In 1941 , Costa Rica established Caja Costarricense de Seguro Social ( CCSS ) , a social security insurance system for wage - earning workers .
Universal healthcare and pensions are run by the Caja Costarricense de Seguro Social ( CCSS ) .
In 1941 , Costa Rica established CCSS         ( CCSS ) , a social security insurance system for wage - earning workers .
Universal healthcare and pensions are run by the Caja Costarricense de Seguro Social ( CCSS ) .