How to Set Up and Manage Payroll Deductions for Employee Premiums

Learn what to check before setting up a payroll deduction for an employee's insurance premium.

Sep 7, 2026

Do not create or change a payroll deduction solely because an employee enrolled in individual health insurance through your ICHRA.

Before setting up a deduction, confirm:

  • Whether the deduction is permitted

  • Whether it must be processed after tax or may be processed pre-tax under a cafeteria plan

  • Whether the employee has provided the required authorization

  • Whether the amount matches the applicable premium period

  • How you will handle changes or missed deductions

  • How the deduction will be handled when employment ends

A payroll deduction does not replace your responsibility to maintain accurate ICHRA eligibility and administration records.

For more information about the employee-paid portion of a premium, see How ICHRA Allowances and Employee Premium Payments Work with Payroll.