It currently has 13 participating clubs and the season lasts from October to May. At the Regular Stage, each club plays the others twice (home and away) and the top four teams qualify to Super Four stage. The qualified teams play each other once and the top two teams from Super Four play a 3-legged Championship Playoff to determine the season champion. The lowest placed team in Regular Stage is relegated to Saint Kitts and Nevis Division 1, from which another one is promoted.