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

https://rapid-wiki.win/index.php/How_Do_I_Get_Small_Business_Health_Insurance_Without_the_Marketplace%3F

Small businesses can shop for coverage off-exchange through a broker, directly with an insurer, or by comparing small-group plans. If a traditional group plan isn’t a fit, an HRA can let the business reimburse employees for eligible individual coverage