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

https://www.pop-bookmarks.win/off-exchange-a-broker-can-compare-small-group-plans-or-you-can-request-quotes

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.