What do you mean? Aren’t you technically paying a company for said service? Even if that company has one employee, your house cleaner?
Plenty of people are hired for work like that without forming a business entity, and sometimes under conditions that qualify as employment rather than contract work.
For the sake of conversation, let's consider the cleaner to be an employee and OP to be the employer. Even then, unless OP has 50 full-time and full-time equivalent employees, there is no requirement for the employer to provide group health insurance, according to the ACA.