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

https://foxtrot-wiki.win/index.php/Small_Business_Health_Insurance_for_Part-Time_Employees:_Rules,_Options,_and_Practical_Steps

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-network to avoid costly surprises.