; and (B) the individual was receiving services for the active course of treatment described in paragraph (1) from the out-of-network provider described in such paragraph while the provider was an in-network provider for the group health plan or health insurance coverage for the plan year, and, during such plan year, the provider became a terminated provider with respect to such plan or coverage for the remainder of such plan year. (4) Duration A group health plan or health insurance issuer offering group or individual health insurance coverage shall provide coverage of services for an active course of treatment under paragraph (1) until the earlier of— (A) the date on which the treatment is complete; or (B) the date that is 180 days following the first date on which the provider described in paragraph (1) is no longer an in-network provider of the plan or coverage in providing such services to the individual. (5) Request for continuity of care A request made under paragraph (1) shall be subject to any internal or external grievance or appeals process of the group health plan or health insurance issuer, in accordance with any applicable State or Federal law. (6) Definitions For purposes of this subsection: (A) Active course of treatment The term active course of treatment means any of the following: (i) An ongoing course of treatment for— (I) a life-threatening condition; (II) a serious, acute condition; or (III) a serious, chronic condition. (ii) Care 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, as documented prior to the time the provider became an out-of-network provider with respect to the group health plan or health insurance coverage— (I) the plan or issuer offering such coverage authorized as part of a course of treatment for the individual