Small businesses can shop off-exchange through a broker, buy a small-group plan...

https://www.tradersdna.com/the-best-ways-to-find-small-business-health-insurance-outside-the-marketplace-exchange/

Small businesses can shop off-exchange through a broker, buy a small-group plan directly from a carrier, or compare association plans. Before comparing premiums, check whether employees’ doctors and preferred hospitals are in each plan’s network.