Central Vermont--Addison, Washington & Orange Counties PUMA, VT

Public Use Microdata Area (PUMA)

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2022 Population

126,641

2022 Median Age

44.5

N/A 1-year N/A

2022 Poverty Rate

9.05%

N/A 1-year N/A

2022 Median Household Income

$78,133

2022 Median Property Value

$272,000

About

In 2022, Central Vermont--Addison, Washington & Orange Counties PUMA, VT had a population of 127k people with a median age of 44.5 and a median household income of $78,133.

The 5 largest ethnic groups in Central Vermont--Addison, Washington & Orange Counties PUMA, VT are White (Non-Hispanic) (92.9%), Two+ (Non-Hispanic) (2.85%), Asian (Non-Hispanic) (1.06%), White (Hispanic) (0.879%), and Black or African American (Non-Hispanic) (0.766%).

4.23% of the households in Central Vermont--Addison, Washington & Orange Counties PUMA, VT 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.

98.6% of the residents in Central Vermont--Addison, Washington & Orange Counties PUMA, VT are U.S. citizens.

The largest universities in Central Vermont--Addison, Washington & Orange Counties PUMA, VT are Norwich University (1,120 degrees awarded in 2022), Middlebury College (978 degrees), and Community College of Vermont (571 degrees).

In 2022, the median property value in Central Vermont--Addison, Washington & Orange Counties PUMA, VT was $272,000, and the homeownership rate was 76.9%.

Most people in Central Vermont--Addison, Washington & Orange Counties PUMA, VT drove alone to work, and the average commute time was 24.6 minutes. The average car ownership in Central Vermont--Addison, Washington & Orange Counties PUMA, VT was 2 cars per household.

Central Vermont--Addison, Washington & Orange Counties PUMA, VT borders .

United States New Hampshire New York Vermont

Population & Diversity

Central Vermont--Addison, Washington & Orange Counties PUMA, VT is home to a population of 127k people, from which 98.6% are citizens. As of 2022, 3.15% of Central Vermont--Addison, Washington & Orange Counties PUMA, VT residents were born outside of the country (3.99k people).

In 2022, there were 32.6 times more White (Non-Hispanic) residents (118k people) in Central Vermont--Addison, Washington & Orange Counties PUMA, VT than any other race or ethnicity. There were 3.61k Two+ (Non-Hispanic) and 1.34k Asian (Non-Hispanic) residents, the second and third most common ethnic groups.

The most common non-English languages spoken as the primary langauge in households in Central Vermont--Addison, Washington & Orange Counties PUMA, VT are Spanish (1,479 households), French (Incl. Cajun) (1,213 households), and German (394 households).

Population & Diversity

Residents by Gender and Age

RACE/ETHNICITY

64,300

Women

49.9%

64,558

Men

50.1%

The resident population of United States in 2022 was 128,858 inhabitants, with 50.1% men, and 49.9% women.

The visualization shows the distribution of the residents by gender and age in the United States.

With the upper buttons you can add a filter by race.

Citizenship

98.6%

2022 Citizenship

As of 2022, 98.6% of Central Vermont--Addison, Washington & Orange Counties PUMA, VT residents were US citizens, which is higher than the national average of 93.5%.

The following chart shows US citizenship percentages in Central Vermont--Addison, Washington & Orange Counties PUMA, VT compared to that of it's neighboring and parent geographies.

Diversity

Race and Ethnicity

The 3 largest ethnic groups in Central Vermont--Addison, Washington & Orange Counties PUMA, VT

White (Non-Hispanic)
118k ± 251
Two+ (Non-Hispanic)
3.61k ± 322
Asian (Non-Hispanic)
1.34k ± 126

2.01%

Hispanic Population

2.55k people

2.01% of the people in Central Vermont--Addison, Washington & Orange Counties PUMA, VT are hispanic (2.55k people).

The following chart shows the 7 races represented in Central Vermont--Addison, Washington & Orange Counties PUMA, VT as a share of the total population.

Global Diversity

Most Common Origin

Canada
915 ± 740 people
Mexico
242 ± 382 people
China
240 ± 380 people

In 2022, the most common birthplace for the foreign-born residents of Central Vermont--Addison, Washington & Orange Counties PUMA, VT was Canada, the natal country of 915 Central Vermont--Addison, Washington & Orange Counties PUMA, VT residents, followed by Mexico with 242 and China with 240.

