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

https://station-wiki.win/index.php/What_Are_the_Biggest_Mistakes_When_Shopping_for_Off-Exchange_Health_Plans%3F

Small businesses can shop off-exchange through a licensed broker, directly with carriers, or by comparing small-group plans. Before weighing premiums, check whether employees’ doctors and nearby hospitals are in each plan’s network.