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Index › Compensation and total rewards › HSA & FSA admin › HealthEquity vs Lively
HSA and FSA administrators · October 2026 Edition

HealthEquity vs Lively

Six of fourteen models named HealthEquity first on the direct prompt; two named Lively. HealthEquity was named by fourteen of the fourteen models and Lively by thirteen and HealthEquity carries 59 labels and Lively 34, so the shares are not directly comparable.

HealthEquity

accepted challenger

Named in two categories this edition.

Lively

accepted challenger

Named in two categories this edition.

First-choice share29%15%Of first choices across the direct, paraphrase, budget and scale prompts, 0 to 100.
Negative rate20%6%Negative labels as a share of the product's labels, 0 to 100.
Rank in category#1#2A position in a field of 12; printed, not drawn.
Labels5934A count; the two differ.
The two percentage rows are drawn on one 0 to 100 track, HealthEquity reading right to left. Rank and label count are printed, not drawn.HealthEquity vs Fidelity HSA · HealthEquity vs WEX Benefits · HealthEquity vs WEX Health

Share is the count of first choices across the direct, paraphrase, budget and scale prompts over all fourteen models, for a mid-market B2B company; rank is within the category; every quote names the model and the prompt it came from. Both figures come from the HSA and FSA administrators page.

By framing

How many of the fourteen models made each the first choice, per way of asking, and how many argued against it.
HealthEquityFirst choices, of fourteen modelsLively
Direct621 against HealthEquity
Paraphrase611 against HealthEquity
Comparative70
Budget-constrained241 against HealthEquity · 2 against Lively
Scale-constrained00
Negative029 against HealthEquity
Bars are first choices, 0 to 14 each sideModels that argued againstA model can name both, so the two sides of a row do not sum to fourteen.

Across every category in the October 2026 Edition, HealthEquity and Lively were named in the same answer eighty-two times, of the 164 answers naming HealthEquity and the 110 naming Lively. In those answers Lively took the first choice twenty-six times and HealthEquity twenty-six.

Every model, every framing

The eighty-four answers behind the chart above, one cell each: where HealthEquity and Lively stood in it.
ModelDirectParaphraseComparativeBudget-constrainedScale-constrainedNegative
Claude Haiku 4.5
GPT-5.4 mini
Gemini 3.5 Flash
Perplexity Sonar
Grok 4.1 Fast
Mistral Small
DeepSeek V4 Flash
Llama 4 Maverick
Qwen 3.7 Flash
Kimi K2
GLM 4.7 FlashX
MiniMax M2.5
GPT-6 Luna
Muse Glimmer 30B
HealthEquity Lively first choice named as an alternative argued againstblank: not namedEach cell is one answer, HealthEquity on the left and Lively on the right.

The direct prompt

The plain question, one answer per model, grouped by where HealthEquity and Lively stood in it.

Both were the first choice

1 of 14 modelsThe answer named them together, and the judge labeled each a first choice.
Grok 4.1 FastHealthEquity, Lively alternatives: Fidelity HSA

HealthEquity first, Lively an alternative

5 of 14 modelsLively was named in the answer but not as the choice, or not at all.
Claude Haiku 4.5HealthEquity alternatives: Ameriflex, Sentinel Benefits & Financial Group, WEX Benefits
Perplexity SonarHealthEquity alternatives: Associated Benefits Connection / Associated Bank, Benepass, WEX Benefits
DeepSeek V4 FlashHealthEquity, WEX Health alternatives: Fidelity HSA, Lively, Navia Benefit Solutions
MiniMax M2.5HealthEquity alternatives: Businessolver, Further, WEX Health
Muse Glimmer 30BHealthEquity alternatives: Allegiance, Lively, WEX Health

Lively first, HealthEquity an alternative

1 of 14 modelsHealthEquity was named in the answer but not as the choice, or not at all.
Qwen 3.7 FlashLively alternatives: Fidelity HSA, Further Health, HSA Bank, HealthEquity, Navia Benefit Solutions

Neither was the first choice, one was named

5 of 14 modelsThe answer put something else first and named one of the two as an alternative.
GPT-5.4 miniForma alternatives: Lively, WEX Benefits
Gemini 3.5 FlashBenepass, Forma alternatives: Fidelity HSA, Lively, Navia Benefit Solutions, Sentinel Benefits
Kimi K2Flores Financial Services alternatives: Businessolver, HealthEquity, WEX Health
GLM 4.7 FlashXBusinessolver alternatives: Alegeus, Fidelity HSA, Flores, HSA Bank, HealthEquity, Lively, WEX Health
GPT-6 LunaWEX Benefits alternatives: HealthEquity

Neither was named

2 of 14 modelsThe answer made no first choice from these two in this category.
Mistral Smallno first choice
Llama 4 Maverickno first choice

Bold names in an answer are the products the judge labeled a first choice; a model naming several gives each of them that label. The full answer text for every row is in the record.

By buyer segment

The same question asked on behalf of a different buyer. Each standing is computed within its segment and they are never added together. The figures above are the mid-market standing, which is the one the category orders by.
Small business
Lively leads by twenty-nine points.
Lively37%#1 of 9
HealthEquity8%#3 of 9
The full small business standing →
Mid-marketThe figures above
The order flips: HealthEquity leads at mid-market.
HealthEquity29%#1 of 12
Lively15%#2 of 12
The full mid-market standing →
Enterprise
HealthEquity leads by twenty-eight points.
HealthEquity39%#1 of 12
Lively11%#3 of 12
The full enterprise standing →

What the models said about HealthEquity

Every negative label with a quote, up to three, then the highest-weighted positives, up to three. Six of eight in this category shown.

“HealthEquity has a very low rating (1.2/5) on Trustpilot, with many users reporting issues with customer service, account access, and problems with payments and refunds.” Mistral Small · negative prompt · hard negative
“High volume of complaints (900+ on BBB in 3 years); claim denials, poor customer service, long hold times, app glitches, refund delays” Grok 4.1 Fast · negative prompt · hard negative
“Rates HealthEquity as Fair (2.5/5) with a strong emphasis on negative reviews and a recommendation against using the service.” GLM 4.7 FlashX · negative prompt · hard negative
“Largest independent HSA custodian in the U.S. ... Best For: Large employers wanting a single vendor for all consumer-directed benefits” Kimi K2 · comparative prompt · first choice
“Recognized as America's top HSA administrator, with a significant market share and millions of accounts under management.” Mistral Small · comparative prompt · first choice
“HealthEquity stands out as a scalable HSA platform with strong integration capabilities and robust reporting tools.” Muse Glimmer 30B · direct prompt · first choice

What the models said about Lively

Every negative label with a quote, up to three, then the highest-weighted positives, up to three. Five of six in this category shown.

“Avoid if budget is tight: Lively for very small teams, because of the minimum monthly fee.” Perplexity Sonar · budget prompt · hard negative
“Why not Lively? Their $200 minimum means if you have 5 employees, you pay $40/person/month” Qwen 3.7 Flash · budget prompt · soft negative
“Fidelity and Lively stand out as the strongest HSA administrators based on low or no fees” Grok 4.1 Fast · budget prompt · first choice
“For HSAs, look at Lively (4.4/5 Trustpilot), Fidelity (strong investing, better service).” Grok 4.1 Fast · negative prompt · first choice
“Lively: A top choice for mid-market companies that want a "tech-first" approach.” Qwen 3.7 Flash · direct prompt · first choice
Also compared

Comparisons are drawn for the top eight products in each category, each against each. The output is the models' output; nothing here is a recommendation by the index.