That might be the thing... by moving from another province, you didn't get the CSQ. The CSQ alone wasn't enough to register for RAMQ, but they did ask it along with the AIP letter to register my wife.When I moved to Montreal I changed my DL and of course right away tried to get the health card. They said NO! You must have a work permit that you obtained by being sponsored by a Quebec company. I wasn`t sponsored by anyone. I just had my open work permit. That`s another thing I am looking forward to after becoming PR. My health is good but you never know..