A small business can shop off-exchange through a broker, compare small-group...

https://research-wiki.win/index.php/Association_Health_Plans_for_Small_Businesses:_Are_They_Legit%3F

A small business can shop off-exchange through a broker, compare small-group plans directly with carriers, or consider an HRA for individual coverage. Before comparing prices, check that each plan includes your team’s doctors and nearby hospitals.