Juneau, AK

Census Place

Add Comparison

2020 Population

32,099

0.397% 1-year decline

US Senator

Lisa Murkowski

Republican Party

US Senator

Dan Sullivan

Republican Party

US Representative

Don Young

Republican Party

2020 Median Age

38.5

1.05% 1-year increase

2020 Poverty Rate

6.95%

9.53% 1-year decrease

2020 Median Household Income

$88,077

0.354% 1-year decline

2020 Median Property Value

$355,100

2.66% 1-year growth

2020 Employed Population

16,364

4.48% 1-year decline

About

In 2020, Juneau, AK had a population of 32.1k people with a median age of 38.5 and a median household income of $88,077. Between 2019 and 2020 the population of Juneau, AK declined from 32,227 to 32,099, a −0.397% decrease and its median household income declined from $88,390 to $88,077, a −0.354% decrease.

The 5 largest ethnic groups in Juneau, AK are White (Non-Hispanic) (63.4%), Two+ (Non-Hispanic) (11.1%), American Indian & Alaska Native (Non-Hispanic) (9.78%), Asian (Non-Hispanic) (6.72%), and White (Hispanic) (2.91%).

None of the households in Juneau, AK 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.

97% of the residents in Juneau, AK are U.S. citizens.

The largest universities in Juneau, AK are University of Alaska Southeast (556 degrees awarded in 2020).

In 2020, the median property value in Juneau, AK was $355,100, and the homeownership rate was 64.6%. Most people in Juneau, AK drove alone to work, and the average commute time was 15.3 minutes. The average car ownership in Juneau, AK was 2 cars per household.

United States Alaska Juneau City and Borough, AK Juneau, AK Greater Fairbanks, Greater Juneau, Ketchikan Gateway Borough & Road-Connected Alaska PUMA, AK Subsistence Alaska PUMA, AK

Diversity

Juneau, AK is home to a population of 32.1k people, from which 97% are citizens. As of 2020, 8.41% of Juneau, AK residents were born outside of the country (2.7k people).

In 2020, there were 5.72 times more White (Non-Hispanic) residents (20.4k people) in Juneau, AK than any other race or ethnicity. There were 3.56k Two+ (Non-Hispanic) and 3.14k American Indian & Alaska Native (Non-Hispanic) residents, the second and third most common ethnic groups.

Race and Ethnicity

The 3 largest ethnic groups in Juneau, AK

White (Non-Hispanic)
20.4k ± 198
Two+ (Non-Hispanic)
3.56k ± 443
American Indian & Alaska Native (Non-Hispanic)
3.14k ± 340

6.93%

Hispanic Population

2.22k people

6.93% of the people in Juneau, AK are hispanic (2.22k people).

The following chart shows the 7 races represented in Juneau, AK as a share of the total population.

Heritage

Foreign-Born Population

8.41%

2020 Foreign-Born Population

2.7k people

8.78%

2019 Foreign-Born Population

2.83k people

As of 2020, 8.41% of Juneau, AK residents (2.7k people) were born outside of the United States, which is lower than the national average of 13.5%. In 2019, the percentage of foreign-born citizens in Juneau, AK was 8.78%, meaning that the rate has been decreasing.

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

Age by Nativity

Median Native-Born Age

± 0.5

Median Foreign-Born Age

± 6.2

In 2020, the median age of all people in Juneau, AK was 38.5. Native-born citizens, with a median age of 38, were generally younger than foreign-born citizens, with a median age of 46. But people in Juneau, AK are getting getting older. In 2019, the average age of all Juneau, AK residents was 38.

Global Diversity

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

Most Common Origin

Philippines
19,548 ± 3,387 people
Mexico
3,665 ± 1,483 people
Korea
3,499 ± 1,449 people

In 2020, the most common birthplace for the foreign-born residents of Alaska was Philippines, the natal country of 19,548 Alaska residents, followed by Mexico with 3,665 and Korea with 3,499.

Citizenship

97%

2020 Citizenship

96.4%

2019 Citizenship

As of 2020, 97% of Juneau, AK residents were US citizens, which is higher than the national average of 93.4%. In 2019, the percentage of US citizens in Juneau, AK was 96.4%, meaning that the rate of citizenship has been increasing.

