It's when either the worm hasn't done the job or they didn't have any I assume.
You'll have to ask them to be certain as I've never tried tubeless but pretty sure those are the reasons.
What I find interesting though is vast majority as far as I know carry a tube and tyre levers "just in case". As a user of inner tubes I don't have to carry any other system in the event of a puncture.
I suppose it's possible that a tyre could be holed so badly that a worm and sealant wouldn't fix it but I would suggest vanishingly rare. No system is perfect and you can't legislate for every exception and even with innertubes people will sometimes find themselves walking or phoning the missus.