Foreign-Born Population

3.15%

2022 Foreign-Born Population

3.99k people

As of 2022, 3.15% of Central Vermont--Addison, Washington & Orange Counties PUMA, VT residents (3.99k people) were born outside of the United States, which is lower than the national average of 13.6%.

The following chart shows the percentage of foreign-born residents in Central Vermont--Addison, Washington & Orange Counties PUMA, VT compared to that of it's neighboring and parent geographies.

Non-English Households

Most Common Non-English Languages

Spanish
1,479 households (1.22%)
French (Incl. Cajun)
1,213 households (1%)
German
394 households (0.325%)

4.23% of the households in Central Vermont--Addison, Washington & Orange Counties PUMA, VT reported speaking a non-English language at home as their primary shared language, which is lower than the national average of 21.7%. 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.

In 2022, the most common non-English language spoken in households in Central Vermont--Addison, Washington & Orange Counties PUMA, VT was Spanish. 1.22% of the households in Central Vermont--Addison, Washington & Orange Counties PUMA, VT reported speaking Spanish at home as the primary shared language between all members living in the household.

Military

Veterans

Most Common Service Period

Vietnam
2,293 ± 217
Gulf War (2001-)
1,114 ± 202
Gulf War (1990s)
588 ± 123

Central Vermont--Addison, Washington & Orange Counties PUMA, VT has a large population of military personnel who served in Vietnam, 2.06 times greater than any other conflict.

Economy

The economy of Central Vermont--Addison, Washington & Orange Counties PUMA, VT employs N/A people. The largest industries in Central Vermont--Addison, Washington & Orange Counties PUMA, VT are Elementary & secondary schools (5,551 people), Construction (4,968 people), and General medical and surgical hospitals, and specialty (except psychiatric and substance abuse) hospitals (3,029 people), and the highest paying industries are Air transportation ($291,513), Advertising, public relations & related services ($163,879), and Offices of physicians ($116,744).

Males in Central Vermont--Addison, Washington & Orange Counties PUMA, VT have an average income that is 1.13 times higher than the average income of females, which is $59,047. The income inequality in Central Vermont--Addison, Washington & Orange Counties PUMA, VT (measured using the Gini index) is 0.422, which is lower than than the national average.

Employment

Workforce Diversity

Measure

RACE/ETHNICITY

N/A

Women

N/A%

N/A

Men

N/A%

The workforce of Central Vermont--Addison, Washington & Orange Counties PUMA, VT in 2020 was N/A people, with N/A% woman, and N/A% men.

The visualization shows the distribution of the workforce by gender and age in Central Vermont--Addison, Washington & Orange Counties PUMA, VT.

With the upper buttons you can see the distribution of the average salary and add a filter by race.

Occupations

N/A

N/A Value

In N/A, there were N/A employees (± N/A) in Central Vermont--Addison, Washington & Orange Counties PUMA, VT.

The most common job groups, by number of people living in Central Vermont--Addison, Washington & Orange Counties PUMA, VT, are Driver/sales workers & truck drivers (2,107 people), Other managers (1,616 people), and Registered nurses (1,333 people). This chart illustrates the share breakdown of the primary jobs held by residents of Central Vermont--Addison, Washington & Orange Counties PUMA, VT.

Unemployment Insurance Claims

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

This chart shows weekly unemployment insurance claims in the United States (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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Industries

Employment by Industries

N/A

N/A Value

In N/A, there were N/A employees (± N/A) in Central Vermont--Addison, Washington & Orange Counties PUMA, VT.

The most common employment sectors for those who live in Central Vermont--Addison, Washington & Orange Counties PUMA, VT, are Elementary & secondary schools (5,551 people), Construction (4,968 people), and General medical and surgical hospitals, and specialty (except psychiatric and substance abuse) hospitals (3,029 people). This chart shows the share breakdown of the primary industries for residents of Central Vermont--Addison, Washington & Orange Counties PUMA, VT, though some of these residents may live in Central Vermont--Addison, Washington & Orange Counties PUMA, VT and work somewhere else. Census data is tagged to a residential address, not a work address.

Median Earnings by Industry

$48,878

Median earning men ± $1,841

$43,112

Median earning women ± $1,278

The industries with the best median earnings for men in 2022 are Information ($75,455), Finance & Insurance, & Real Estate & Rental & Leasing ($68,796), and Public Administration ($66,047).

The industries with the best median earnings for women in 2022 are Public Administration ($60,524), Finance & Insurance, & Real Estate & Rental & Leasing ($59,007), and Transportation & Warehousing, & Utilities ($46,364).