The following chart shows US citizenship percentages in Juneau, AK compared to that of it's neighboring and parent geographies.

Military

Veterans

Most Common Service Period

Vietnam
676 ± 151
Gulf War (2001-)
502 ± 161
Gulf War (1990s)
346 ± 139

Juneau, AK has a large population of military personnel who served in Vietnam, 1.35 times greater than any other conflict.

COVID-19

Daily New Cases by Date

Showing data at the state level for Alaska. 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 Alaska, 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 Alaska.

This chart shows weekly unemployment insurance claims in Alaska (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 Alaska.

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 Alaska. 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 Alaska.

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Community Mobility

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

This chart presents movement trends over time in the state of Alaska 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 Juneau, AK is $88,077. In 2020, the place with the highest median household income in Juneau, AK was Census Tract 2 with a value of $98,264, followed by Census Tract 1 and Census Tract 3, with respective values of $96,707 and $95,779.

Males in Alaska have an average income that is 1.27 times higher than the average income of females, which is $56,568. The income inequality in Alaska (measured using the Gini index) is 0.435, which is lower than than the national average.

The economy of Juneau, AK employs 16.4k people. The largest industries in Juneau, AK are Public Administration (3,942 people), Health Care & Social Assistance (2,129 people), and Educational Services (1,661 people), and the highest paying industries are Mining, Quarrying, & Oil & Gas Extraction ($95,556), Agriculture, Forestry, Fishing & Hunting, & Mining ($80,063), and Utilities ($77,841).

Wages

Median Household Income

$88,077

2020 value

± $3,724

−0.354%

1 Year Growth

± 6.26%

Households in Juneau, AK have a median annual income of $88,077, 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 $88,390 in 2019, which represents a −0.354% annual growth.

The following chart shows how the median household income in Juneau, AK compares to that of its neighboring and parent geographies.

Wage by Sex in Common Jobs

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

$71,881

Average Male Salary in Alaska

± $3,581

$56,568

Average Female Salary in Alaska

± $3,158

In 2020, full-time male employees in Alaska made 1.27 times more than female employees.

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

Wage by Race and Ethnicity in Common Jobs

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

Highest Average Salaries by Race & Ethnicity in Alaska

White
$63,854 ± $2,980
American Indian
$58,105 ± $19,740
Black
$52,213 ± $10,025

In 2020 the highest paid race/ethnicity of Alaska workers was White. These workers were paid 1.1 times more than American Indian workers, who made the second highest salary of any race/ethnicity in Alaska.

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

Wage Distribution

The closest comparable wage GINI for Juneau, AK is from Alaska.

0.435

2020 Wage GINI in Alaska

0.44

2019 Wage GINI in Alaska

In 2020, the income inequality in Alaska was 0.435 according to the GINI calculation of the wage distribution. Income inequality had a 1.22% decline from 2019 to 2020, which means that wage distribution grew somewhat more even. The GINI for Alaska was lower than than the national average of 0.478. In other words, wages are distributed more evenly in Alaska in comparison to the national average.

This chart shows the number of workers in Alaska 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 2
Census Tract 1
Census Tract 3

In 2020, the place with the highest Median Household Income (Total) in Juneau, AK was Census Tract 2 with a value of $98,264, followed by Census Tract 1 and Census Tract 3, with respective values of $96,707 and $95,779.

The following map shows all of the places in Juneau, AK colored by their Median Household Income (Total).

Poverty by Age and Sex

Females 35 - 44

Largest Demographic Living in Poverty

6.95% of the population for whom poverty status is determined in Juneau, AK (2.2k out of 31.6k 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 35 - 44, followed by Males 25 - 34 and then Males 18 - 24.

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
948 ± 236
Two Or More
598 ± 158
Native American
433 ± 138

The most common racial or ethnic group living below the poverty line in Juneau, AK is White, followed by Two Or More and Native American.

