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

https://qqpipi.com//index.php/What_Matters_More:_Provider_Network_or_Monthly_Premium%3F

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