The development of agriculture and the rural economy play a crucial role in China’s socioeconomic system. Agriculture insurance has become key in ensuring the growth of agriculture and stabilizing farmers’ income when faced with natural disasters. The focus of this article is the history of the development of Chinese agriculture insurance since the 1980s and the trial of a new agriculture insurance launched in 2007, the policy details implemented in selected provinces, and the operation models. Using results from an investigation and field survey conducted since 2007 in Hunan Province, this article analyzes the performance and effects of this agriculture insurance trial run from the perspectives of different participating stakeholders, and with an emphasis on the program’s four principles. The experience and lessons learned are summarized, followed by recommendations on how to ensure the smooth operation and sustainable development of this new agriculture insurance program.