Hi zconst2,

Yes, you can use the payroll deduction setup for any employee medical insurance like Aflac. Let me show you how to it:

1. Go to Employees and select the name of the employee.
2. Click on the Edit icon for Pay.
3. Click on the Add a new deduction link.
4. Select New deduction/contribution.
5. Select Health Insurance.
6. Select Medical for Type.
7. Enter the name of the provider (Aflac).
8. Enter the amount to be deducted every pay period and Annual Maximum (optional).
9. Choose either Taxable insurance premium or Pre-tax insurance premium.
10. Click on OK.

QuickBooks Online will automatically create a liability account for this medical insurance. You can review the account setup by going to Payroll Settings, and then Accounting under Preferences. 

When you're about to pay this medical premium, you can go ahead and create a Check. Just select the liability account for this medical insurance. You may also create a journal entry to debit the funds from the liability account to any clearing account you've created. 

If you have more payroll questions, I'd be glad to help. Just post them here.