Civics

In the 2020 presidential election, the popular vote in Vermont went to Joseph R Biden Jr. with 65.5% of the vote. The runner-up was Donald J. Trump (30.4%), followed by Other (1.87%).

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

Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, and Wyoming is currently represented by 435 members in the U.S. house, and members of the House of Representives are elected to 2-year terms.

Presidential Elections

Presidential Popular Vote Over Time

Voting results are not available for Central Vermont--Addison, Washington & Orange Counties PUMA, VT. Showing the available data for Vermont.

2020 Election Results

Joseph R Biden Jr. (65.5%)
Democratic Party
Donald J. Trump (30.4%)
Republican Party
Other (1.87%)
Approval Voting, Bread And Roses, Bull Moose, Grumpy Old Patriots, Independent, and Other Party

In the 2020 presidential election, the popular vote in Vermont went to Joseph R Biden Jr. with 65.5% of the vote. The runner-up was Donald J. Trump (30.4%), followed by Other (1.87%).

The following chart shows the popular vote results in Vermont for each registered party from 1976 to 2020.

Senator Elections

US Senators from the United States

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

Senator from N/AN/A

N/AN/A
N/A
N/AN/A
N/A

are the senators currently representing the United States.

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 the United States over time, excluding special elections, colored by their political party.

US Representative Elections

US Representatives from Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, and Wyoming

Members of the House of Representives are elected to 2-year terms, and the following chart shows the how the members for Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, and Wyoming have changed over time starting in 2008.

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Education

In 2022, universities in Central Vermont--Addison, Washington & Orange Counties PUMA, VT awarded 3,522 degrees. The student population of Central Vermont--Addison, Washington & Orange Counties PUMA, VT in 2022 is skewed towards women, with 6,123 male students and 7,718 female students.

Most students graduating from Universities in Central Vermont--Addison, Washington & Orange Counties PUMA, VT are White (2,527 and 75.7%), followed by Hispanic or Latino (236 and 7.07%), Two or More Races (154 and 4.62%), and Asian (148 and 4.44%).

The largest universities in Central Vermont--Addison, Washington & Orange Counties PUMA, VT by number of degrees awarded are Norwich University (1,120 and 31.8%), Middlebury College (978 and 27.8%), and Community College of Vermont (571 and 16.2%).

The most popular majors in Central Vermont--Addison, Washington & Orange Counties PUMA, VT are Registered Nursing (237 and 6.73%), Liberal Arts & Sciences (153 and 4.34%), and General Intelligence (150 and 4.26%).

The median tuition costs in Central Vermont--Addison, Washington & Orange Counties PUMA, VT are $42,860 for private four year colleges, and $14,172 and $28,128 respectively, for public four year colleges for in-state students and out-of-state students.

Admissions & Enrollments

Applicants, Admissions & Enrolled

University

Measure

In 2022 in Central Vermont--Addison, Washington & Orange Counties PUMA, VT, the percentage of applicants admitted was 31.1%, while the percentage of admitted who enrolled was 25%. The number of students enrolled in 2022 was 13,841 (44.2% men and 55.8% women).

The line chart shows the evolution of the percentage of applicants admitted, admitted who enrolled or the number of students enrolled according to the option selected in the upper button.

Enrollments by Gender and Races

Universities

In 2022 there were 13,841 students enrolled in Central Vermont--Addison, Washington & Orange Counties PUMA, VT, 44.2% men and 55.8% women.

By race, the largest number of students enrolled was concentrated in White with 10,043 records, of which 57% were women and 43% men.

Completions

Concentrations

Most Common

General Intelligence
134 degrees awarded
Criminal Justice - Law Enforcement Administration
112 degrees awarded
Econometrics & Quantitative Economics
111 degrees awarded

In 2022, the most common concentation for Bachelors Degree recipients in Central Vermont--Addison, Washington & Orange Counties PUMA, VT was General Intelligence with 134 degrees awarded.

This visualization illustrates the percentage of students graduating with a Bachelors Degree from schools in Central Vermont--Addison, Washington & Orange Counties PUMA, VT according to their major.

Universities

Gender

Race

Largest Universities by degrees awarded

Norwich University
1,120 degrees awarded
Middlebury College
978 degrees awarded
Community College of Vermont
571 degrees awarded

In 2022, the institution with the largest number of graduating students was Norwich University with 1,120 degrees awarded.

