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

https://harpersnewinsight.brightsora.com/posts/small-business-health-insurance-options-for-less-than-10-employees

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 hospitals are in each plan’s network; access matters as much as price.