; and (ii) if any such providers of services or suppliers are such out-of-network health care providers, the estimated amount that such providers or suppliers will charge the individual for such items and services in excess of any cost sharing obligations that the individual would otherwise have for such items and services if the providers or suppliers were in-network health care providers with respect to the plan or coverage of such individual. (3) Consent described For purposes of paragraph (1)(B), the consent described in this paragraph, with respect to an individual enrolled in a group health plan, or health insurance coverage offered in the group market, who is to be furnished items or services by an out-of-network health care provider, is a document specified by the Secretary through rulemaking that is signed by the individual (or by a representative of the individual) not less than 24 hours prior to the individual being furnished such items or services by such health care provider, and that— (A) acknowledges that the individual has been— (i) provided with a written estimate and an oral explanation of the charge that the individual will be assessed for the items or services anticipated to be furnished to the individual by such out-of-network health care provider; and (ii) informed that the payment of such charge by the individual will not accrue toward meeting any limitation that the group health plan, or health insurance coverage offered in the group market, places on cost-sharing; and (B) documents the consent of the individual to— (i) be furnished with such items or services by such out-of-network health care provider