A society can't function if more than 10% of the population is in distress and that's exactly the purpose of insurance, the many helping the few, not the other way around.
But since insurance moves a lot of money (just like banking) and there is propensity to fraud and corruption, then it is highly regulated making it hard for newcomers to disrupt the market.
Start from the beginning again using technology, allow tech insurers to take from 100 and serve 10, that's it. Who to serve? That's the easy part, those in need.