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

https://fair-wiki.win/index.php/What_Should_I_Review_Besides_Premiums_When_Picking_a_Health_Plan%3F

Small businesses can shop off-exchange through a broker, buy a small-group plan directly from a carrier, or consider an HRA. Before choosing, check whether employees’ doctors and nearby hospitals are in the plan’s network.