations (59,214 people), and Sales & Related Occupations (57,130 people). This chart illustrates the share breakdown of the primary jobs held by residents of Contra Costa County, CA.

Most Common

The most common jobs held by residents of Contra Costa County, CA, by number of employees, are Management Occupations (76,051 people), Office & Administrative Support Occupations (59,214 people), and Sales & Related Occupations (57,130 people).

Most Specialized

Compared to other counties, Contra Costa County, CA has an unusually high number of residents working as Life, Physical, & Social Science Occupations (1.4 times higher than expected), Computer & Mathematical Occupations (1.37 times), and Architecture & Engineering Occupations (1.29 times).

Highest Paid

The highest paid jobs held by residents of Contra Costa County, CA, by median earnings, are Legal Occupations ($117,130), Computer & Mathematical Occupations ($112,749), and Architecture & Engineering Occupations ($110,103).

Industries

Employment by Industries

564k

2020 Value

± 6,361

0.795%

1 Year growth

± 1.5%

From 2019 to 2020, employment in Contra Costa County, CA grew at a rate of 0.795%, from 559k employees to 564k employees.

The most common employment sectors for those who live in Contra Costa County, CA, are Health Care & Social Assistance (77,861 people), Professional, Scientific, & Technical Services (64,682 people), and Retail Trade (56,455 people). This chart shows the share breakdown of the primary industries for residents of Contra Costa County, CA, though some of these residents may live in Contra Costa County, CA and work somewhere else. Census data is tagged to a residential address, not a work address.

Most Common

The most common industries in Contra Costa County, CA, by number of employees, are Health Care & Social Assistance (77,861 people), Professional, Scientific, & Technical Services (64,682 people), and Retail Trade (56,455 people).

Most Specialized

Compared to other counties, Contra Costa County, CA has an unusually high number of Professional, Scientific, & Technical Services (1.54 times higher than expected), Information (1.27 times), and Administrative & Support & Waste Management Services (1.24 times) industries.

Highest Paying

The highest paying industries in Contra Costa County, CA, by median earnings, are Mining, Quarrying, & Oil & Gas Extraction ($152,599), Management of Companies & Enterprises ($147,000), and Utilities ($116,029).

Domestic Trade

Domestic Production & Consumption

Domestic production and consumption consists of products and services shipped from California to other states, or from other states to California.

Top Domestic Production in Dollars

In 2020, the top outbound California product (by dollars) was Electronics with $407B, followed by Pharmaceuticals ($158B) and Mixed freight ($149B).

The following chart shows the share of these products in relation to all outbound California products.

Domestic Trade Growth

Showing data for California.

$2.26T

2020 Value in California

$4.61T

Projected 2050 Value in California

104% growth

In 2020, total outbound California trade was $2.26T. This is expected to increase 104% to $4.61T by 2050.

The following chart shows how the domestic outbound California trade is projected to change in comparison to its neighboring states.

Interstate Trade

Interstate trade consists of products and services shipped from California to other states, or from other states to California.

Most Common Trade Partners

Texas
$83.5B
Arizona
$44.4B
Ohio
$43.3B

In 2020, the top outbound California domestic partner for goods and services (by dollars) was Texas with $83.5B, followed by Arizona with $44.4B and Ohio and $43.3B.

The following map shows the amount of trade that California shares with each state (excluding itself).

Civics

In the 2020 presidential election, the popular vote in Contra Costa County, CA went to Joseph R Biden Jr. with 71.6% of the vote. The runner-up was Donald J. Trump (26.3%), followed by Jo Jorgensen (1.05%). The most partisan county was San Francisco County, CA with 85.3% of the vote going to Joseph R Biden Jr. running for the Democratic Party.

Dianne Feinstein and Alex Padilla are the senators currently representing the state of California. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

California is currently represented by 53 members in the U.S. house, and members of the House of Representives are elected to 2-year terms.

Presidential Popular Vote Over Time

2020 Election Results

Joseph R Biden Jr. (71.6%)
Democratic Party
Donald J. Trump (26.3%)
Republican Party
Jo Jorgensen (1.05%)
Libertarian Party

The following chart shows the popular vote results in Contra Costa County, CA for each registered party from 1976 to 2020.

Presidential Popular Vote by County

Presidential voting results are only available at the county level. Showing data for the counties inside of California.

Joseph R Biden Jr.

Popular Vote for Contra Costa County, CA

71.6% for the Democratic Party

Most Partisan Counties in California

San Francisco County, CA
85.3% for Joseph R Biden Jr. (Democratic Party)
Marin County, CA
82.3% for Joseph R Biden Jr. (Democratic Party)
Alameda County, CA
80.2% for Joseph R Biden Jr. (Democratic Party)

In the 2020 presidential election, the most partisan county in California was San Francisco County, CA with 85.3% of the vote going to Joseph R Biden Jr. running for the Democratic Party.

The following map shows the counties in California colored by their party leaning.

US Senators from California

Senatorial voting results are only available at the state level. Showing data for California.

