Small businesses can shop off-exchange through a broker, compare small-group...

https://wiki-dale.win/index.php/Primary_Care_Doctor_Not_in_Network:_What_Should_I_Do_as_an_Employer%3F_74657

Small businesses can shop off-exchange through a broker, compare small-group plans directly with carriers, or consider an HRA for employee reimbursements. Before comparing premiums, check that your team’s doctors and hospitals are in-network.