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

https://golf-wiki.win/index.php/Health_Insurance_for_a_Company_with_30_Employees:_Off-Exchange_Options

Small businesses can shop off-exchange with a broker, compare small-group plans directly from carriers, or consider an HRA for individual coverage. Before weighing prices, check that employees’ doctors and nearby hospitals are in each plan’s network.