My understanding was that "preventing otherwise disallowed HTTP requests" was the entire point of the preflight OPTIONS request, and that CORS will do nothing if the request would otherwise be allowed.
For example, a POST request with a Content-Type of "text/json" would not be allowed to be sent to third-party hosts without an OPTIONS preflight, but one with a Content-Type of "multipart/form-data" would be allowed and wouldn't be stopped by CORS at all, even to third-party hosts.
(And, of course, if your endpoint just assumes JSON without strictly checking the Content-Type, then congratulations, you've just allowed any website to POST to you, with no user action required.)
For example, a POST request with a Content-Type of "text/json" would not be allowed to be sent to third-party hosts without an OPTIONS preflight, but one with a Content-Type of "multipart/form-data" would be allowed and wouldn't be stopped by CORS at all, even to third-party hosts.
(And, of course, if your endpoint just assumes JSON without strictly checking the Content-Type, then congratulations, you've just allowed any website to POST to you, with no user action required.)