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The Center for Consumer Information & Insurance Oversight

 

2012 Culturally and Linguistically Appropriate Services (CLAS) County Data

PHS Act section 2719 requires non-grandfathered group health plans and health insurance issuers offering non-grandfathered health insurance coverage to provide relevant notices in a culturally and linguistically appropriate manner.  The regulations implementing section 2719 require these plans and issuers to make certain accommodations for notices sent to an address in a county meeting a threshold percentage of people who are literate only in the same non-English language.  This threshold percentage is set at 10 percent or more of the population residing in the claimant’s county, as determined based on American Community Survey (ACS) data published by the United States Census Bureau. 26 CFR. §54.9815-2719T, 29 CFR. §2590.715-2719, and 45 CFR. §147.136.

The list below includes all counties which meet or exceed the 10 percent threshold for the 2006-2010 ACS data and is applicable for 2012.  This list will be updated annually.

State

County

Spanish Percent

Chinese Percent

Tagalog Percent

Navajo Percent

AK

Aleutians East Borough

14

-

38

-

AK

Aleutians West Census Area

15

-

20

-

AZ

Apache County

-

-

-

12

AZ

Santa Cruz County

39

-

-

-

AZ

Yuma County

23

-

-

-

AR

Sevier County

17

-

-

-

CA

Colusa County

25

-

-

-

CA

Fresno County

15

-

-

-

CA

Glenn County

13

-

-

-

CA

Imperial County

32

-

-

-

CA

Kern County

16

-

-

-

CA

Kings County

19

-

-

-

CA

Los Angeles County

19

-

-

-

CA

Madera County

18

-

-

-

CA

Merced County

19

-

-

-

CA

Monterey County

25

-

-

-

CA

Napa County

15

-

-

-

CA

Orange County

13

-

-

-

CA

Riverside County

15

-

-

-

CA

San Benito County

20

-

-

-

CA

San Bernardino County

15

-

-

-

CA

San Diego County

11

-

-

-

CA

San Francisco County

-

12

-

-

CA

San Joaquin County

12

-

-

-

CA

Santa Barbara County

17

-

-

-

CA

Santa Cruz County

13

-

-

-

CA

Stanislaus County

13

-

-

-

CA

Sutter County

12

-

-

-

CA

Tulare County

21

-

-

-

CA

Ventura County

14

-

-

-

CO

Adams County

12

-

-

-

CO

Costilla County

11

-

-

-

CO

Denver County

11

-

-

-

CO

Eagle County

16

-

-

-

CO

Garfield County

13

-

-

-

CO

Lake County

14

-

-

-

CO

Saguache County

12

-

-

-

FL

Collier County

13

-

-

-

FL

DeSoto County

18

-

-

-

FL

Glades County

13

-

-

-

FL

Hardee County

22

-

-

-

FL

Hendry County

24

-

-

-

FL

Miami-Dade County

32

-

-

-

FL

Okeechobee County

10

-

-

-

FL

Osceola County

16

-

-

-

GA

Atkinson County

11

-

-

-

GA

Echols County

19

-

-

-

GA

Hall County

14

-

-

-

GA

Whitfield County

17

-

-

-

ID

Clark County

26

-

-

-

ID

Minidoka County

12

-

-

-

ID

Owyhee County

10

-

-

-

ID

Power County

12

-

-

-

IL

Kane County, Illinois

15

-

-

-

IA

Buena Vista County

12

-

-

-

IA

Crawford County

10

-

-

-

KS

Finney County

16

-

-

-

KS

Ford County

23

-

-

-

KS

Grant County

13

-

-

-

KS

