Delawareans Without Health Insurance 2007 presented to Delaware - - PDF document

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Delawareans Without Health Insurance 2007 presented to Delaware - - PDF document

Delawareans Without Health Insurance 2007 presented to Delaware Health Care Commision by Edward C. Ratledge Center for Applied Demography & Survey Research University of Delaware December 6, 2007 Delaware 1790-2030 Thousands 1200


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SLIDE 1

Delawareans Without Health Insurance 2007

presented to Delaware Health Care Commision by Edward C. Ratledge Center for Applied Demography & Survey Research University of Delaware December 6, 2007

Delaware 1790-2030

Source: Center for Applied Demography and Survey Research, University of Delaware

1790 1810 1830 1850 1870 1890 1910 1930 1950 1970 1990 2010 2030 200 400 600 800 1000 1200 Thousands Delaware Kent New Castle Sussex

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SLIDE 2

Delaware Population Growth 1790-2030

Source: Center for Applied Demography and Survey Research, University of Delaware

1790 1810 1830 1850 1870 1890 1910 1930 1950 1970 1990 2010 2030 20 40 60 80 100 120 140 Thousands

Average Annual Population Growth Rates State of Delaware 1800-2030

1790 1810 1830 1850 1870 1890 1910 1930 1950 1970 1990 2010 2030 0.5 1 1.5 2 2.5 3 3.5 4

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SLIDE 3

State of Delaware Sources of Population Growth 1970-2006

Source: Center for Applied Demography and Survey Research, University of Delaware

1970 1975 1980 1985 1990 1995 2000 2005 5 10 15

  • 5

Thousands

Natural Inc Net Migration Growth

Persons Without Health Insurance

State of Delaware

Source: Center for Applied Demography and Survey Research, University of Delaware

1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

Calendar Year

200 400 600 800 1,000 Population Uninsured

Population 599 605 612 618 628 637 648 658 669 683 695 706 718 730 741 751 763 775 786 795 806 817 829 842 853 862 Uninsured 94 83 94 84 99 98 84 59 101 92 93 78 95 92 105 91 90 105 76 82 71 79 91 110 103 105

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SLIDE 4

Persons Without Health Insurance

State of Delaware (3 year moving average)

Source: Center for Applied Demography and Survey Research, University of Delaware

1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

Calendar Year

200 400 600 800 1,000 Persons (000) Population Uninsured

Population 612 618 628 637 648 658 669 683 695 706 718 730 741 751 763 775 786 795 806 817 829 842 853 862 Uninsured 91 88 92 94 94 80 81 84 95 88 89 88 97 96 95 95 90 88 76 77 80 93 101 106

Percent Without Health Insurance

by Area

Source: Center for Applied Demography and Survey Research, University of Delaware

1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

Area

5 10 15 20 Percent Delaware Region US

Delaware 15.1 14.4 15.1 15.1 14.9 12.6 12.4 12.5 14 12.8 12.7 12.5 13.6 13.2 13 12.7 11.9 11.3 9.7 9.7 9.9 11.4 12.2 12.5 Region 14 13.4 12.8 12.9 12.2 11 10.2 10.2 10.9 11.4 12 12.4 12.5 12.5 12.9 13.4 13.1 12.6 12.3 13 13.6 12.5 12.5 13.2 US 16.3 16.1 15.6 15.7 15.3 14.6 13.9 13.6 13.9 14.3 14.8 15.2 15.3 15.4 15.7 16 16 15.3 14.8 14.7 15.1 14.9 15.3 15.8

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SLIDE 5

Percent 18-64 Without Health Insurance

by Area

Source: Center for Applied Demography and Survey Research, University of Delaware 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

Area

5 10 15 20 25 Percent Delaware Kent+Sussex New Castle

Delaware 17.1 14.8 14.5 16.1 13.2 13.9 11 11.7 14 16.5 14.5 14.7 Kent+Sussex 22.5 14.8 16.9 16.1 14.3 16.2 12.3 10.2 16.3 18.7 20.8 17.4 New Castle 14.1 14.8 13.3 16.1 12.6 12.7 10.3 12.6 12.9 15.3 10.5 13

Percent 0-17 Without Health Insurance

by Area

DelawareSource: Center for Applied Demography and Survey Research, University of Delaware 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

Area

5 10 15 20 25 Percent Delaware Kent+Sussex New Castle

Delaware 12.8 11.5 12.6 16.1 6.1 7.2 8.2 9.7 8.5 11.5 11.9 11.7 Kent+Sussex 17.1 18.4 21 16.1 7.2 14.6 13 8.6 10 13.2 15.3 14.1 New Castle 10.8 8.2 7.1 16 5.3 2.5 5.4 10.3 7.8 8.8 9.7 10.4

