Small businesses can shop off-exchange through a broker, buy directly from a...
https://blogfreely.net/neasalnfbo/how-do-i-get-small-business-health-insurance-without-the-marketplace
Small businesses can shop off-exchange through a broker, buy directly from a carrier, or compare small-group plans; some may consider an HRA instead. Before weighing prices, check whether employees’ doctors and nearby hospitals are in-network.