The Men's Elite Division is a team handball tournament to determine the National Champion from the US. Only qualified teams are allowed to play in this Division. The other teams who fail to qualify play in the Open Division. Automatic bids are given to the winners of the , and the Midwest Team Handball and, in the past, were also given to the , and Western Team Handball League. In the current format, the Elite Division comprises 8 teams. Before the Elite Division existed the National Champion was claimed at the Open Division.