# Lively alternatives: what AI models name instead, October 2026

HR AI Recommendation Index, October 2026 Edition. 168 of the 252 answers in the 1 category where Lively holds a standing named it neither first nor as an alternative; these are the first choices those answers made. Page: https://hr-ai-index.com/vendors/lively/alternatives/

## Named instead, most often (every category and segment added)

- HealthEquity: 42
- WEX Benefits: 13
- Fidelity HSA: 8
- Alegeus: 6
- Gusto: 5
- WEX Health: 5

## HSA and FSA administrators

**Small business**: 41 of 84 answers did not name Lively (Lively is #1 of 9 at 37%).

- Gusto: first choice in 5 of those 41
- HealthEquity: first choice in 4 of those 41
- Fidelity HSA: first choice in 2 of those 41
- Hammock: first choice in 2 of those 41
- Alegeus: first choice in 1 of those 41
- Alerus: first choice in 1 of those 41
- Ameriflex: first choice in 1 of those 41
- Avidia Bank: first choice in 1 of those 41

**Mid-market**: 61 of 84 answers did not name Lively (Lively is #2 of 12 at 15%).

- HealthEquity: first choice in 14 of those 61
- Fidelity HSA: first choice in 4 of those 61
- WEX Benefits: first choice in 3 of those 61
- WEX Health: first choice in 2 of those 61
- ADP Workforce Now: first choice in 1 of those 61
- Alegeus: first choice in 1 of those 61
- Avidia Health: first choice in 1 of those 61
- Businessolver: first choice in 1 of those 61

**Enterprise**: 66 of 84 answers did not name Lively (Lively is #3 of 12 at 11%).

- HealthEquity: first choice in 24 of those 66
- WEX Benefits: first choice in 10 of those 66
- Alegeus: first choice in 4 of those 66
- Benepass: first choice in 3 of those 66
- WEX Health: first choice in 3 of those 66
- Fidelity HSA: first choice in 2 of those 66
- Benefitfocus: first choice in 1 of those 66
- Businessolver: first choice in 1 of those 66

Published under CC BY 4.0. The output is the models' output; nothing here is a recommendation by the index.