Dianne Feinstein

Senator from California

Assumed office on November 10, 1992
Elected to the seat to succeed John Seymour (California politician)|John Seymour, who had been appointed to the seat after Pete Wilson was elected Governor of California.

Alex Padilla

Senator from California

Assumed office on January 20, 2021
Appointed to the seat following the resignation of Kamala Harris, who had become Vice President of the United States.

Dianne Feinstein and Alex Padilla are the senators currently representing California.

In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

The following chart shows elected senators in California over time, excluding special elections, colored by their political party.

US Representatives from California

California is currently represented by 53 members in the U.S. house.

Members of the House of Representives are elected to 2-year terms, and the following chart shows the how the members for California have changed over time starting in 2008.

Education

In 2020, universities in Contra Costa County, CA awarded 10,869 degrees. The student population of Contra Costa County, CA is skewed towards women, with 16,258 male students and 22,302 female students.

Most students graduating from Universities in Contra Costa County, CA are Hispanic or Latino (3,610 and 34.9%), followed by White (3,089 and 29.9%), Asian (1,680 and 16.2%), and Black or African American (856 and 8.28%).

The largest universities in Contra Costa County, CA by number of degrees awarded are Diablo Valley College (3,728 and 34.3%), Los Medanos College (2,631 and 24.2%), and Contra Costa College (1,779 and 16.4%).

The most popular majors in Contra Costa County, CA are Liberal Arts & Sciences (2,114 and 19.4%), Biological & Physical Sciences (958 and 8.81%), and General Business Administration & Management (656 and 6.04%).

The median tuition cost in Contra Costa County, CA for private four year colleges is $29,480.

Concentrations

Most Common

Liberal Arts & Sciences
591 degree-majorss awarded
General Business Administration & Management
386 degree-majorss awarded
Biological & Physical Sciences
745 degree-majorss awarded

In 2020, the most common concentation for Associates Degree recipients in Contra Costa County, CA was Liberal Arts & Sciences with 591 degrees awarded.

This visualization illustrates the percentage of students graduating with a Associates Degree from schools in Contra Costa County, CA according to their major.

Universities

Largest Universities by degrees awarded

Diablo Valley College
3,728 degrees awarded
Los Medanos College
2,631 degrees awarded
Contra Costa College
1,779 degrees awarded

$29,480

Median Private

In 2020, the Contra Costa County, CA institution with the largest number of graduating students was Diablo Valley College with 3,728 degrees awarded.

Student Sex for Common Institutions

4,031

Degrees Awarded to Men

6,838

Degrees Awarded to Women

In 2020, 4,031 men were awarded degrees from institutions in Contra Costa County, CA, which is 0.589 times less than the 6,838 female students who received degrees in the same year.

This chart displays the sex disparity between the top 5 institutions in Contra Costa County, CA by degrees awarded.

Student Race and Ethnicity

Most Common Student Race or Ethnicity

Hispanic or Latino
3,610 degrees awarded
White
3,089 degrees awarded
Asian
1,680 degrees awarded

In 2020 the most common race/ethnicity group awarded degrees at institutions in Contra Costa County, CA was Hispanic or Latino students. These 3,610 degrees mean that there were 1.17 times more degrees awarded to Hispanic or Latino students then the next closest race/ethnicity group, White, with 3,089 degrees awarded.

Housing & Living

The median property value in Contra Costa County, CA was $655,500 in 2020, which is 2.85 times larger than the national average of $229,800. Between 2019 and 2020 the median property value increased from $625,800 to $655,500, a 4.75% increase. The homeownership rate in Contra Costa County, CA is 66.8%, which is higher than the national average of 64.4%. People in Contra Costa County, CA have an average commute time of 38.5 minutes, and they drove alone to work. Car ownership in Contra Costa County, CA is approximately the same as the national average, with an average of 2 cars per household.

Housing

Property Value

$655,500

2020 Median

± $3,992

$625,800

2019 Median

± $3,627

In 2020, the median property value in Contra Costa County, CA grew to to $655,500 from the previous year's value of $625,800.

The following charts display, first, the property values in Contra Costa County, CA compared to it's parent and neighbor geographies and, second, owner-occupied housing units distributed between a series of property value buckets compared to the national averages for each bucket. In Contra Costa County, CA the largest share of households have a property value in the $500k - $750k range.

Household Income

Please note that the buckets used in this visualization were not evenly distributed by ACS when publishing the data.

$103,997

Median Household Income

± $1,239

398k

Number of Households

± 4,790

In 2020, the median household income of the 398k households in Contra Costa County, CA grew to $103,997 from the previous year's value of $99,716.

The following chart displays the households in Contra Costa County, CA distributed between a series of income buckets compared to the national averages for each bucket. The largest share of households have an income in the $200k+ range.

Property Taxes

$3k+

Average Range

This chart shows the households in Contra Costa County, CA distributed between a series of property tax buckets compared to the national averages for each bucket. In Contra Costa County, CA the largest share of households pay taxes in the $3k+ range.

