After a reminder of what premium support encompasses, we explain the rationale for premium support for micro and meso-level climate risk insurance solutions. Following this, various considerations for operationalizing such premium support are discussed in more detail. First, the roles and ownership of different actors, second, considerations for sustainable premium support, third, targeting or how to ensure that premium support reaches the most climate-vulnerable, and lastly, the case for, and good practices for, transparent premium support. The paper concludes with a short section on the way forward.