Occupations

Employment by Occupations

16.4k

2020 Value

± 941

−4.48%

1 Year decline

± 8.1%

From 2019 to 2020, employment in Juneau, AK declined at a rate of −4.48%, from 17.1k employees to 16.4k employees.

The most common job groups, by number of people living in Juneau, AK, are Office & Administrative Support Occupations (2,350 people), Management Occupations (2,017 people), and Business & Financial Operations Occupations (1,330 people). This chart illustrates the share breakdown of the primary jobs held by residents of Juneau, AK.

Most Common

The most common jobs held by residents of Juneau, AK, by number of employees, are Office & Administrative Support Occupations (2,350 people), Management Occupations (2,017 people), and Business & Financial Operations Occupations (1,330 people).

Most Specialized

Compared to other places, Juneau, AK has an unusually high number of residents working as Life, Physical, & Social Science Occupations (3.07 times higher than expected), Farming, Fishing, & Forestry Occupations (2.41 times), and Community & Social Service Occupations (1.47 times).

Highest Paid

The highest paid jobs held by residents of Juneau, AK, by median earnings, are Architecture & Engineering Occupations ($91,750), Law Enforcement Workers Including Supervisors ($84,777), and Management Occupations ($80,477).

Industries

Employment by Industries

16.4k

2020 Value

± 941

−4.48%

1 Year decline

± 8.1%

From 2019 to 2020, employment in Juneau, AK declined at a rate of −4.48%, from 17.1k employees to 16.4k employees.

The most common employment sectors for those who live in Juneau, AK, are Public Administration (3,942 people), Health Care & Social Assistance (2,129 people), and Educational Services (1,661 people). This chart shows the share breakdown of the primary industries for residents of Juneau, AK, though some of these residents may live in Juneau, AK and work somewhere else. Census data is tagged to a residential address, not a work address.

Most Common

The most common industries in Juneau, AK, by number of employees, are Public Administration (3,942 people), Health Care & Social Assistance (2,129 people), and Educational Services (1,661 people).

Most Specialized

Compared to other places, Juneau, AK has an unusually high number of Public Administration (5.16 times higher than expected), Mining, Quarrying, & Oil & Gas Extraction (4.29 times), and Agriculture, Forestry, Fishing & Hunting (2.33 times) industries.

Highest Paying

The highest paying industries in Juneau, AK, by median earnings, are Mining, Quarrying, & Oil & Gas Extraction ($95,556), Agriculture, Forestry, Fishing & Hunting, & Mining ($80,063), and Utilities ($77,841).

Domestic Trade

Domestic Production & Consumption

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

Top Domestic Production in Dollars

In 2020, the top outbound Alaska product (by dollars) was Crude petroleum with $10.1B, followed by Electronics ($7.84B) and Meat/seafood ($4.1B).

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

Domestic Trade Growth

Showing data for Alaska.

$41.8B

2020 Value in Alaska

$68.3B

Projected 2050 Value in Alaska

63.4% growth

In 2020, total outbound Alaska trade was $41.8B. This is expected to increase 63.4% to $68.3B by 2050.

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

Interstate Trade

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

Most Common Trade Partners

California
$10.4B
Washington
$3.24B
Texas
$1.15B

In 2020, the top outbound Alaska domestic partner for goods and services (by dollars) was California with $10.4B, followed by Washington with $3.24B and Texas and $1.15B.

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

Civics

In the 2020 presidential election, the popular vote in Alaska went to Donald J. Trump with 52.8% of the vote. The runner-up was Joseph R Biden Jr. (42.8%), followed by Jo Jorgensen (2.47%). The most partisan county was Anchorage Municipality, AK with 65.1% of the vote going to Joseph R Biden Jr. running for the Democratic Party.

Lisa Murkowski and Dan Sullivan are the senators currently representing the state of Alaska. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

Juneau, AK is currently represented by Don Young in the U.S. house, and members of the House of Representives are elected to 2-year terms.

Presidential Popular Vote Over Time

Voting results are not available for Juneau, AK. Showing the available data for Alaska.