Rent vs Own

66.8%

2020 Homeownership

65.9%

2019 Homeownership

In 2020, 66.8% of the housing units in Contra Costa County, CA were occupied by their owner. This percentage grew from the previous year's rate of 65.9%.

This percentage of owner-occupation is higher than the national average of 64.4%. This chart shows the ownership percentage in Contra Costa County, CA compared it's parent and neighboring geographies.

Commute Time

38.5 minutes

Average Travel Time

Using averages, employees in Contra Costa County, CA have a longer commute time (38.5 minutes) than the normal US worker (26.9 minutes). Additionally, 9.09% of the workforce in Contra Costa County, CA have "super commutes" in excess of 90 minutes.

The chart below shows how the median household income in Contra Costa County, CA compares to that of it's neighboring and parent geographies.

Commuter Transportation

Most Common Commute in 2020

Drove Alone (65.7%)
Carpooled (10.7%)
Public Transit (10.3%)

In 2020, 65.7% of workers in Contra Costa County, CA drove alone to work, followed by those who carpooled to work (10.7%) and those who used public transit to get to work (10.3%).

The following chart shows the number of households using each mode of transportation over time, using a logarithmic scale on the y-axis to help better show variations in the smaller means of commuting.

Transportation

Car Ownership

2 cars

Average Number

The following chart displays the households in Contra Costa County, CA distributed between a series of car ownership buckets compared to the national averages for each bucket. The largest share of households in Contra Costa County, CA have 2 cars, followed by false.

Health

95% of the population of Contra Costa County, CA has health coverage, with 55% on employee plans, 15.3% on Medicaid, 11.5% on Medicare, 12.7% on non-group plans, and 0.554% on military or VA plans.

Per capita personal health care spending in California was $7,549 in 2014. This is a 4.04% increase from the previous year ($7,256).

Primary care physicians in Contra Costa County, CA see 967 patients per year on average, which represents a 0.309% decrease from the previous year (970 patients). Compare this to dentists who see 1121 patients per year, and mental health providers who see 285 patients per year.

Comparing across all counties in the state, Amador County has the highest prevalence of diabetes (17%). Additionally, Colusa County has the highest prevalence of adult obesity (39%)

Patient to Clinician Ratios

967 to 1

Patient to Primary Care Physician Ratio in Contra Costa County, CA

Primary care physicians in Contra Costa County, CA see an average of 967 patients per year. This represents a 0.309% decrease from the previous year (970 patients).

The following chart shows how the number of patients seen by primary care physicians has been changing over time in Contra Costa County, CA in comparison to its neighboring geographies.

Behavioral Health Conditions

Data only available at the state level.

State with the Highest Prevalence

West Virginia
8.26% of the population affected
Arkansas
8.13% of the population affected
New Hampshire
7.98% of the population affected

In 2016, West Virginia had the highest prevalence of adults with major depressive episode, with 8.26% of the population affected. The second highest is Arkansas (8.13%), followed by New Hampshire (7.98%).

The following map shows the percent of individuals with major depressive episode by state over multiple years.

Social Needs

Data only available at the state level.

Most prevalent states

California
35,798 individuals
New York
5,087 individuals
Florida
4,915 individuals

In 2017, California had the highest estimated number of chronically homeless individuals in the nation, at 35,798. New York has the second highest (5,087), followed by Florida (4,915).

The following map shows the estimated number of chronically homeless individuals by state over multiple years.

Access and Quality

Data only available at state level.

Most prevalent states

Mississippi
19.2% of adults
Texas
17.9% of adults
Louisiana
17.6% of adults

In 2016, Mississippi had the highest prevalence of adults who haven't seen a doctor in the past 12 months due to cost, at 19.2%. It is followed by Texas (17.9%) and Louisiana (17.6%).

The following map shows the prevalence of adults who haven't seen a doctor in the past 12 months due to cost by state over multiple years.

Health Care Spending

Data is only available at the state level. Showing data for California.

$7,549

Total Per Capita Spending on Personal Health Care in California

$4,735

Per Enrollee Private Health Insurance Spending on Personal Health Care

$5,368

Per Enrollee Medicaid Spending on Personal Health Care

$11,833

Per Enrollee Medicare Spending on Personal Health Care

Between 2013 and 2014, all personal health care spending per capita in California (including private, Medicare, and Medicaid) grew 4.04%, from $7,256 to $7,549.

The following chart shows how this spending changed over time in comparison to Medicaid, Medicare, and private insurance spending, per enrollee.

Health Care Coverage

Uninsured

55%

Employer Coverage

15.3%

Medicaid

11.5%

Medicare

12.7%

Non-Group

0.554%

Military or VA

Between 2019 and 2020, the percent of uninsured citizens in Contra Costa County, CA declined by 1.94% from 5.1% to 5%.

The following chart shows how the percent of uninsured individuals in Contra Costa County, CA changed over time compared with the percent of individuals enrolled in various types of health insurance.