text: i want to start a health insurance company how would i go about doing that? i want to provide people with an affordable insurance that will also pay fair rates to the pharmacies and hospitals.  i used to work for a pharmacy and saw how if the customer got a good price on a drug then the pharmacy got screwed over and vice versa.  this needs to change, please help me make that change. you'll need to file with your state's insurance commission. create a corporation and have lots of money and legal expertise.