To find the sliding ellipse, using tangency properties, is quite easy.
Taking an ellipse as
$$
\mathscr{E}(x,y,x_0,y_0,a,b,t) = ((y-y_0)\cos t+(x-x_0)\sin t)^2a^2+((x-x_0)\cos t-(y-y_0)\sin t)^2-a^2b^2=0
$$
and the horizontal line
$$
\mathscr{L}(x,y)= y=0
$$
at tangency, eliminating $y$ we arrive at the polynomial
$$
p(x) = \sin ^2(t) \left(a^2 (x-x_0)^2+b^2 y_0^2\right)+\cos ^2(t) \left(a^2 y_0^2+b^2 (x-x_0)^2\right)-y_0 \sin (2 t) \left(a^2 x+b^2x_0\right)+a^2 x_0 y_0 \sin (2 t)+b^2 x y_0 \sin (2 t)-a^2 b^2=k (x-x_t)^2,\ \ \ \forall x
$$
Note that at tangency, there is a double root ($(x-x_t)^2$), but we need that the tangent point be at the origin hence $x_t = 0$ and we have equivalently
$$
\left\{
\begin{array}{rcl}
a^2 x_0^2 \sin ^2(t)+a^2 x_0 y_0 \sin (2 t)+a^2 y_0^2 \cos ^2(t)+b^2 x_0^2 \cos ^2(t)-b^2 x_0 y_0 \sin (2t)+b^2 y_0^2 \sin ^2(t)-a^2 b^2&=&0 \\
+b^2 y_0 \sin (2 t -2 a^2 x_0 \sin ^2(t)-a^2 y_0 \sin (2 t)-2 b^2 x_0 \cos ^2(t)&=&0 \\
a^2 \sin ^2(t)+b^2 \cos ^2(t)-k&=&0 \\
\end{array}
\right.
$$
Solving for $\{k,x_0,y_0\}$ we obtain
$$
\cases{
k = b^2\cos^2t+a^2\sin^2 t\\
x_0 = \pm\frac{\sqrt{2} (a^2-b^2) \sin (t) \cos (t)}{\sqrt{a^2+b^2-(a^2-b^2)\cos (2 t)}}\\
y_0 = \mp\frac{\sqrt{a^2+b^2-(a^2-b^2) \cos (2 t)}}{\sqrt{2}}
}
$$
Now taking $\{a = 5, b = 3\}$ we have

NOTE
A precise numerical approximation can be obtained by following the steps.
1-Obtain the slipping ellipse equation, substituting $\{x_0(t), y_0(t)\}$ into $\mathscr{E}(x,y,x_0,y_0,a,b,t)$ giving $\mathscr{E}_s(x,y,a,b,t)$
2-Calculate $\dot{\mathscr{E}_s}(x,y,a,b,t)$
3-For $t = t_k, (k = 1,\cdots t_n)$ calculate $\{x_k,y_k\}$ as solutions for
$$
\cases{
\mathscr{E}_s(x,y,a,b,t_k) = 0\\
\dot{\mathscr{E}_s}(x,y,a,b,t_k)=0
}
$$
now with the sequence $\{x_k,y_k\}$ we can interpolate a periodic spline obtaining an approximation as accurate as needed. Note that we can obtain independently the inner and outer points (in red).

For this numerical case, the external area as depicted in the following picture in light blue, is approximately $101.90783$ units.

Regarding the inner points, we have a region as can be depicted in the following picture, with an approximate area of $18.2331$ units.
