29 U.S.C. § 1185g: Continuity of care

such contractual relationship is terminated (as defined in paragraph (b)); benefits provided under such plan or such health insurance coverage with respect to such provider or facility are terminated because of a change in the terms of the participation of the provider or facility in such plan or coverage; or a contract between such group health plan and a health insurance issuer offering health insurance coverage in connection with such plan is terminated, resulting in a loss of benefits provided under such plan with respect to such provider or facility; notify each individual enrolled under such plan or coverage who is a continuing care patient with respect to a provider or facility at the time of a termination described in paragraph (1) affecting such provider or facility on a timely basis of such termination and such individual’s right to elect continued transitional care from such provider or facility under this section; provide such individual with an opportunity to notify the plan or issuer of the individual’s need for transitional care; and the 90-day period beginning on such date; or the date on which such individual is no longer a continuing care patient with respect to such provider or facility. is undergoing a course of treatment for a serious and complex condition from the provider or facility; is undergoing a course of institutional or inpatient care from the provider or facility; is scheduled to undergo nonelective surgery from the provide or facility, including receipt of postoperative care from such provider or facility with respect to such a surgery; is pregnant and undergoing a course of treatment for the pregnancy from the provider or facility; or is or was determined to be terminally ill (as determined under section 1395x(dd)(3)(A) of title 42 ) and is receiving treatment for such illness from such provider or facility. in the case of an acute illness, a condition that is serious enough to require specialized medical treatment to avoid the reasonable possibility of death or permanent harm; or is life-threatening, degenerative, potentially disabling, or congenital; and requires specialized medical care over a prolonged period of time. The term “terminated” includes, with respect to a contract, the expiration or nonrenewal of the contract, but does not include a termination of the contract for failure to meet applicable quality standards or for fraud.