I appreciate you for sharing the details of your concern and for performing some troubleshooting steps in fixing the issue, Aaron.
Let me route you to our Payroll support team so this gets taken care of right away. One of our live agents can look into your account and check why you're unable to select the pre-tax insurance premium.
There, they can perform additional troubleshooting steps to resolve this issue. Here's how to reach out to them.
- Go to the (?) Help icon.
- Select the Search tab.
- Click Contact Us.
- Enter a brief discussion of your concern and click Continue.
- Select either Chat with us (if you preferred messaging) or Give us a call.
You can also see this article for more details and ensure to review their support hours to know when agents are available: QuickBooks Online Support.
I've also added these links that you can read to learn more about how health insurance plan works in QBO:
When everything is set, you can now seamlessly run your payroll whenever you're ready.
I'll be around if you need more help managing your payroll and QuickBooks. Please feel free to add them in your reply and I'll take care of them for you. Keep safe and have a great weekend ahead!