Small businesses can shop off-exchange through a licensed broker, by contacting...

https://www.mediafire.com/file/ghj0q6vwlnmm0w3/pdf-50988-28614.pdf/file

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