I'm starting my own small-sized firm, who determines the insurance expense ratio for my employees? Is it my company or the insurance company?

You are required to follow the compulsory insurance law set by government in 2014. As long as you follow it, you can decide other insurance expenses yourself. You can also choose to pay a fee to hire an insurance company.

It varies from a country to another, If Egypt is the case it's determined by the law and the company can choose to contract with an insurance company and have the contract deducted from the governmental fee.

I agree with  Sherjeel Khalid's answer on this one.

The insurance expense ratio you inquire  about is the insurance premium rate , determination of such rate is a main job of the insurance company depending on the type of the insurance coverage to your employees and the total insurance values that you my fix as total sum insured for the risk , this of course besides the assessment of the insurance company's underwriter to the risk in question

Thanking you

“Insurance expense ratio” is the ratio of all expenses towards underwriting (including commissions) to the total premium charged. This is always determined by the insurance company.

The mandatory insurances to be procured for the employees in most jurisdictions are medical insurance (e.g. Abu Dhabi) and/or Workmen’s Compensation Insurance. Some companies also take group life insurance which is not mandatory.  The premium for these insurances differs between each insurance company  and the rate generally decreases with the number of employees ( i.e. higher the  number of employees lower the premium).  this premium could be optimized by obtaining competitive quotes from difference insurance companies.

Thanks & regards

The Insurance company will determine the ratio based on the table of benefits the owner request in case of a medical coverage. 

Employer seeks from the Insurance company its interest for Insurance of the employees. They give the coverage and exclusions and quote. It is further discussed in detail then decided ultimately by the employer. But one thing is in India the coverage will not start unless you make the premium. But as I see in Gulf countries coverage starts as soon as the Insurance policy is issued but payment is settled in due course. 

An employer may determine the insurance expense ratio at his own by researching the market, where it is mandated by law with the fixed rate.

Otherwise, you can contact an insurance company to determine for you as per your requirement.

،The insurance expense ratio you inquire  about is the insurance premium rate , determination of such rate is a main job of the insurance company depending on the type

It is a term between you and insurance company which will will determine the insurance ratio and not the employee. 

Eg: Allico insurance provides 90% coverage. Some other insurance company will provide 100% coverage.

They will charge you annual charges which you and your employee can mutually decide who will bear those charges.