We can create a payroll item instead of generating an invoice associated with AP, Calconst. Let me help you how to do it in QuickBooks Desktop Payroll.

First, we can create a health insurance deduction item. This way, the system will track its balance movement.

Here's how:

1. Go to Lists, then Payroll Item List.
2. Choose the Payroll Item ▼ dropdown, then New.
3. Pick Custom Setup, then Next.
4. Set Deduction or Company contribution, then Next.
5. Enter the item name. 
6. Please specify the agency to which liability is paid. Then choose Next.
7. Set the Tax Tracking Type.
8. Choose the Finish button.

Next, if your company contributed, here's how to do it:

1. Navigate to the Lists, then Payroll Item List.
2. Choose the Payroll Item ▼ dropdown, then New.
3. Pick Custom Setup, then Next.
4. Input the Company Contribution, then Next.
5. Enter the item name, then Next.
6. Choose the name of the agency. Then, select Next. 
7. Set the tax tracking type. Select Next three times.
8. Press the Finish button.

If your employee is responsible for paying the entire health benefit amount, please follow step #2 instructions under the Set up a medical, vision, or dental insurance payroll item page.

In addition, if both pay a part of it, you can add them by selecting Both The Employee and Company Pay the Portions option.

Furthermore, we can pull up a Payroll Item Detail or Payroll Item Review to track the health coverage balance. Here's an overview of these reports and how to access them:

• Run payroll reports.
• Create a payroll summary report in QuickBooks.

Please let me know if there are additional details you'd like to clarify regarding payroll insurance items in QuickBooks Desktop Payroll. Have a fantastic day ahead.