In the Matter of New Jersey Transit Corporation, Etc.

New Jersey Superior Court Appellate Division·Decided February 25, 2026·No. A-1030-25·Unpublished

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NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION This opinion shall not "constitute precedent or be binding upon any court ."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."

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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

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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

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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 wellreported 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

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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 condition." Johnson also expressed concerns about the lack of information provided by NJ Transit, in particular whether members' doctors would be in - network under the Aetna plan. Johnson asked the Board "to not allow our members to be assaulted again by changing the administ[rator]" of NJ Transit's healthcare plan.

In his September 9, 2024 correspondence to NJ Transit, Chairman of the Brotherhood of Locomotive Engineers and Trainmen (BLET) Thomas Haas wrote to NJ Transit noting the lack of any provision in the CBA between NJ Transit and BLET permitting the "unilateral substitution or replacement of health insurance or prescription drug benefits." In the letter, Haas stated a

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