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

https://riversinspiringblogs.evergrovio.com/posts/small-group-health-plan-vs.-reimbursing-employees-for-individual-plans

Small businesses can shop off-exchange through a broker, buy a small-group plan directly from a carrier, or compare association plans. Before comparing premiums, check whether employees’ doctors and preferred hospitals are in each plan’s network.