2020 Election Results

Donald J. Trump (52.8%)
Republican Party
Joseph R Biden Jr. (42.8%)
Democratic Party
Jo Jorgensen (2.47%)
Libertarian Party

In the 2020 presidential election, the popular vote in Alaska went to Donald J. Trump with 52.8% of the vote. The runner-up was Joseph R Biden Jr. (42.8%), followed by Jo Jorgensen (2.47%).

The following chart shows the popular vote results in Alaska 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 Alaska.

Donald J. Trump

Popular Vote for Alaska

52.8% for the Republican Party

Most Partisan Counties in Alaska

Anchorage Municipality, AK
65.1% for Joseph R Biden Jr. (Democratic Party)
Aleutians East Borough, AK
60.3% for Donald J. Trump (Republican Party)
Aleutians West Census Area, AK
52.6% for Joseph R Biden Jr. (Democratic Party)

In the 2020 presidential election, the most partisan county in Alaska was Anchorage Municipality, AK with 65.1% of the vote going to Joseph R Biden Jr. running for the Democratic Party.

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

US Senators from Alaska

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

Lisa Murkowski

Senator from Alaska

Assumed office on December 20, 2002
Appointed to the seat following the resignation of her father Frank Murkowski, who was elected List of Governors of Alaska|Governor of Alaska.

Dan Sullivan

Senator from Alaska

Assumed office on January 3, 2015

Lisa Murkowski and Dan Sullivan are the senators currently representing Alaska.

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 Alaska over time, excluding special elections, colored by their political party.

US Representatives from Juneau, AK

Don Young

Alaska at-large Representative

Republican Party

Juneau, AK is currently represented by Don Young (Republican Party).

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

Education

In 2020, universities in Juneau, AK awarded 556 degrees. The student population of Juneau, AK is skewed towards women, with 682 male students and 1,388 female students.

Most students graduating from Universities in Juneau, AK are White (351 and 63.8%), followed by Unknown (63 and 11.5%), Two or More Races (37 and 6.73%), and American Indian or Alaska Native (37 and 6.73%).

The largest universities in Juneau, AK by number of degrees awarded are University of Alaska Southeast (556 and 100%).

The most popular majors in Juneau, AK are Elementary Education & Teaching (71 and 12.8%), General Business Administration & Management (62 and 11.2%), and Criminal Justice - Police Science (58 and 10.4%).

The median tuition cost in Juneau, AK for a public four year colleges is $7,250 for in-state students and $23,154 for out-of-state students.

Concentrations

Most Common

General Business Administration & Management
35 degree-majorss awarded
Elementary Education & Teaching
31 degree-majorss awarded
General Social Sciences
18 degree-majorss awarded

In 2020, the most common concentation for Bachelors Degree recipients in Juneau, AK was General Business Administration & Management with 35 degrees awarded.

This visualization illustrates the percentage of students graduating with a Bachelors Degree from schools in Juneau, AK according to their major.

Universities

University of Alaska Southeast

Largest Universities by degrees awarded

556 degrees awarded

$7,250

Median In-State Public

In 2020, the Juneau, AK institution with the largest number of graduating students was University of Alaska Southeast with 556 degrees awarded.

Student Sex for Common Institutions

190

Degrees Awarded to Men

366

Degrees Awarded to Women

In 2020, 190 men were awarded degrees from institutions in Juneau, AK, which is 0.519 times less than the 366 female students who received degrees in the same year.

This chart displays the sex disparity between the institutions in Juneau, AK by degrees awarded.

Student Race and Ethnicity

Most Common Student Race or Ethnicity

White
351 degrees awarded
Unknown
63 degrees awarded
Two or More Races
37 degrees awarded

In 2020 the most common race/ethnicity group awarded degrees at institutions in Juneau, AK was White students. These 351 degrees mean that there were 5.57 times more degrees awarded to White students then the next closest race/ethnicity group, Unknown, with 63 degrees awarded.

Housing & Living

The median property value in Juneau, AK was $355,100 in 2020, which is 1.55 times larger than the national average of $229,800. Between 2019 and 2020 the median property value increased from $345,900 to $355,100, a 2.66% increase. The homeownership rate in Juneau, AK is 64.6%, which is higher than the national average of 64.4%. People in Juneau, AK have an average commute time of 15.3 minutes, and they drove alone to work. Car ownership in Juneau, AK is approximately the same as the national average, with an average of 2 cars per household.