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SLIDE 6

Percent Without Health Insurance

by County

Source: Center for Applied Demography and Survey Research, University of Delaware

Kent New Castle Sussex Delaware

Year

5 10 15 20 Percent 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007

2001-2003 14.1 9.1 7.6 9.7 2002-2004 12.9 9.6 8.4 9.9 2003-2005 11.2 11.3 11.5 11.4 2004-2006 13.3 10.9 15.1 12.2 2005-2007 12.9 11.1 16.5 12.5

Persons Without Health Insurance

by County

Source: Center for Applied Demography and Survey Research, University of Delaware

Kent New Castle Sussex Delaware

Year

20000 40000 60000 80000 100000 120000 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007

2001-2003 19200 46200 11800 77200 2002-2004 17000 49900 13300 80200 2003-2005 15000 59300 18800 93100 2004-2006 19900 56800 24400 101100 2005-2007 21300 57300 27100 105600

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SLIDE 7

Number of Persons

by Source of Insurance

Source: Center for Applied Demography and Survey Research, University of Delaware

Uninsured Medicare CHAMPUS Medicaid Public Sector Private - 500+ Private:26-499 Private:1-25

  • Indiv. Market

Year

50 100 150 200 250 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007

2001-2003 77 114 18 65 75 212 97 66 73 2002-2004 80 112 22 71 70 207 102 67 76 2003-2005 93 108 23 83 72 198 102 65 74 2004-2006 101 108 25 89 75 196 102 66 67 2005-2007 106 115 28 86 80 200 95 68 66

Number of Persons

by Source of Insurance

Source: Center for Applied Demography and Survey Research, University of Delaware

Uninsured Medicare CHAMPUS Medicaid Public Sector Private - 500+ Private:26-499 Private:1-25

  • Indiv. Market

Source

50 100 150 200 Persons (000) Delaware Kent New Castle Sussex

Delaware 105 108 25 89 75 196 101 65 65 Kent 20 16 13 23 14 27 13 10 11 New Castle 59 61 9 50 45 151 69 40 37 Sussex 25 31 3 17 16 18 19 15 17

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SLIDE 8

Number of Persons (0-18)

by Source of Insurance

Source: Center for Applied Demography and Survey Research, University of Delaware

Uninsured Medicare CHAMPUS Medicaid Public Sector Private - 500+ Private:26-499 Private:1-25

  • Indiv. Market

Sources

10000 20000 30000 40000 50000 60000 70000 Persons Delaware Kent New Castle Sussex

Delaware 22681 1629 7180 44612 22811 61122 25225 13731 10224 Kent 4961 860 4236 12717 3309 9877 3420 2756 1532 New Castle 13271 186 2517 23582 13930 46126 17109 7292 6558 Sussex 4448 583 427 8313 5572 5119 4697 3683 2134

Delaware Non-Agricultural Employment 1939-2007

Source: Center for Applied Demography and Survey Research, University of Delaware 1940 1945 1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005

Year 100 200 300 400 500 Thousands

Total Manufacturing Services FIRE

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SLIDE 9

Average Yearly Earnings by Sector , Age, and Education

Source: Center for Applied Demography and Survey Research, University of Delaware

18-24 25-34 35-44 45-54 55-64 20 40 60 80 100 $000 HS-Service HS-Manuf. BA-Service BA-Manuf.

Percent without Health Insurance

by Industry in Delaware

Source:Center for Applied Demography and Survey Research, University of Delaware

Construction Manufacturing Trade FIRE Service

Industry

5 10 15 20 25 30 35 Percent 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007

2001-2003 24.2 6.9 11.9 7.7 11 2002-2004 22.9 7.2 11.9 6.3 11.7 2003-2005 27.3 8.7 12.9 8.5 13.8 2004-2006 28.9 9.8 15.1 6.7 13.5 2005-2007 31.9 9.7 13.5 6.7 13.6

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SLIDE 10

Percent without Health Insurance

by Size of Firm

Source:Center for Applied Demography and Survey Research, University of Delaware

Under 25 25-99 100-499 500-999 1000+

Size of Firm

5 10 15 20 25 30 Percent 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007

2001-2003 19.9 11.9 11.7 4 6.8 2002-2004 19.1 12.5 9.3 7.8 6.4 2003-2005 22 14.7 8.9 9.3 7.9 2004-2006 23.9 13.6 9.2 11.4 7.9 2005-2007 24.7 14.3 9.1 9.5 7.9

