These types are also called "set-theoretic" types as A|B means exactly the set of all values that can be typed as A or typed as B - note that this also induces a whole subtyping rule by set inclusion and this is in contrast to sum types where a value typed Either<A,B> can never be typed A or B - to move between them you need to apply extractors/match/constructors/(not sure of standard type theory nomenclature).
Implementation of these union types might still need additional tags and construction/matching/extraction underneath, but from a programming perspective there's less complexity as compared to involving an additional named type Either (or EitherOf3 and EitherOf4 and ...) and manually implementing set-theoretic laws.