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

https://juliet-wiki.win/index.php/Association_Plan_vs._Private_Small-Group_Plan:_Which_Is_Better_for_Your_Business%3F

Small businesses can shop off-exchange through a licensed broker, directly with carriers, or by comparing small-group plans. Before weighing premiums, check whether employees’ doctors and nearby hospitals are in each plan’s network.