Delaware Age Distribution 1950-2030

Source: Center for Applied Demography and Survey Research, University of Delaware

1950 1960 1970 1980 1990 2000 2010 2020 2030 Age Groups 0% 20% 40% 60% 80% 100% 0-19 20-39 40-64 65+

0-19 102834 173519 216669 191845 186321 217765 230882 244756 254252 20-39 101461 122979 146450 190259 225616 224161 226229 242407 249043 40-64 87470 115303 141107 153055 173946 240768 304238 310123 301621 65+ 26320 34491 43833 59179 80285 103724 131835 180359 237560

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SLIDE 11

Percent Without Health Insurance

by Age Group and Area (D:Delaware R:Region)

Source: Center for Applied Demography and Survey Research, University of Delaware

D:0-4 D:5-17 D:18-29 D:30-64 R:0-4 R:5-17 R:18-29 R:30-64

Age Group by Area

5 10 15 20 25 30 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007

2001-2003 9.6 8 21.2 9.3 9.1 9.2 26.3 13.9 2002-2004 10.6 8.2 22.1 9 9.8 10.4 28.1 15.1 2003-2005 10.5 9.8 21.9 11.4 9.4 10.1 27.5 15.1 2004-2006 10.9 10.5 21.7 12.7 8.8 9.6 26.2 14.7 2005-2007 12.1 11.5 21.2 13.2 8.5 8.8 24.9 13.8

Persons Without Health Insurance

by Age Group in Delaware

Source: Center for Applied Demography and Survey Research, University of Delaware

0 to 4 5 to 17 18 to 29 30 to 64

Age Group

10000 20000 30000 40000 50000 60000 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007

2001-2003 4500 12300 25200 35200 2002-2004 5100 12300 27800 34800 2003-2005 5400 14000 28500 44800 2004-2006 6300 14600 29000 50200 2005-2007 7100 16200 28500 52700

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SLIDE 12

Percent without Health Insurance

by Race (D:Delaware R:Region)

Source:Center for Applied Demography and Survey Research, University of Delaware

D:White D:Black D:Other R:White R:Black R:Other

Race by Area

5 10 15 20 25 Percent 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007

2001-2003 9.1 11 17.1 10.9 19.4 22.9 2002-2004 9.4 11.9 11 12.5 19.7 21.4 2003-2005 10.6 14.2 14.2 12.5 19.3 19.1 2004-2006 11.4 14.7 14 12.3 18 17.7 2005-2007 11.8 13.7 17.3 11.4 17.4 16.8

Percent without Health Insurance

by Hispanic Origin (D:Delaware R:Region)

Source:Center for Applied Demography and Survey Research, University of Delaware

D:Hispanic D:Non-Hispanic R:Hispanic R:Non-Hispanic

Hispanic Origin by Area

10 20 30 40 Percent 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007

2001-2003 25 8.9 29.1 11.1 2002-2004 29.1 8.8 31 11.9 2003-2005 33.1 10 29.3 11.9 2004-2006 32.1 10.8 28.5 11.4 2005-2007 36.6 10.7 26.9 10.8

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SLIDE 13

Percent without Health Insurance

by Household Size (D:Delaware R:Region)

Source:Center for Applied Demography and Survey Research, University of Delaware

D:1 D:2 D:3 D:4 D:5 R:1 R:2 R:3 R:4 R:5

Household Size by Area

5 10 15 20 Percent 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007

2001-2003 14.6 7.5 8.4 7.1 10.1 16.2 12.3 13 10.4 11.2 2002-2004 13.4 7.9 8.4 7.9 10.2 17.5 12.9 14.4 11.7 12.8 2003-2005 13.2 9.6 11.4 9.6 11.5 17.8 12.6 14.2 11.4 12.9 2004-2006 14.1 10.5 13.8 9.5 12.6 17.3 11.9 14.2 10.9 12.9 2005-2007 13.8 10.4 13.6 10.2 14.4 16.8 10.8 13.4 10.1 12

Percent without Health Insurance

by Years of Education(D:Delaware R:Region)

Source: Center for Applied Demography and Survey Research, University of Delaware D:11- D:12 D:13 D:16+ R:11- R:12 R:13 R:16+

Years of Education by Area

5 10 15 20 25 Percent

2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2001-2003 15.1 12 8.2 5.7 19.4 15.6 13.4 8.2 2002-2004 16.2 11.5 8.6 5.1 21.9 17.3 14.1 8.5 2003-2005 17.8 12.9 9.9 6.2 21.8 17.3 13.6 8.6 2004-2006 19.7 14 10.1 6.6 21.5 17 12.8 8.3 2005-2007 22.1 13.9 9.1 6.5 20.1 16.1 12.1 7.8

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SLIDE 14

Percent Without Health Insurance

by Marital Status (D:Delaware R:region)

Source:Center for Applied Demography and Survey Research, University of Delaware

D:Mar. D:Wid. D:Div. D:Sep. D:Nev. R:Mar. R:Wid. R:Div. R:Sep. R:Nev.

