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

https://felixyxmg408.yousher.com/small-business-health-insurance-terms-i-keep-hearing-but-don-t-understand

Small businesses can shop off-exchange through a broker, buy a small-group plan directly from a carrier, or consider HRA reimbursements if group coverage isn’t a fit. Before comparing prices, check that employees’ doctors and hospitals are in-network.