Are you employed or self-employed? If employed, is your employer a US company or a non-US company?
I think you should probably seek professional advice and review the US-Italy totalization treaty in detail.
SSA has a summary -- https://www.ssa.gov/international/Agreement_Pamphlets/italy.html
It seems to clearly state that
- if you are a US National working in Italy for a non-us employer, you are covered by the Italian social security system and do NOT have the option of electing US coverage.
- if you are a US National working in Italy for an US employer or are self-employed the you are covered by the US SSA and do NOT have the option of electing Italian coverage.
- the option to choose seems to only apply to dual nationals or Italian nationals resident in the US.
Be careful with reporting employee income in TT as self-employment just to generate a 1040-SE and FICA liability. If you aren't actually self-employed that isn't correct and could ripple through your return in other ways.
One professional firm to consider is https://www.greenbacktaxservices.com/knowledge-center/totalization-agreements-tax-treaties/ ... I know others who have used them on other matters.
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