Hi salem10, so ServiceOntario approved your application directly (without having to appeal)? You're actually in a much better position than a lot of people here, since most of us would have to go through the appeal process (since ServiceOntario would not accept a copy of the PER email). Now, what you would need to do, I think, is to appeal the eligibility of your wife and your kids, arguing that they are also part of the application, and are eligible for OHIP coverage. Some folks here, who may have some experience as to what documents to provide to prove that they're also part of your application, may comment on this.