Housing

Property Value

$355,100

2020 Median

± $11,524

$345,900

2019 Median

± $9,091

In 2020, the median property value in Juneau, AK grew to to $355,100 from the previous year's value of $345,900.

The following charts display, first, the property values in Juneau, AK 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 Juneau, AK the largest share of households have a property value in the $300k - $400k range.

Household Income

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

$88,077

Median Household Income

± $3,724

12.9k

Number of Households

± 796

In 2020, the median household income of the 12.9k households in Juneau, AK declined from $88,077 from the previous year's value of $88,390.

The following chart displays the households in Juneau, AK 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.

Property Taxes

$3k+

Average Range

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

Rent vs Own

64.6%

2020 Homeownership

64.8%

2019 Homeownership

In 2020, 64.6% of the housing units in Juneau, AK were occupied by their owner. This percentage declined from the previous year's rate of 64.8%.

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

Commute Time

15.3 minutes

Average Travel Time

Using averages, employees in Juneau, AK have a shorter commute time (15.3 minutes) than the normal US worker (26.9 minutes). Additionally, 0.987% of the workforce in Juneau, AK have "super commutes" in excess of 90 minutes.

The chart below shows how the median household income in Juneau, AK compares to that of it's neighboring and parent geographies.

Commuter Transportation

Most Common Commute in 2020

Drove Alone (66.5%)
Carpooled (13%)
Worked At Home (7.74%)

In 2020, 66.5% of workers in Juneau, AK drove alone to work, followed by those who carpooled to work (13%) and those who worked at home (7.74%).

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 Juneau, AK distributed between a series of car ownership buckets compared to the national averages for each bucket. The largest share of households in Juneau, AK have 2 cars, followed by false.

Health

90.6% of the population of Juneau, AK has health coverage, with 54.5% on employee plans, 11.1% on Medicaid, 10.1% on Medicare, 12.6% on non-group plans, and 2.46% on military or VA plans.

Per capita personal health care spending in Alaska was $11,064 in 2014. This is a 6.1% increase from the previous year ($10,428).

Primary care physicians in Juneau City and Borough, AK see 823 patients per year on average, which represents a 5.11% increase from the previous year (783 patients). Compare this to dentists who see 940 patients per year, and mental health providers who see 129 patients per year.

Comparing across all counties in the state, Wrangell City and Borough has the highest prevalence of diabetes (18.7%). Additionally, Aleutians East Borough has the highest prevalence of adult obesity (51.9%)

Patient to Clinician Ratios

Data is only available at the country level. Showing data for Juneau City and Borough, AK.

823 to 1

Patient to Primary Care Physician Ratio in Juneau City and Borough, AK

Primary care physicians in Juneau City and Borough, AK see an average of 823 patients per year. This represents a 5.11% increase from the previous year (783 patients).

The following chart shows how the number of patients seen by primary care physicians has been changing over time in Juneau City and Borough, AK 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 Alaska.

$11,064

Total Per Capita Spending on Personal Health Care in Alaska

$5,958

Per Enrollee Private Health Insurance Spending on Personal Health Care

$12,001

Per Enrollee Medicaid Spending on Personal Health Care

$9,288

Per Enrollee Medicare Spending on Personal Health Care

Between 2013 and 2014, all personal health care spending per capita in Alaska (including private, Medicare, and Medicaid) grew 6.1%, from $10,428 to $11,064.

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

Health Care Coverage

9.36%

Uninsured

54.5%

Employer Coverage

11.1%

Medicaid

10.1%

Medicare

12.6%

Non-Group

2.46%

Military or VA

Between 2019 and 2020, the percent of uninsured citizens in Juneau, AK declined by 10.9% from 10.5% to 9.36%.

The following chart shows how the percent of uninsured individuals in Juneau, AK changed over time compared with the percent of individuals enrolled in various types of health insurance.