The PAINT event of the BiDisp.ocx pass HDC as parameter. in the BiDisp_Paint(ByVal hDC As Long) method. The AnnoUIOnPaint(hDC) use this HDC to draw annotation objects. See the source below:
Private Sub BiDisp_Paint(ByVal hDC As Long)
…
Anno.AnnoUIOnPaint (hDC)
…
End Sub