Team USA and related activity occurs predominantly within the American state of Michigan.
The majority of Team USA's roster and its coaches consist of individuals who were born in Canada; native-born American ringette players remain rare, with Finnish-born ringette players occasionally rounding out the roster.
"Team USA is often composed of mostly Canadian athletes that have a US tie, such as citizenship.
The Americans competed against Canadian and Finnish players during that period, and also in a separate division known as the "President's Pool" beginning in 2013.
However, they took first place in the President's Pool in 2022, after previously collecting two silver medals.