MORE THAN MEETS THE ROI The Value of Investing in a Healthy Workforce FERMA 2017

Your People Drive Your Organization Health & Wellbeing Engagement Results 48% Fewer Safety Incidences 21% Higher Productivity 37% Decrease in Absenteeism 22% More Profitable 10% Higher Customer Ratings Source: Gallup

YOUNG  HEALTHY 48%* 36%* 16%* Millennials 1979–1996 Generation X Debt $23,332 Tobacco Use 26.5% Obesity 30.9% Depression 20% Debt $30,039 Tobacco Use 22.1% Obesity 32.8% Depression 16% Debt $29,317 Tobacco Use 18% Obesity 33.3% Depression 16% Ret. Bal. $21K Ret. Bal. $85K Ret. Bal. $165K Millennials 1979–1996 48%* Generation X 1965–1978 36%* Baby Boomers 1946–1964 16%* Developed chronic disease over time of employment Entered the workforce with chronic disease Source: Future of Workspace Survey * U.S. predicted split of workforce by 2020

Wellbeing Wellbeing is a state of balance that consists of having the appropriate resources, opportunities and commitment needed to achieve optimal health and performance for the individual and the organization

Wellbeing Focus What Other Employers Are Doing—2017 Aon Health Survey Social 54% Physical 71% Healthy Food 65% Sit-to-Stand Workstations 62% Active/Stretch Breaks 35% Standing/Walking Meetings 31% Team Based Challenges 56% Social Areas 54% Social Networking 39% Q25 Which of the following wellbeing dimensions are built into your organization's current wellbeing strategy and which would you consider adding over the next 3-5 years?   Summary of Current Approach (2017-2018) and planning to keep Base: Offers active medical benefits Count 564 31 8 23 Physical 71.30% 67.70% 37.50% 78.30% Financial 65.80% 71.00% 75.00% 69.60% Emotional 57.60% 54.80% 50.00% 56.50% Social 54.40% Environment Wellbeing Culture Resource Community Financial 66% Emotional 56% Financial Wellbeing 61% Flexible Work Time 65% Work/Life Balance 57% Stress/Resiliency Management 42% 2017 Aon Health Survey Results Source: Aon’s 4 square wellbeing model, adapted from World Health Organization

Wellbeing Impacts Engagement Employee Perspective—2017 Aon Consumer Mindset Survey Source: Aon 2017 Consumer Health Mindset Survey

What is the value of investing in wellbeing for your organization? Discussion What is the value of investing in wellbeing for your organization?

Wellbeing Supports the Aon Colleague Experience

Engagement Has Changed 5% more colleagues measures highly engaged than in previous studies Survey responses were greater than 80% Engagement scores increased 6% from previous year Wellbeing has contributed to creating a more engaged workforce at Aon! Over 12% of colleagues have moved from disengaged to engaged

More Than Meets the ROI—A Focus on the Value of Investment What Other Employers Are Doing—2017 Aon Health Survey Employers using health care costs as a primary success measure dropped from 79% to 59% between 2016 and 2017 Participation 73% Health Care Costs 59% Satisfaction 56% Q29 What areas are you using to determine the value of your investment in health/wellbeing?   Base: Offers active medical benefits Count 564 31 8 23 Participation in programs 72.70% 77.40% 37.50% 91.30% Health care costs 58.50% 71.00% 62.50% 73.90% Employee satisfaction 55.90% 58.10% 56.50% Improvements in population health/wellbeing 42.00% 38.70% 25.00% 43.50% Workforce engagement 39.90% 25.80% 26.10% Attraction and retention 31.90% 32.30% 34.80% Absence and disability 22.50% 22.60% 21.70% Workers’ compensation and safety incidences 18.40% 16.10% 12.50% 17.40% Client and customer satisfaction 12.80% Talent management 7.30% 9.70% 4.30% Profitability of the organization 6.90% 6.50% Other 4.40% 0.00% Health Improvement 42% Workforce Engagement 40% Attraction & Retention 32% Absence & Disability 23% Workers Comp/Safety Incidence 18% Client & Customer Satisfaction 13% Performance 7% Source: Aon 2017 Health Care Survey Results

Stronger Cultural Support Impacts Behavior Change Large Diverse Organization Champion Sites Locations with Champions experienced more pronounced results: Wellbeing Assessment: 85% | 75% Health Screening: 85% | 73% Healthy Activity: 66% | 50% Locations with Champions had best in class risk change: 4.7% | 3.1% Non-Champion Sites Average Best in Class

Leveraging Free and Low Cost Resources for an Award Winning Program Pinellas County Schools ~20 years of wellness ~13 years of wellness champions 140+ champions Volunteer positions supported by leadership Dedicated wellness budget Centralized support team and localized empowerment through champions Pre-vetted list of local resources/activities Rewards and recognition for champions Ultimately when employees have better wellbeing it goes beyond them to impact students Sexton Elementary, program supported by NutriBullet &Publix

Engagement & Connection Employer Focus Today Complex Chronic Care Engagement & Connection Employer Focus Emotional Fitness Shape of the Workforce

The Value of Investing in Emotional Fitness

An Average Week in the U.S, in 2017 5M workers will miss work due to stress 800,000 doctor visits about a mental health problem 5M prescriptions for antidepressants will be issued 4M work days will be lost due to depression 800 individuals will commit suicide By 2020, mental health and substance dependence disorders will surpass all physical diseases as the leading cause of disability Depression magnified by social isolation will be the most costly disease burden in the world by 2030 Sources: Centers for Disease Control and Prevention, American Institute of Stress, U.S. Department of Health and Human Services; SAMHA, WHO

Discussion To what extent do you think emotional fitness affects your organization?

Emotional Fitness Direct and Indirect Cost Medical spend for an employee with depression: 48% higher than for a worker without depression Depressed workers lose an average of 5.6 productive work hours a week Close to 70% of BH patients have a co-occurring chronic condition Mental Health conditions are the leading cause of short- and long‑term disability Anxiety disorders cost the U.S. more than $42 billion a year Each Year 1 in 4 adults will experiences a mental health disorder Source: National Alliance on Mental Illness; http://www.workplacementalhealth.org; Goetzel, Health Affairs, November 2012, National Institute on Mental Health, World Health Organization, HHS – U.S. Health and Human Services,

1 IN 5 74% 54% TOP 3 most helpful resources from employer: 37% Employees Are Struggling Employee Perspective—2017 Aon Consumer Mindset Survey STRESS IS ON THE RISE 1 IN 5 Sought mental health counseling or related services in the past year 54% Report high stress 37% Report stress increase over past year TOP 3 most helpful resources from employer: 1-on-1 assistance Appointment flexibility Expanded provider network UP 5 POINTS 74% Had 1+ obstacles in getting treatment UP 4 POINTS Source: Aon 2017 Consumer Health Mindset Survey

Intervention Ideas Designate quiet space Anti-Stigma campaign to educate the workforce Gratitude station with chalkboard for employees to write what they are thankful for Onsite music therapy Develop “stay-at-work” and “return-to work” strategies

Key Points Your people drive your organization Address wellbeing holistically through multiple dimensions and avenues of influence Align wellbeing success metrics with your broader organizational strategic objectives Emotional fitness is crucial to address head-on

Questions?

Impact of Stress on Other Areas of the Business Non-Occupational Absence Major Health Risk Engagement Lost days for STD, FML and sick time 21% Absence 7% No Absence Obese Indemnity claims are 20% more costly when stress was identified as a factor Workers’ Compensation The absence group across all engagement levels have greater rates of stress Supporting information