Affiliated to the South African Football Association (SAFA), the PSL organizes the country's top two professional divisions in the South African Premiership and the National First Division, and knockout cup competitions in the Nedbank Cup and the MTN 8.

The Premier Soccer League sell the naming rights of their competitions to a title sponsor.

The Baymed Cup was open to First Division sides, but the competition was terminated after a single edition in 2006.

Licenses to participate in the Premier Soccer League can be bought and sold on the free market.

The two clubs had differing fates, Ria Stars never appeared again whilst Free State Stars bought the league license from Maholosiane F.C., a team participating in the National First Division in the 2002–03 season and earned promotion to the top tier in the 2003–04 season.