Scott County

11

-

-

-

KS

Seward County

26

-

-

-

KS

Stanton County

19

-

-

-

KS

Stevens County

12

-

-

-

KS

Wyandotte County

11

-

-

-

MN

Watonwan County

11

-

-

-

NE

Colfax County

21

-

-

-

NE

Dakota County

16

-

-

-

NE

Dawson County

15

-

-

-

NV

Clark County

11

-

-

-

NJ

Cumberland County

10

-

-

-

NJ

Hudson County

18

-

-

-

NJ

Passaic County

16

-

-

-

NJ

Union County

14

-

-

-

NM

Chaves County

12

-

-

-

NM

Doña Ana County

17

-

-

-

NM

Harding County

18

-

-

-

NM

Lea County

12

-

-

-

NM

Luna County

17

-

-

-

NM

McKinley County

-

-

-

14

NM

Santa Fe County

11

-

-

-

NY

Bronx County

21

-

-

-

NY

New York County

11

-

-

-

NY

Queens County

12

-

-

-

NC

Duplin County

12

-

-

-

OK

Texas County

17

-

-

-

OR

Hood River County

15

-

-

-

OR

Marion County

10

-

-

-

OR

Morrow County

14

-

-

-

TX

Andrews County

12

-

-

-

TX

Bailey County

17

-

-

-

TX

Bexar County

12

-

-

-

TX

Brooks County

16

-

-

-

TX

Cameron County

30

-

-

-

TX

Camp County

11

-

-

-

TX

Castro County

17

-

-

-

TX

Cochran County

18

-

-

-

TX

Collingsworth County

11

-

-

-

TX

Concho County

31

-

-

-

TX

Crane County

13

-

-

-

TX

Crockett County

15

-

-

-

TX

Culberson County

16

-

-

-

TX

Dallam County

13

-

-

-

TX

Dallas County

17

-

-

-

TX

Dawson County

10

-

-

-

TX

Deaf Smith County

21

-

-

-

TX

Dimmit County

31

-

-

-

TX

Duval County

28

-

-

-

TX

Ector County

12

-

-

-

TX

Edwards County

10

-

-

-

TX

El Paso County

29

-

-

-

TX

Frio County

17

-

-

-

TX

Garza County

33

-

-

-

TX

Gonzales County

14

-

-

-

TX

Hale County

11

-

-

-

TX

Hall County

11

-

-

-

TX

Hansford County

15

-

-

-

TX

Harris County

18

-

-

-

TX

Hemphill County

10

-

-

-

TX

Hidalgo County

34

-

-

-

TX

Howard County

15

-

-

-

TX

Hudspeth County

35

-

-

-

TX

Jim Hogg County

21

-

-

-

TX

Jim Wells County

12

-

-

-

TX

Karnes County

16

-

-

-

TX

Kenedy County

19

-

-

-

TX

Kinney County

14

-

-

-

TX

Kleberg County

10

-

-

-

TX

Lamb County

15

-

-

-

TX

La Salle County

22

-

-

-

TX

Limestone County

10

-

-

-

TX

Lipscomb County

11

-

-

-

TX

Lynn County

10

-

-

-

TX

Maverick County

46

-

-

-

TX

Midland County

11

-

-

-

TX

Moore County

18

-

-

-

TX

Navarro County

10

-

-

-

TX

Nueces County

12

-

-

-

TX

Ochiltree County

17

-

-

-

TX

Parmer County

20

-

-

-

TX

Pecos County

18

-

-

-

TX

Presidio County

32

-

-

-

TX

Reagan County

18

-

-

-

TX

Reeves County

29

-

-

-

TX

San Patricio County

11

-

-

-

TX

Sherman County

14

-

-

-

TX

Starr County

42

-

-

-

TX

Sterling County

10

-

-

-

TX

Sutton County

13

-

-

-

TX

Terry County

12

-

-

-

TX

Titus County

19

-

-

-

TX

Travis County

11

-

-

-

TX

Uvalde County

13

-

-

-

TX

Val Verde County

27

-

-

-

TX

Ward County

10

-

-

-

TX

Webb County

50

-

-

-

TX

Willacy County

20

-

-

-

TX

Winkler County

16

-

-

-

TX

Yoakum County

