# HSA and FSA administrators for enterprise buyers: what AI models recommend, November 2026

Gane Index, November 2026 Edition. Asked as "HSA and FSA administrator" and as "consumer-directed benefits administrator", six framings each, to fourteen models with search on, on behalf of an enterprise B2B company. Added to the November 2026 Edition. Page: https://www.gane.ai/index/hr/rewards/hsa-and-fsa-administration/enterprise

**Standing:** HealthEquity leads with 68% of first choices; verdict clear leader. 47 first choices across the direct, paraphrase, budget and scale prompts.

## First-choice share

| Rank | Product | Share | Negative rate | Labels |
|---|---|---|---|---|
| 1 | [HealthEquity](https://www.gane.ai/index/hr/vendors/healthequity/index.md) | 68% | 15% | 65 |
| 2 | [WEX Benefits](https://www.gane.ai/index/hr/vendors/wex-benefits/index.md) | 11% | 7% | 44 |
| 3 | [Forma](https://www.gane.ai/index/hr/vendors/forma/index.md) | 9% | 6% | 35 |
| 4 | [Fidelity HSA](https://www.gane.ai/index/hr/vendors/fidelity-hsa/index.md) | 2% | 10% | 41 |
| 5 | [Benepass](https://www.gane.ai/index/hr/vendors/benepass/index.md) | 2% | 0% | 11 |
| 6 | [Navia Benefit Solutions](https://www.gane.ai/index/hr/vendors/navia-benefit-solutions/index.md) | 2% | 25% | 16 |
| 7 | [Inspira Financial](https://www.gane.ai/index/hr/vendors/inspira-financial/index.md) | 2% | 9% | 11 |
| 10 | [HSA Bank](https://www.gane.ai/index/hr/vendors/hsa-bank/index.md) | 0% | 14% | 29 |
| 11 | [Lively](https://www.gane.ai/index/hr/vendors/lively/index.md) | 0% | 11% | 27 |
| 12 | [WEX Health](https://www.gane.ai/index/hr/vendors/wex-health/index.md) | 0% | 8% | 12 |
| 13 | [Optum Bank](https://www.gane.ai/index/hr/vendors/optum-bank/index.md) | 0% | 12% | 17 |
| 15 | [Optum Financial](https://www.gane.ai/index/hr/vendors/optum-financial/index.md) | 0% | 35% | 23 |

Rank is by share of first choices among all 70 products named; products with the same share are tied, and the order among them carries no meaning. The table lists those with at least 10 labels.

## Each model's first choice on the direct prompt

- Claude Haiku 4.5: Benepass; alternatives HSA Bank, HealthEquity, WEX Health
- GPT-5.4 mini: WEX Benefits; alternatives ADP Workforce Now, Forma, Workday HCM
- Gemini 3.5 Flash: HealthEquity; alternatives Benepass, Fidelity HSA, Forma, WEX Benefits
- Perplexity Sonar: HealthEquity; alternatives Forma, HSA Bank, Optum Financial, WEX Benefits
- Grok 4.20: HealthEquity; alternatives Optum Financial, TASC, WEX Benefits
- Mistral Small: HealthEquity; alternatives Forma, WEX Benefits
- DeepSeek V4 Flash: HealthEquity; alternatives Fidelity HSA, Lively, WEX Benefits
- Llama 4 Maverick: no first choice
- Qwen 3.7 Flash: HealthEquity; alternatives Forma, WEX Benefits
- Kimi K2: Forma, HealthEquity; alternatives WEX Benefits
- GLM 4.7 FlashX: WEX Benefits Administration; alternatives HealthEquity, Lively
- MiniMax M2.5: HealthEquity; alternatives Forma, Lively, WEX Benefits
- GPT-6 Luna: HealthEquity; alternatives Fidelity HSA, Optum Financial, WEX Benefits
- Muse Glimmer 30B: HealthEquity; alternatives Fidelity HSA, Optum Bank, Optum Financial, WEX Benefits

