---
title: "Top SEP Markets for 2026: State-by-State County Rankings for Medicare Agents"
description: "Florida, Pennsylvania, North Carolina, and Massachusetts dominate SEP rankings. Here are the top counties by campaign type and what makes each market valuable."
url: https://unlockedcrm.ai/blog/top-sep-markets-2026-state-by-state-county-rankings
canonical: https://unlockedcrm.ai/blog/top-sep-markets-2026-state-by-state-county-rankings
category: "Medicare"
published: 2026-04-10
author: "unLocked CRM Team"
source: unLocked CRM — AI CRM for insurance agents
---

# Top SEP Markets for 2026: State-by-State County Rankings for Medicare Agents

Where you focus matters as much as how you sell. The 2026 SEP landscape is not evenly distributed — certain states and counties concentrate far more enrollment opportunity than others. Here are the top markets by campaign type and what drives their rankings.

## Five-Star SEP: Florida Dominates

Florida claims 20 of the top 50 counties for 5-Star SEP campaigns. The Central Florida corridor is particularly dense:

| Rank | County | State | Score |
|------|--------|-------|-------|
| 1 | Hillsborough | FL | 92.8 |
| 2 | Pinellas | FL | 92.6 |
| 3 | Seminole | FL | 92.4 |
| 4 | Orange | FL | 92.3 |
| 5 | Polk | FL | 92.0 |

Pennsylvania follows with 19 of the top 50 counties, making the FL-PA axis the primary 5-star opportunity zone.

## Balanced Campaign: Massachusetts and North Carolina Lead

The Balanced preset — which applies research-calibrated weights across all 34 dimensions — surfaces a different set of leaders:

| Rank | County | State | Score |
|------|--------|-------|-------|
| 1 | New Castle | DE | 78.0 |
| 2 | Suffolk | MA | 77.4 |
| 3 | Essex | MA | 76.9 |
| 4 | Cook | IL | 76.8 |
| 5 | Shelby | TN | 76.7 |

Massachusetts places 8 counties in the top 50, followed by North Carolina with 6.

## C-SNP Cardiovascular: Rhode Island and North Carolina

Cardiovascular C-SNP campaigns surface an entirely different geographic pattern:

| Rank | County | State | Score |
|------|--------|-------|-------|
| 1 | Providence | RI | 91.2 |
| 2 | Forsyth | NC | 86.2 |
| 3 | Jefferson | AL | 85.9 |
| 4 | Guilford | NC | 85.7 |
| 5 | Mecklenburg | NC | 85.7 |

North Carolina dominates with 15 of the top 50 counties. Rhode Island punches above its weight with multiple top-15 entries.

## C-SNP Diabetes: Similar Pattern, Different Weights

Diabetes C-SNP rankings mirror cardiovascular patterns but with different score distributions:

| Rank | County | State | Score |
|------|--------|-------|-------|
| 1 | Providence | RI | 90.6 |
| 2 | Jefferson | AL | 85.9 |
| 3 | Pitt | NC | 85.2 |
| 4 | Forsyth | NC | 85.2 |
| 5 | Guilford | NC | 85.2 |

North Carolina again leads with 15 of the top 50, followed by New Jersey (6) and Indiana (4).

## Key Takeaway: Geography Determines Strategy

The data makes one thing clear: the best market for your next enrollment depends entirely on the campaign type. An agent licensed in Florida should focus on 5-Star SEP. An agent in North Carolina should lead with C-SNP campaigns. An agent in Massachusetts has the strongest balanced opportunity.

## How unLocked CRM Uses Geographic Intelligence

unLocked CRM matches each agent's licensed states and contracted carriers against real-time market rankings, automatically surfacing the highest-opportunity counties for each campaign type. The system eliminates the guesswork of "where should I focus next" by scoring every county in your service area against the campaign presets most relevant to your book of business.

## Related

- https://unlockedcrm.ai/blog/2026-medicare-special-enrollment-periods-complete-guide
- https://unlockedcrm.ai/blog/sep-campaign-scoring-34-dimensions-market-ranking

---

Source: [Top SEP Markets for 2026: State-by-State County Rankings for Medicare Agents](https://unlockedcrm.ai/blog/top-sep-markets-2026-state-by-state-county-rankings) — unLocked CRM, the AI CRM built for insurance agents. Citation permitted with attribution and a link to https://unlockedcrm.ai/blog/top-sep-markets-2026-state-by-state-county-rankings.