The premier is appointed by the governor of Montserrat on behalf of the monarch of the United Kingdom, currently King Charles III.

The current premier of Montserrat is Reuben Meade of the United Alliance.

The first premier of Montserrat was Reuben Meade, who was also the last chief minister.

The Cabinet has replaced the Executive Council and consists of the premier, the attorney-general, the financial secretary, and three other ministers.

(Dates in italics indicate de facto continuation of office)