Hi 

Yes, payroll expense reporting duplication is a serious issue in QBO for many of us.

In addition to the automatic Direct Deposit (DD) , the paycheck transaction appears in bank feeds as uncategorized expense. 

However, there is one thing I wanted to note as a possibility.

Brendan, do you have any "Deductions & Contributions"  added to the employee(s) ? If you go to Payroll=> Employees => Pick one, edit Deductions and Contributions. Is there a health insurance % attributed to employee versus employer ? 

This should not be a problem as it should only apply to the insurance premiums and not the actual gross pay.

However, the bug may stem from here - I am saying it is just a possibility. Try removing the deduction/contribution  percentage just to see what happens. Risky, but worth trying.