Cigna Study Shows Financial and Social Well-being Declines during COVID-19 Crisis

First impact study identifies a decline in reports of loneliness

Some wellness scores remain steady through the pandemic to date

Working routines could change permanently once lockdowns end

HONG KONG,May 28,2020 -- Cigna's (NYSE:CI) International Markets business,in partnership with Kantar,today published its first Cigna COVID-19 Global Impact Study. Part of Cigna's annual 360 Well-Being Survey,this research is the first in a new series of studies from Cigna to better understand the global impact of the COVID-19 pandemic on people's well-being.

Cigna's 360 Well-Being Survey has tracked perceptions about health and well-being,including an index covering physical,family,social,financial and work well-being since 2014.This edition engaged 10,204 people across Mainland China,Hong Kong,Singapore,Spain,Thailand,the United Arab Emirates,the United Kingdom and the United States between January and April 2020 during the COVID-19 pandemic.

Well-Being Indicators Remains Steady

This new research suggests that our perceived well-being has been surprisingly resilient with the overall global Well-Being Index consistent between January and April 2020 at 62.5 points,despite the pandemic and lockdowns. Although financial and social well-being indices have declined,with financial down 1 point (55.8- 54.8) and social down by 0.8 points (63.2 to 62.4),work and family indices remained consistent,with marginal increases in some key areas.

The UK saw the largest decline in the social well-being index with a significant drop of 4.1 points,driven by a decline in the number of people feeling they have enough time in-person with friends (from 31% to 17%),having enough time to themselves (from 43% to 34%),and feeling they are part of a broader community beyond their family (from 25% to 15%). In contrast,the UAE'ssocial well-being scores increased significantly across some indicators,despite itslockdown. Most notably,people having enough time to themselvesrising from 40% to 50% and feeling part of a community (34% to 46%).

The work well-being index remained consistent (marginally increasing from 68.7 to 69 points).Contributing to this aresignificantly improved scores for receiving learning and development training (up by 4% from 54% to 58%),as well as marginal improvements in good work life balance (up 1% from 63% - 64%). Family well-being remained consistent,marginally increasing from 66.3 to 66.9 points. In Singaporeand UAE,there were particularly significant increases in family well-being indices (2.6 and 2.9 point increases respectively). Globally,there were significant improvements in people's confidence in being able to protect their partner's well-being (increasing from44% to 47%) and that of their children (marginally increasing by 3% from 48% to 51%),along with spending sufficient time with family (marginally increasing 2% from 43%- 45%).

Jason Sadler,President,Cigna International Markets,said: "Financial worries have increased and this is certainly reflected in the conversations we are having with our customers and clients. It is encouraging to see that overall wellness scores have remained steady,highlighting the resilience of people as they try to focus on the positives that the current situation presents. We will be publishing the second edition of the Cigna COVID-19 Global Impact Study soon and I look forward to seeing if these trends continue."

Home Working Increases Job Satisfaction,Work Relationships & Communication

Despite working longer hours,people reported that working from home has improved their work life. 76% said their workday is more flexible,rising to 90% in Thailand,80% in Spain and 79% in the UAE,indicating that working routines are likely to change permanently once the lockdown ends.

People also feel they have become closer to their colleagues during the crisis. 64% of people agreed that working from home and using technologies to communicate has streamlined connections with their colleagues compared to only 9% of people that said it had not. Interestingly,the highest satisfaction levels were seen in Asian markets,which are often seen to offer less flexible working when compared to Europe and North America.79% of people in the UAE,73% in Mainland China,68% in Thailand and 65% in Singapore said communication with their colleagues had improved during the crisis.

Dr. Puihan Joyce Chao,clinical psychologist at Dimensions Centercommented:

"These findings are an important addition to our understanding of the COVID-19 pandemic's impact on people. Dealing with a crisis is very personal and many people will experience high levels of anxiety,confusion and maybe even a sense of dread. These initial findings suggest that coping in times of crises is complex. Over time people will begin to make adjustments and as we see lockdown orders scaled back,we are likely to see anxiety levels spike,as people become concerned about how to return to work or children returning to school."

A Reduction in Loneliness

This first impact study identified a reduction in reports of loneliness. Only 8% of respondents said they always felt isolated from others in April,compared to 11% in January. When asked if people felt closer to other people,73% said they did in April,compared to 69% in January. Notably,some markets with comprehensive lockdowns saw improvements with UAE up from 71% to 80%; the UK up from 70% to 79%; and Spain from 81% to 91%.

Long Hours Increase as People Struggle to Switch Off

79% of people reported that they experiencing 'Always on' working and this has increased across most geographies. It rose by 7% in the UK (74%) and 6% in Singapore (78%) and Hong Kong (72%). We also see that the working day has got longer,with 59% of people saying they were working longer compared to only 18% that thought it had not. This rose to 75% of people in Thailand,65% in the UAE and 64% in Mainland China.

Dr. Dawn Soo,Head of Wellness,Cigna International Markets added: "The decline in the loneliness score is unexpected but highlights the positive impact digital technology can have.We are also seeing a shift in attitudes to work,with people feeling that home-based working has offered some positives,especially in terms of balancing family and work responsibilities,despite the longer hours."

Demand for Virtual Health Grows Rapidly

Appetite for virtual health has also grown rapidly. 60% of people are interested in using virtual health services,rising to 73% in the UAE,72% in Mainland China and 67% in Thailand. The most popular usage of virtual health is for general practitioner appointments,with 52% saying they would use e-health for these in future,rising to 65% in Spain. A further 39% said they would choose virtual health for mental health support in future,rising to 53% in Thailand and 51% in Mainland China.

Soo continued: "Since January,the number of virtual health appointments attended by our customers has increased 6-fold,from 233 in January to 1,438 in April,and we believe this is a permanent shift.We are investing in new,integrated health solutions that help people manage their health,both mind and body,and provide treatment when and where it is needed."

The study was conducted using an online survey,with respondents recruited from online panels and undergo rigorous quality control. Age,gender and residing city quotas were set based on population proportion of respective markets. The research was conducted between January 10 and February 24 and; April 22-27. 8,983 online interviews were conducted in January and 1,221 in April across 8 markets and the 20 to 25 minute survey was completed anonymously.

About Cigna

Cigna Corporation is a global health service company dedicated to improving the health,well-being and peace of mind of those we serve. Cigna delivers choice,predictability,affordability and access to quality care through integrated capabilities and connected,personalized solutions that advance whole person health. All products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation,including Cigna Health and Life Insurance Company,Cigna Life Insurance Company of New York,Connecticut General Life Insurance Company,Express Scripts companies or their affiliates,and Life Insurance Company of North America. Such products and services include an integrated suite of health services,such as medical,dental,behavioral health,pharmacy,vision,supplemental benefits,and other related products including group life,accident and disability insurance. Cigna maintains sales capability in over 30 countries and jurisdictions,and has more than 170 million customer relationships throughout the world. To learn more about Cigna®,including links to follow us on Facebook or Twitter,visit www.cigna.com.

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