2018–19 Midland Football League Premier Division

At the end of the 2017–18 season, the following teams left the division:
 * Promoted to Step 4
 * Bromsgrove Sporting, to Southern League East
 * Coleshill Town, to Southern League East
 * Laterally transferred within Step 5
 * Rugby Town, to the United Counties League Premier Division
 * Relegated to Step 6
 * Haughmond, to the West Midlands (Regional) League Premier Division
 * Heanor Town, to the East Midlands Counties League
 * Rocester, to Division One
 * Shawbury United, to the West Midlands (Regional) League Premier Division

The remaining 15 teams, together with the following, form the Premier Division for season 2018–19:
 * Promoted from Step 6
 * Dunkirk, from the East Midlands Counties League
 * Ilkeston Town, from Division One
 * Walsall Wood, from Division One
 * Wolverhampton Sporting Community, from the West Midlands (Regional) League Premier Division
 * Relegated from Step 4
 * Romulus, from the Northern Premier League Division One South