(N.B. The provisions for the removal of dual coverage apply to U.S. pension insurance coverage and contributions, survival, disability and hospital insurance (Medicare) programs, and pension, survival and disability insurance plans abroad. Some agreements may also apply to insurance coverage and contributions under additional programs abroad, such as .B. Insurance for short-term illness, work-related accidents and unemployment. As a result, workers exempt from foreign benefits by one of these agreements do not pay social security contributions for these additional programs and generally do not receive benefits from them. In this case, the worker and employer may agree to further benefit protection in Serden.) A list of countries with which the United States currently has totalization agreements and copies of these agreements can be accessed under U.S. international social security agreements. As a precautionary measure, it should be noted that the derogation is relatively rare and is invoked only in mandatory cases. There are no plans to give workers or employers the freedom to regularly choose coverage that contradicts normal contractual rules. Workers who have shared their careers between the United States and a foreign country may not be entitled to pensions, survivor benefits or disability insurance (pensions) from one or both countries because they have not worked long or recently enough to meet minimum conditions. Under an agreement, these workers may benefit from partially U.S.
or foreign benefits on the basis of combined or “totalized” coverage credits from both countries. This agreement may be amended in the future by endorsements which, as soon as they come into force, will be considered an integral part of this agreement. These endorsements can be entered into retroactively if they specify. Despite the fact that the agreements aim to allocate social security to the country where the worker is most attached, unusual situations occasionally arise, where strict enforcement of the rules of agreement would result in unusual or unjustified results.