A small business can shop off-exchange through a broker, buy a small-group plan...

https://www.alphabookmarks.win/small-businesses-can-shop-off-exchange-through-a-broker-buy-a-small-group-plan-1

A small business can shop off-exchange through a broker, buy a small-group plan directly from a carrier, or consider an HRA for individual coverage. Before comparing costs, check that employees’ doctors and nearby hospitals are in-network.