I only understand part of this rule. I get the part where 408.36 tells us (for example) that you must protect a 100 amp panel with a SINGLE overcurrent device rated not higher than 100 amps. One, single device. I always use either an MCB panel (for which the one single device is internal to the panel) or an MLO panel (for which the one single device is the feeder breaker on the upstream panel).
Then we encounter Exception 2. It says we don't need to provide that one single OCPD ifwe instead provide two upstream breakers (or fuses) to protect the panel. Then, and only then, does the 42 circuit limit comes into play. Thus, if you have an MCB panel or an MLO panel protected by its upstream feeder breaker, then there is no 42 circuit limit.
What I don't get is how you can protect one panel with two breakers. Can anyone explain that, or provide a sketch? Are we talking about that rare instance in which breakers are allowed to be connected in parallel?