Have to read the rest of the doc to put that in context.
While the preferred viscosity grade is 15W-40, lower viscosity multigrades can be used in colder climates.
I am still trying to reconcile "primary recommendation" to "preferred" and what each really means.

The way I interpret it is, 15w-40 is preferred but you can run a lighter viscosity oil in really cold climates if desired. So, the real question is what is the difference and how does it really apply. They are rated the same at operating temp so the difference is cold start attributes. Even Cummins notes preferred is a 15 wt oil and that is primarily due to the film left on the friction surfaces.
Most engine damage, friction surfaces, is occurring in the first 10 seconds after start. The lighter the viscosity the less protection there is until operating temp and pressure comes up. It doesn't matter, at -20 to -40 F both oils are like cold syrup. One would be hard pressed to tell the difference in cranking speed and drag in those temps. Obviously in extremes the 5w is going to pump easier and pressure up slightly faster but that comes at a price in cold start lube capability.
This is assuming the ambient is lower than 5 F which for the most part is pretty infrequent for more than a few days. Average ambient lows are around 20 F for contiguous US states, it doesn't even approach the rather nebulous cutoff temp.
On those rare days it is cold enough to qualify, a block heater and\or parking in a building will negate the temp question. I simply cannot find a justification for 5w oils unless it is purely racing or mileage gains, rather, the precedent against is more obvious.