States with the largest employee health plans

State employee health plans are often the largest commercial purchaser of healthcare in each state, according to a report from the Center on Health Insurance Reforms at Georgetown University in Washington, D.C. 

The report, published June 30, found many states are struggling to contain costs amid hospital consolidation and rising drug prices. 

Here are the 10 states with the largest state employee health plans, according to the report: 

1. California — 1,013,834 employees and dependents, 4.13 percent of individuals with employer-sponsored insurance
    
2. New York — 571,499 employees and dependents, 6.06 percent of individuals with employer-sponsored insurance
   
   
3. Washington — 536,710 employees and dependents, 13.73 percent of individuals with employer-sponsored insurance 
   
   
4. North Carolina — 492,552, employees and dependents, 10.50 percent of individuals with employer-sponsored insurance
   
   
5. Georgia — 487,000 employees and dependents, 9.67 percent of individuals with employer-sponsored insurance 
   
   
6. South Carolina — 384,674 employees and dependents, 17.37 percent of individuals with employer sponsored insurance 
   
   
7. Texas — 350,424 employees and dependents, 2.63 percent of individuals with employer-sponsored insurance 
   
   
8. Florida — 321,828 employees and dependents, 3.81 percent of individuals with employer sponsored insurance
   
   
9. Massachusetts — 270,000 employees and dependents, 7.27 percent of individuals with employer sponsored insurance
    
10. Kentucky — 268,452 employees and dependents, 13.81 percent of individuals with employer sponsored insurance