Small businesses can shop off-exchange through a broker, directly with...

https://www.slideserve.com/eogernrhbu/health-insurance-for-a-company-with-30-employees-off-exchange-options

Small businesses can shop off-exchange through a broker, directly with carriers, or by comparing small-group plans. Before weighing premiums, check that each plan includes your employees’ doctors and preferred hospitals in its provider network.