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

https://lorenzotlqm095.timeforchangecounselling.com/what-are-participation-rules-and-why-do-insurers-care

Small businesses can shop off-exchange through a broker, compare small-group plans directly with carriers, or consider an HRA to reimburse individual coverage. Before comparing premiums, check whether employees’ doctors and hospitals are in-network.