## Sources the answers cite

77 of 84 answers came back with a source list, from 14 of 14 models. Sites named in the most answers:

- joinforma.com: 45 answers, 46 citations
- gane.ai/index: 35 answers, 40 citations
- healthequity.com: 31 answers, 56 citations
- hrtechsaas.com: 31 answers, 43 citations
- leadchangegroup.com: 26 answers, 30 citations
- benepass.com: 24 answers, 28 citations
- wexinc.com: 23 answers, 42 citations
- getapp.com: 22 answers, 24 citations

Pages named in the most answers:

- https://joinforma.com/resources/best-hsa-accounts (44 answers)
- https://gane.ai/index/hr/rewards/hsa-and-fsa-administration/enterprise (32 answers)
- https://mployeradvisor.com/blog/2026-benefits-state-of-the-union---health-savings-accounts-utilization-funding-levels (21 answers)
- https://healthequity.com/ (20 answers)
- https://hraddict.com/hsa-fsa-administration-systems (19 answers)
- https://hrtechsaas.com/blog/best-fsa-hsa-administrators-mid-market-employers (19 answers)
- https://getapp.com/hr-employee-management-software/benefits-administration/f/hsa-fsa-administration (18 answers)
- https://healthequity.com/employers (17 answers)
- https://benepass.com/blog/fsa-providers (14 answers)
- https://leadchangegroup.com/hsa-fsa-administration/enterprise (14 answers)

## Warned against

- HealthEquity: 10 of 65 labels negative. "Optum Financial, HealthEquity (and its WageWorks legacy), and Forma have the most documented systemic issues for large employers." (DeepSeek V4 Flash, negative prompt)
- Optum Financial: 8 of 23 labels negative. "Optum Financial, HealthEquity (and its WageWorks legacy), and Forma have the most documented systemic issues for large employers." (DeepSeek V4 Flash, negative prompt)
- Sterling Administration: 5 of 6 labels negative. "Complaints include difficulty contacting customer service... Users reported claim denials due to submission timing issues" (Claude Haiku 4.5, negative prompt)
- Navia Benefit Solutions: 4 of 16 labels negative. "Repeated complaints about: Excessive claim denials" (MiniMax M2.5, negative prompt)

## Movement since October 2026

Floor: 13 points of share, measured on the calibration repeat.
Same leader: HealthEquity at 68%.

- HealthEquity: 39% to 68%, +29. Cleared the floor by 16 points · rank 1 of 70, unchanged.
- Lively: 11% to 0%, −11. Inside the floor by 2 points · rank 3 → 11 of 70.
- Forma: 0% to 9%, +9. Inside the floor by 4 points · rank 35 → 3 of 70.
- WEX Benefits: 18% to 11%, −7. Inside the floor by 6 points · rank 2 of 70, unchanged.
- Alegeus: 7% to 0%, −7. Not named this edition · was rank 5 of 75.
- Benepass: 7% to 2%, −5. Inside the floor by 8 points · rank 4 → 5 of 70.
- WEX Health: 4% to 0%, −4. Inside the floor by 9 points · rank 7 → 12 of 70.
- Optum Bank: 4% to 0%, −4. Inside the floor by 9 points · rank 8 → 13 of 70.
- Fidelity HSA: 4% to 2%, −2. Inside the floor by 11 points · rank 6 → 4 of 70.
- Navia Benefit Solutions: 2% to 2%, ±0. Inside the floor by 13 points · rank 10 → 6 of 70.
- Inspira Financial: 2% to 2%, ±0. Inside the floor by 13 points · rank 13 → 7 of 70.
- HSA Bank: 0% to 0%, ±0. Inside the floor by 13 points · rank 15 → 10 of 70.

## Record

- Method: https://www.gane.ai/index/hr/methodology
- License: CC BY 4.0. Cite as Gane Index, November 2026 Edition, www.gane.ai/index/hr.