Small businesses can shop off-exchange through a broker, directly with...

https://wiki-zine.win/index.php/Private_Health_Insurance_for_Small_Business_Owners:_Options_Outside_the_Exchange

Small businesses can shop off-exchange through a broker, directly with carriers, or by comparing small-group plans. Before weighing premiums, check that employees’ doctors and nearby hospitals are in each plan’s network to avoid costly surprises.