; and (II) informed that the payment of such charge by the participant, beneficiary, or enrollee will not accrue toward meeting any limitation that the group health plan or health insurance coverage places on cost-sharing; and (iii) documents the consent of the participant, beneficiary, or enrollee to— (I) be furnished with such services by such nonparticipating provider; and (II) in the case that the individual is so furnished such services, be charged an amount that may be greater than the amount that would otherwise be changed the individual if furnished by a participating provider (as defined in section 2719A(e)(3) of the Public Health Service Act) with respect to such services and plan or coverage. (4) The provisions of subsections (c), (d), (e), (g), (h), (k), and (l) shall apply to a civil money penalty or assessment under paragraph (1) in the same manner as such provisions apply to a penalty, assessment, or proceeding under subsection (a). (5) In this subsection, the terms group health plan , health insurance issuer , and health insurance coverage have the meanings given such terms, respectively, in section 2791 of the Public Health Service Act .