Student Diversity

University

In 2022, 1,639 men were awarded degrees from institutions in Central Vermont--Addison, Washington & Orange Counties PUMA, VT, which is 0.87 times less than the 1,883 female students who received degrees in the same year.

In 2022 the most common race/ethnicity group awarded degrees at institutions was White students. These 2,527 degrees mean that there were 10.7 times more degrees awarded to White students then the next closest race/ethnicity group, Hispanic or Latino, with 236 degrees awarded.

Awarded Degrees over Time

The graph shows the evolution of awarded degrees by degrees. Under the paragraphs, the average number of awarded degrees by university in each degree is shown.

Tuition

Average Net Price by Sector

Universities

Private not-for-profit, 4-year or above ($42,860) is the sector with the highest median state tuition in 2022.

Public, 4-year or above ($1,374) is the sector with the highest median state fee in 2022.

Public, 4-year or above ($1,600) is the sector with the highest average net price of books and supplies.

The graph shows the average net price by sector and year.

Working Population

Educational Pyramid

Measure

In 2022, 0.511% of men over 25 years of age had not completed any academic degree (no schooling), while 0.128% of women were in the same situation.

This visualization shows the gender distribution of the population according to the academic level reached.

Educational Attainment

Race

The most common educational levels obtained by the working population of Central Vermont--Addison, Washington & Orange Counties PUMA, VT in 2022 were High School or Equivalent (32.2k), Bachelors Degree (22k), and Some college (21.5k).

This visualization illustrates the percentage distribution of the population according to the highest educational level reached. You can filter the data by race by using the selector above.

Housing & Living

The median property value in Central Vermont--Addison, Washington & Orange Counties PUMA, VT was $272,000 in 2022, which is 0.965 times smaller than the national average of $281,900. Between N/A and 2022 the median property value increased from N/A to $272,000, a N/A N/A. The homeownership rate in Central Vermont--Addison, Washington & Orange Counties PUMA, VT is 76.9%, which is approximately the same as the national average of 64.8%.

People in Central Vermont--Addison, Washington & Orange Counties PUMA, VT have an average commute time of 24.6 minutes, and they drove alone to work. Car ownership in Central Vermont--Addison, Washington & Orange Counties PUMA, VT is approximately the same as the national average, with an average of 2 cars per household.

Median household income in Central Vermont--Addison, Washington & Orange Counties PUMA, VT is $78,133. In 2022, the PUMA with the highest Median Household Income in Central Vermont--Addison, Washington & Orange Counties PUMA, VT was Chittenden County PUMA, VT with a value of $89,494, followed by Central Vermont--Addison, Washington & Orange Counties PUMA, VT and Northern Vermont--Grand Isle, Franklin, Lamoille, Orleans, Caledonia & Essex Counties PUMA, VT, with respective values of $78,133 and $68,258.

Housing

Property

$272,000

Median Property Value 2022

±$4,394

$40,201

Median Property Taxes

±$971

The following chart display owner-occupied housing units distributed between a series of property tax buckets compared to the national averages for each bucket. In Central Vermont--Addison, Washington & Orange Counties PUMA, VT the largest share of households pay taxes in the $3k+ range.

The chart underneath the paragraph shows the property taxes in Central Vermont--Addison, Washington & Orange Counties PUMA, VT compared to it's parent and neighbor geographies.

Rent vs Own

76.9%

Homeownership

2022

60.3%

Homeowners with Mortgage

2022

In 2022, 76.9% of the housing units in Central Vermont--Addison, Washington & Orange Counties PUMA, VT were occupied by their owner.

This chart shows the percentage of owner in Central Vermont--Addison, Washington & Orange Counties PUMA, VT compared it's parent and neighboring geographies.

Equity

Income by Location

Use the dropdown to filter by race/ethnicity.

Race/Ethnicity

Highest Median Household Income (Total)

In 2022, the PUMA with the highest Median Household Income (Total) in Central Vermont--Addison, Washington & Orange Counties PUMA, VT was Chittenden County PUMA, VT with a value of $89,494, followed by Central Vermont--Addison, Washington & Orange Counties PUMA, VT and Northern Vermont--Grand Isle, Franklin, Lamoille, Orleans, Caledonia & Essex Counties PUMA, VT, with respective values of $78,133 and $68,258.

The following map shows all of the PUMAs in Central Vermont--Addison, Washington & Orange Counties PUMA, VT colored by their Median Household Income (Total).

