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

https://judahsuniqueop-eds.lumenforgex.com/posts/how-do-i-avoid-picking-a-health-plan-that-doesn-t-cover-our-local-hospital

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.