Insurance companies make money in a variety of ways. Here's one.
A coupla months ago I started a chain about hedging an existing appreciated portfolio with index options. That led me to discover some different index annuities that provide a profit limit cap along with various amounts of downside protection. AXA offers them with 5 year duration. If one chooses the one year segments on the SPY with 10% downside protection, the cap as of 2/23 is 6.6%.
I can replicate the above with options for Jan 2019 and I can achieve a variety of different caps and downsides by varying the strikes. The closest to balanced was 10.9% (call it 11%) of downside protection with a cap of 11.0%.
Without getting into the nitty gritty details of how the insurance company arbs the difference, they are selling a policy that pays less than the actual synthetic pays and risks less as well, so they are arbing the difference.
If you can find people to buy something from you that has an inferior payout and greater loss potential than the synthetic equivalent then you will be able to duplicate the insurance companies' approach to buying and selling options.
(And FWIW, by giving up 3.3% of the cap, I could achieve 20% downside protection which is double what they offer with 7.7% still better than their one year cap of 6.6%).