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

https://milosimpressivejournals.quillnesty.com/posts/health-insurance-for-a-startup-with-5-employees-where-do-i-start

Small businesses can shop off-exchange through a broker, directly with carriers, or by comparing small-group plans. Ask about premiums and eligibility, then check that employees’ doctors and hospitals are in each plan’s provider network before choosing.