Household Income

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

$78,133

Median Household Income

± $1,981

52.3k

Number of Households

± 1,353

In 2022, the median household income of the 52.3k households in Central Vermont--Addison, Washington & Orange Counties PUMA, VT was $78,133.

The following chart displays the households in Central Vermont--Addison, Washington & Orange Counties PUMA, VT 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 $75k - $100k range.

Wage Distribution

0.422

2022 Wage GINI in Central Vermont--Addison, Washington & Orange Counties PUMA, VT

N/A Wage GINI in Central Vermont--Addison, Washington & Orange Counties PUMA, VT

In 2022, the income inequality in Central Vermont--Addison, Washington & Orange Counties PUMA, VT was 0.422 according to the GINI calculation of the wage distribution. Income inequality had a 57.8% decline from N/A to 2022, which means that wage distribution grew somewhat more even. The GINI for Central Vermont--Addison, Washington & Orange Counties PUMA, VT was lower than than the national average of 0.478. In other words, wages are distributed more evenly in Central Vermont--Addison, Washington & Orange Counties PUMA, VT in comparison to the national average.

This chart shows the number of workers in Central Vermont--Addison, Washington & Orange Counties PUMA, VT across various wage buckets compared to the national average.

Transportation

Commuter Transportation

Most Common Commute in 2022

Drove Alone (71.4%)
Worked At Home (14.8%)
Carpooled (7.73%)

In 2022, 71.4% of workers in Central Vermont--Addison, Washington & Orange Counties PUMA, VT drove alone to work, followed by those who worked at home (14.8%) and those who carpooled to work (7.73%).

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.

Commute Time

24.6 minutes

Average Travel Time

Using averages, employees in Central Vermont--Addison, Washington & Orange Counties PUMA, VT have a shorter commute time (24.6 minutes) than the normal US worker (26.7 minutes). Additionally, 1.5% of the workforce in Central Vermont--Addison, Washington & Orange Counties PUMA, VT have "super commutes" in excess of 90 minutes.

The chart below shows how the median household income in Central Vermont--Addison, Washington & Orange Counties PUMA, VT compares to that of it's neighboring and parent geographies.

Car Ownership

2 cars

Average Number

The following chart displays the households in Central Vermont--Addison, Washington & Orange Counties PUMA, VT distributed between a series of car ownership buckets compared to the national averages for each bucket. The largest share of households in Central Vermont--Addison, Washington & Orange Counties PUMA, VT have 2 cars.

Poverty

Poverty & Diversity

9.05% of the population for whom poverty status is determined in Central Vermont--Addison, Washington & Orange Counties PUMA, VT (10.9k out of 121k people) live below the poverty line, a number that is lower than the national average of 12.5%. The largest demographic living in poverty are Males 55 - 64, followed by Females 55 - 64 and then Females 25 - 34.

The most common racial or ethnic group living below the poverty line in Central Vermont--Addison, Washington & Orange Counties PUMA, VT is White, followed by Two Or More and Hispanic.

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.

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.

Health

96.2% of the population of Central Vermont--Addison, Washington & Orange Counties PUMA, VT has health coverage, with 47.4% on employee plans, 18.8% on Medicaid, 15.8% on Medicare, 12.7% on non-group plans, and 1.48% on military or VA plans.

Primary care physicians in Vermont see 855 patients per year on average, which represents a 1.5% decrease from the previous year (868 patients). Compare this to dentists who see 1382 patients per year, and mental health providers who see 193 patients per year.

Coverage

Patient to Clinician Ratios

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

855 to 1

Patient to Primary Care Physician Ratio in Vermont

Primary care physicians in Vermont see an average of 855 patients per year. This represents a 1.5% decrease from the previous year (868 patients).

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

Health Care Diversity

In 2022, insured persons according to age ranges were distributed in 19.6% under 18 years, 19.3% between 18 and 34 years, 40.3% between 35 and 64 years, and 20.8% over 64 years.

By gender, of the total number of insured persons, 49.4% were men and 50.6% were women.

The following chart shows the number of people with health coverage by gender.

Uninsured People

3.81%

Uninsured

47.4%

Employer Coverage

18.8%

Medicaid

15.8%

Medicare

12.7%

Non-Group

1.48%

Military or VA

The following chart shows how the percent of uninsured individuals in Central Vermont--Addison, Washington & Orange Counties PUMA, VT changed over time compared with the percent of individuals enrolled in various types of health insurance.