Marital Status by Area

5 10 15 20 25 Percent

2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2001-2003 6.3 2.6 10.2 8.3 14 9.5 4.7 15.5 19.7 16.4 2002-2004 6.3 2.3 9.7 7 14.6 10.6 4.4 17 22.7 17.8 2003-2005 7.9 3.2 12.8 10.3 15.4 10.4 4.8 17.2 22.7 17.5 2004-2006 8.5 2.5 15.1 14.6 16.2 9.9 5.3 16.7 23.5 16.9 2005-2007 8.9 3.2 15.9 18.6 16.3 8.8 5.4 15.6 21.4 16.3

Percent without Health Insurance

by Relationship in Delaware

Source:Center for Applied Demography and Survey Research, University of Delaware

Head Spouse Under 18 18+ Relative Other

Relationship

5 10 15 20 25 30 35 Percent 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007

2001-2003 8 6 6.5 17.9 26.5 24.7 2002-2004 7.4 5.9 6.5 19.5 29.6 25.3 2003-2005 8.5 7.6 6.9 22.7 32.1 22.8 2004-2006 9.1 8.5 8 23.1 29.2 27.1 2005-2007 9.8 8.5 9.8 21.5 27.8 24.6

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SLIDE 15

Percent without Health Insurance

by Relationship in the Region

Source:Center for Applied Demography and Survey Research, University of Delaware

Head Spouse Under 18 18+ Relative Other

Relationship

5 10 15 20 25 30 35 40 Percent 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007

2001-2003 10.6 8.7 7.3 23.4 32.3 32.8 2002-2004 11.8 9.8 8.2 25.4 33.3 34.8 2003-2005 11.7 9.7 8.2 25.6 31.8 34.4 2004-2006 11.5 9 7.8 24.5 30 33.7 2005-2007 10.7 7.8 7.4 22.8 28 33.3

Percent without Health Insurance

by Income from Unemployment

Source:Center for Applied Demography and Survey Research, University of Delaware

D:None D:Some R:None R:Some

Unemployment Compensation by Area

5 10 15 20 Percent 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007

2001-2003 9.6 10.8 12.7 16 2002-2004 9.8 11.7 13.8 17.3 2003-2005 11.2 13.5 13.7 17.2 2004-2006 12.1 12.5 13.2 17.5 2005-2007 12.6 10.5 12.4 16.5

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SLIDE 16

Percent without Health Insurance

by Class of Worker (D:Delaware R:Region)

Source:Center for Applied Demography and Survey Research, University of Delaware

D:Private D:Govern. D:Self-emp. R:Private R:Govern. R:Self-emp.

Class of Worker by Area

5 10 15 20 25 Percent 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007

2001-2003 9.1 4.9 15.4 12.7 4.6 19.1 2002-2004 9.5 5 11.1 13.9 5.2 20.8 2003-2005 11.1 5.6 16.7 13.7 5.1 21.2 2004-2006 11.9 5.3 21 13.4 4.6 21 2005-2007 12 5.1 24.2 12.7 4 20.3

Percent without Health Insurance

by Home Ownership (D:Delaware R:Region)

Source:Center for Applied Demography and Survey Research, University of Delaware

D:Own/Buying D:Rent R:Own/Buying R:Rent

Home Ownership by Area

5 10 15 20 25 Percent 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007

2001-2003 8.3 15.5 8.7 21.8 2002-2004 8.4 15.7 10 23.3 2003-2005 9.5 18.3 10.2 22.8 2004-2006 9.5 21.4 9.7 22.4 2005-2007 9.6 22.5 8.9 21.1

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SLIDE 17

Percent Without Health Insurance

by Poverty Level (D:Delaware R:Region)

Source: Center for Applied Demography and Survey Research, University of Delaware

