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The agreement signed in Washington on 23 May 1973 entered into force on 1 November 1978; amended by a supplementary convention signed in Rome on 17 April 1984 and entered into force on 1 January 1986; Administrative Protocol, signed at Rome on 22 November 1977, entered into force on 1 November 1978; amended by a supplementary convention signed in Rome on 17 April 1984 and entered into force on 1 January 1986. The social security payments covered by the agreement are as follows: for the United States, the agreement covers taxes on social security (including the Medicare part in the United States) and social security benefits for old age pensions, disability and survivors. It does not cover U.S. Medicare or Security Supplement (SSI) benefits. Family allowances are also included for Italy. All these agreements are based on the concept of shared responsibility. Shared responsibility agreements are reciprocal. Under each agreement, partner countries make concessions on their social security rules so that people covered by the agreement have access to payments for which they might not otherwise be entitled. In this way, the responsibility for social security is shared between the countries where a person has lived during his or her working years and the person can release potential rights. As a general rule, a pension from one country may be received in the second country, although the paying country retains some discretion in the currency used and in the delivery mechanisms used. Under the terms of the agreement, a U.S.

or Italian national who would otherwise be covered by both countries generally remains covered only by the country of which he or she is a national and is exempt in the other country. Italian nationals and dual nationals (nationals of both United States) and Italy) who work in jobs or self-employed persons covered by both plans must choose to be exempt from coverage and taxation under one scheme and to pay social security taxes to the other. This choice must take place within three months of the start of the work. If you are an Italian national, you can then change your choice of reports. However, you can only change your choice: if you qualify for Social Security benefits in both the United States and Italy and you do not need the agreement to qualify for one of the two benefits, the amount of your benefit in the United States may be reduced. This is the result of a provision in U.S. law that may affect how your benefit is calculated if you are also receiving a work-based pension that has not been covered by U.S. Social Security. For more information, see the Windfall Elimination Commission publication (publication number 05-10045). If you are outside the United States, you can write to us at the address in the « More Information » section. If you do not wish to assert entitlement to benefits, but would like more information about the agreement, write to: The table below shows the different types of social security benefits to be paid under the Social Security schemes of the United States and Italy and briefly describes the conditions of entitlement that normally apply to any type of benefit. If you do not meet the normal requirements for these benefits, the agreement can help you qualify (see section « How to pay benefits »).

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