; or (II) in the case of an individual described in subparagraph (B) of paragraph (1), the contract of the terminated provider with the group health plan or health insurance issuer is no longer in effect. (B) Cost-sharing The coverage for an active course of treatment provided by an out-of-network provider as described in paragraph (1) shall be provided with cost-sharing requirements that are the same as if such coverage was provided by an in-network provider. (3) Request for continuity of care Any request made under paragraph (1) shall be subject to any internal or external grievance or appeals process of the plan or issuer, in accordance with any applicable State or Federal law. (4) Definitions For purposes of this subsection: (A) Active course of treatment The term active course of treatment means any of the following that is occurring on the first day on which, with respect to an individual described in paragraph (1)(A), the individual's prior health plan described in such paragraph has been discontinued by the plan or issuer or, with respect to an individual described in paragraph (1)(B), the provider providing the treatment becomes a terminated provider: (i) An ongoing course of treatment for a life-threatening condition, serious acute condition, or serious chronic condition. (ii) Services provided with respect to pregnancy, including until the completion of postpartum care directly related to the delivery. (iii) An ongoing course of treatment for a child between birth and 36 months. (iv) The performance of a surgery or other procedure that, prior to the applicable time described in this subparagraph, has been authorized by the plan or coverage as part of a documented course of treatment for such individual and has been recommended and documented by the provider for such individual. (B) Covered services The term covered services means services that— (i) would be covered by the group health plan or health insurance issuer offering group or individual health insurance coverage if such services were provided