In the Matter of New Jersey Transit Corporation, Etc.

CourtNew Jersey Superior Court Appellate Division
DecidedFebruary 25, 2026
DocketA-1030-25
StatusUnpublished

This text of In the Matter of New Jersey Transit Corporation, Etc. (In the Matter of New Jersey Transit Corporation, Etc.) is published on Counsel Stack Legal Research, covering New Jersey Superior Court Appellate Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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In the Matter of New Jersey Transit Corporation, Etc., (N.J. Ct. App. 2026).

Opinion

NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION This opinion shall not "constitute precedent or be binding upon any court ." Although it is posted on the internet, this opinion is binding only on the parties in the case and its use in other cases is limited . R. 1:36-3.

SUPERIOR COURT OF NEW JERSEY APPELLATE DIVISION DOCKET NO. A-1030-25

IN THE MATTER OF NEW JERSEY TRANSIT CORPORATION REQUEST FOR PROPOSAL NO. 0000035. ____________________________

Argued February 3, 2026 – Decided February 25, 2026

Before Judges Rose and DeAlmeida.

On appeal from the New Jersey Transit.

Maeve E. Cannon argued the cause for appellant Aetna Life Insurance Company (Stevens & Lee, PA, attorneys; Maeve E. Cannon, Patrick D. Kennedy and Michael A. Cedrone, of counsel and on the brief).

Jennifer Borek argued the cause for respondent New Jersey Transit Corporation (Genova Burns LLC, attorneys; Jennifer Borek and Brian D. MacNiven, on the brief).

Rachel M. Dikovics argued the cause for respondent Horizon Blue Cross Blue Shield of New Jersey (Lowenstein Sandler, attorneys; Rachel M. Dikovics, on the brief).

PER CURIAM We granted Aetna Insurance Company's (Aetna) emergent application to

stay the implementation of a health benefits administration contract awarded to

Horizon Blue Cross Blue Shield of New Jersey (Horizon) under New Jersey

Transit Corporation's (NJ Transit) Request for Proposal No. 0000035 (the RFP),

and accelerate the appeal of NJ Transit's November 13, 2025 final agency

decision. As it did before the agency, Aetna argues NJ Transit's decision was

arbitrary, capricious and unreasonable, and two provisions of Horizon's

proposals were material deviations from the RFP. For the reasons that follow,

we reject these contentions and affirm.

I.

We summarize the pertinent facts and events from the record provided on

appeal. On December 1, 2023, NJ Transit issued the RFP, seeking proposals

from qualified firms for "Group Self-Insured Medical Administrative Services

Only" with an effective coverage date of July 1, 2024. In the RFP, NJ Transit

disclosed Horizon was the current administrator of its medical plans. The RFP

required proposers "match or surpass all current medical plan designs" or

"describe each deviation" from the current plan designs "in detail." NJ Transit

"reserve[d] the right to eliminate those proposals from further consideration."

A-1030-25 2 The contract term was set at thirty-six months beginning July 1, 2024, with two

one-year renewals at NJ Transit's sole discretion.

The RFP provided for evaluation of all proposals by the Technical

Evaluation Committee (TEC), which "consist[ed] of members from various

departments within NJ Transit." The RFP indicated the overall score would be

evaluated by assessing "cost" at thirty percent, and "technical" elements,

including "[n]etwork strength and match," "[o]rganization experience and

stability," "[a]dministrative and service capabilities," and "[c]linical programs,"

at seventy percent.

The "Negotiations" section of the RFP provided, "NJ Transit w[ould] enter

into negotiations with the highest ranked Proposer" and "consider[] all elements

of the Proposal subject to negotiations." This section further stated, negotiations

would cease "[i]f a satisfactory contract c[ould] not be negotiated." In that case,

NJ Transit would conduct negotiations "with the next highest ranked Proposer."

That process would continue "until a satisfactory contract [was] negotiated."

In the next section titled, "Approval and Award," the RFP stated:

Once negotiations have been completed, a recommendation for award of the Contract to the Proposer, whose Proposal conforms to the RFP and is most advantageous to NJ TRANSIT, price and other factors considered, will be issued for approval by NJ TRANSIT'S Board of Directors. Upon the Board's

A-1030-25 3 approval of the recommendation for award, NJ TRANSIT will enter the Agreement found in Exhibit 1.

In January 2024, Aetna and Horizon submitted proposals in response to

the RFP. The TEC initially gave Aetna's proposal a total score of 1974.7 (638.9

cost plus 1335.8 technical). Horizon's proposal received a total score of 1853.9

(584.6 cost plus 1269.3 technical). Oral presentations by both Proposers were

held on March 1, 2024. Thereafter, the TEC gave Aetna a final score of 2002.8

(638.9 cost plus 1363.9 technical) and Horizon a final score of 1853.2 (584.6

cost plus 1268.6 technical).

On March 25, 2024, NJ Transit's Acting Director of Professional Services

emailed Aetna, stating:

Great News!!!! NJ TRANSIT has completed its evaluation of the proposals received in response to the subject RFP and Aetna is determined to be the highest ranked firm. The award of a Contract to Aetna is contingent upon NJ TRANSIT and Aetna reaching an agreement on the terms and conditions of the Contract and approval by NJ TRANSIT Board of Directors at the July 2024 Board Meeting.

NJ Transit and Aetna agreed to meet on March 29, 2024, but NJ Transit

canceled the meeting the day prior and, notwithstanding Aetna's efforts, the

meeting was not rescheduled. In a July 11, 2024 letter to NJ Transit, Aetna

noted NJ Transit failed to communicate with Aetna during the intervening

A-1030-25 4 months and sought "written confirmation that NJ Transit [wa]s committed to

finalizing the contract with Aetna for approval by [NJ Transit's] Board." In

response, NJ Transit stated:

NJ Transit has been dealing with a number of well- reported issues relating to its business, including but not limited to train delays, budget discussions and union[-]related issues, but is still undertaking administrative steps with respect to the RFP in accordance with its applicable rules and regulations and will contact Aetna promptly about the RFP.

In its ensuing November 13, 2025 decision, NJ Transit explained a switch

to Aetna "might affect" its numerous collective bargaining agreements (CBA)

with various NJ Transit unions. Several of these CBAs contained language

requiring NJ Transit "to contract with Horizon or provide medical benefits equal

to or better than Horizon." Further, NJ Transit's "Senior Vice Presidents for bus,

light rail, rail[,] and police met with union leadership" about the potential

switch, and the union leadership voiced their objections.

The record reveals several union heads objected to the proposed switch

from Horizon to Aetna. In particular, during a July 24, 2024 NJ Transit Board

meeting, Amalgamated Transit Union Chair Orlando Riley, spoke on behalf of

the "thousands of . . . NJ Transit bus operation agreement employees." Although

Riley acknowledged the relevant CBA gave NJ Transit "the right to change

A-1030-25 5 insurance carriers, provided such coverage w[ould] result in equal or better

coverage," he argued a lesser cost plan would not result in better coverage. Riley

asked the Board to "not turn your back on us by switching from healthcare

coverage which has covered our members excellent [sic] over the last decades ."

Several union members accompanied Riley at the meeting.

At the same meeting, Jerome Johnson, head of Smart-TD, Local 60

(Smart-TD), also spoke against the switch in providers. According to Johnson,

"This abrupt change of our health care administrator can seriously affect our

members, their spouses, their children, [and] their serious health welfare

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