D:Below D:1.0-2.0 D:2.0-3.0 D:3.0+ R:Below R:1.0-2.0 R:2.0-3.0 R:3.0+

Poverty Level by Area

5 10 15 20 25 30 Percent 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007

2001-2003 19.5 15.6 12.1 6.1 25.9 20.3 15.4 7.7 2002-2004 23 16.3 13 5.6 28 22.4 15.7 8.1 2003-2005 22.9 18.4 13.7 7 27.6 22.2 15.8 7.9 2004-2006 23.9 20.5 14.7 7.3 26.9 21.6 15.4 7.4 2005-2007 23.4 22.7 14.5 7.3 25.9 19.8 15.5 7.1

Percent Without Health Insurance

by Income (D:Delaware R:Region)

Source: Center for Applied Demography and Survey Research, University of Delaware

D:$10K- D:$10-20K D:$20-30K D:$30-50K D:$50K+ R:$10K- R:$10-20K R:$20-30K R:$30-50K R:$50K+

Income Level by Area

5 10 15 20 25 30 Percent 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007

2001-2003 21.2 13.7 14.1 11.8 5.9 25.8 20.5 19.8 14.1 7.3 2002-2004 24.2 14.2 14.8 12.1 5.9 27.9 22.2 21.1 15.4 7.9 2003-2005 22.5 15.8 15.8 14.6 7 27.4 21.8 21.4 15.5 7.7 2004-2006 23.6 18.9 16.8 16.1 7.2 26.6 22 20.3 15 7.5 2005-2007 22.8 20.6 17.3 15.1 8.1 26.2 20.2 19.5 14.6 7.5

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SLIDE 18

Who are the 106,000 Uninsured

Source: Center for Applied Demography and Survey Research, University of Delaware

  • 24% are under the age of 19
  • 56% are male
  • 70% are white
  • 20% are Hispanic
  • 60% own or are buying their home
  • 18% live alone
  • 83% are above the poverty line
  • 35% with household income over $50,000
  • 58% are working adults
  • 8% are self-employed
  • 20% are non-citizens

Distribution of Persons by Poverty Status by Age and Health Insurance Status Poverty 0-18 All 0-18 No HI 19+ 19+ No HI Not Measured 2131 824 under 0.50 12176 1773 19125 5421 0.50 to 0.74 6818 1522 13320 2894 0.75 to 0.99 7919 1541 17733 4616 1.00 to 1.24 9219 1995 16734 4427 1.25 to 1.49 9997 2307 20703 5616 1.50 to 1.74 10464 1664 24134 4745 1.75 to 1.99 13070 2874 26174 5932 2.00 to 2.49 22698 3148 58006 9118 2.50 to 2.99 19929 1779 58030 8947 3.00 to 3.49 16274 891 49986 6312 3.50 to 3.99 16127 2234 50984 5470 4.00 to 4.49 11712 947 37852 2759 4.50 to 4.99 10585 420 38431 3085 5.00 & over 42138 1174 201614 11191 Total 211258 25092 632826 80534 Source: Center for Applied Demography and Survey Research University of Delaware Current Population Survey 2005-2007

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SLIDE 19

Characteristics of the Uninsured and Program Eligibility 2005-2007 Characteristics Estimate Medicaid CHIP Employer Employer+Govt. Unknown 0-18, Foster Child 824 X 0-18, 0-100% poverty 4836 X 0-18, 100-200% poverty 8840 X 0-18, 200% + poverty 10593 X 19-34,0-100% poverty, not full-time 4095 X 19-34,0-100% poverty, works full-time 2301 X 19-34,100-200% poverty, not full-time 4641 X 19-34,100-200% + poverty, works full-time 6107 X 19-34,200% + poverty, not full-time 7496 X 19-34,200% + poverty, works full-time 13285 X 35-49,0-100% poverty, not full-time 2185 X 35-49,0-100% poverty, works full-time 1745 X 35-49,100-200% poverty, not full-time 3198 X 35-49,100-200% poverty, works full-time 3582 X 35-49, 200% + poverty, not full-time 5773 X 35-49, 200% + poverty, works full-time 8328 X 50-64,0-100% poverty, not full-time 1967 X 50-64,0-100% poverty, works full-time 440 X 50-64,100-200% poverty, not full-time 1703 X 50-64,100-200% poverty, works full-time 1336 X 50-64,200% + poverty, not full-time 4381 X 50-64, 200% + poverty, works full-time 6898 X Total 104557 18394 8840 28511 11025 37786 100.0% 17.6% 8.5% 27.3% 10.5% 36.1% 65+ uninsured 1076 All uninsured 105632