The level can range from varsity high school up to NCAA Division III skills, depending on the programs.

Only the Dayton remains in the league from the inaugural season, however, founding member club Cincinnati rejoined 'The T' in 2023 after a three-year absence.

All 11 members currently compete within the ACHA Division II Southeast Region.

The league is separated into two divisions, beginning in the 2021–2022 season, for only the second time in its history.

Indiana won the ACHA Men's Division II National Championship in 2024, becoming the first team from the league to do so.

In the 2016–17 season, Ohio became the first team from the conference to advance to the ACHA Division II National Tournament that is held in March.

At the 2024 ACHA Division II National Tournament, Indiana & Miami became the first two teams from the conference to advance to the National Championship as Indiana won the game in Overtime.