Label Presets not working

This used to work, but now I'm trying to print on some Avery business card stock and I'm selecting the right "label preset" from the list.  It sets my page size correctly, but then the print preview just shows a single label in the middle of the page.  When I go back to the page settings, "Label Presets" is now grayed out.

I did find an old post where someone had this issue in X5 and the suggestion was to start a new document.  I tried that but it behaves the same way.

Anybody have any ideas?