24

-

-

-

TX

Zapata County

33

-

-

-

TX

Zavala County

31

-

-

-

UT

San Juan County

-

-

-

10

VA

Manassas city

18

-

-

-

VA

Manassas Park city

21

-

-

-

WA

Adams County

25

-

-

-

WA

Douglas County

12

-

-

-

WA

Franklin County

28

-

-

-

WA

Grant County

16

-

-

-

WA

Yakima County

18

-

-

-

PR

Adjuntas Municipio

88

-

-

-

PR

Aguada Municipio

82

-

-

-

PR

Aguadilla Municipio

79

-

-

-

PR

Aguas Buenas Municipio

91

-

-

-

PR

Aibonito Municipio

82

-

-

-

PR

Añasco Municipio

87

-

-

-

PR

Arecibo Municipio

82

-

-

-

PR

Arroyo Municipio

85

-

-

-

PR

Barceloneta Municipio

78

-

-

-

PR

Barranquitas Municipio

88

-

-

-

PR

Bayamón Municipio

78

-

-

-

PR

Cabo Rojo Municipio

84

-

-

-

PR

Caguas Municipio

79

-

-

-

PR

Camuy Municipio

88

-

-

-

PR

Canóvanas Municipio

84

-

-

-

PR

Carolina Municipio

77

-

-

-

PR

Cataño Municipio

83

-

-

-

PR

Cayey Municipio

88

-

-

-

PR

Ceiba Municipio

72

-

-

-

PR

Ciales Municipio

90

-

-

-

PR

Cidra Municipio

88

-

-

-

PR

Coamo Municipio

82

-

-

-

PR

Comerío Municipio

92

-

-

-

PR

Corozal Municipio

88

-

-

-

PR

Culebra Municipio

74

-

-

-

PR

Dorado Municipio

78

-

-

-

PR

Fajardo Municipio

78

-

-

-

PR

Florida Municipio

81

-

-

-

PR

Guánica Municipio

87

-

-

-

PR

Guayama Municipio

80

-

-

-

PR

Guayanilla Municipio

86

-

-

-

PR

Guaynabo Municipio

69

-

-

-

PR

Gurabo Municipio

78

-

-

-

PR

Hatillo Municipio

87

-

-

-

PR

Hormigueros Municipio

71

-

-

-

PR

Humacao Municipio

82

-

-

-

PR

Isabela Municipio

83

-

-

-

PR

Jayuya Municipio

90

-

-

-

PR

Juana Díaz Municipio

86

-

-

-

PR

Juncos Municipio

84

-

-

-

PR

Lajas Municipio

83

-

-

-

PR

Lares Municipio

89

-

-

-

PR

Las Marías Municipio

92

-

-

-

PR

Las Piedras Municipio

86

-

-

-

PR

Loíza Municipio

89

-

-

-

PR

Luquillo Municipio

79

-

-

-

PR

Manatí Municipio

83

-

-

-

PR

Maricao Municipio

94

-

-

-

PR

Maunabo Municipio

88

-

-

-

PR

Mayagüez Municipio

77

-

-

-

PR

Moca Municipio

86

-

-

-

PR

Morovis Municipio

87

-

-

-

PR

Naguabo Municipio

83

-

-

-

PR

Naranjito Municipio

90

-

-

-

PR

Orocovis Municipio

90

-

-

-

PR

Patillas Municipio

85

-

-

-

PR

Peñuelas Municipio

88

-

-

-

PR

Ponce Municipio

81

-

-

-

PR

Quebradillas Municipio

81

-

-

-

PR

Rincón Municipio

71

-

-

-

PR

Río Grande Municipio

84

-

-

-

PR

Sabana Grande Municipio

84

-

-

-

PR

Salinas Municipio

86

-

-

-

PR

San Germán Municipio

85

-

-

-

PR

San Juan Municipio

73

-

-

-

PR

San Lorenzo Municipio

86

-

-

-

PR

San Sebastián Municipio

84

-

-

-

PR

Santa Isabel Municipio

84

-

-

-

PR

Toa Alta Municipio

80

-

-

-

PR

Toa Baja Municipio

80

-

-

-

PR

Trujillo Alto Municipio

79

-

-

-

PR

Utuado Municipio

83

-

-

-

PR

Vega Alta Municipio

82

-

-

-

PR

Vega Baja Municipio

76

-

-

-

PR

Vieques Municipio

81

-

-

-

PR

Villalba Municipio

89

-

-

-

PR

Yabucoa Municipio

87

-

-

-

PR

Yauco Municipio

86

-

-

-